Multi-ancestry genome-wide association study of 4069 children with glioma identifies 9p21.3 risk locus

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  • Jon Foss-Skiftesvik
  • Shaobo Li
  • Adam Rosenbaum
  • Christian Munch Hagen
  • Ulrik Kristoffer Stoltze
  • Sally Ljungqvist
  • Ulf Hjalmars
  • Schmiegelow, K.
  • Libby Morimoto
  • Adam J. De Smith
  • Mathiasen, René
  • Catherine Metayer
  • David Hougaard
  • Beatrice Melin
  • Kyle M. Walsh
  • Jonas Bybjerg-Grauholm
  • Anna M. Dahlin
  • Joseph L. Wiemels

Background: Although recent sequencing studies have revealed that 10% of childhood gliomas are caused by rare germline mutations, the role of common variants is undetermined and no genome-wide significant risk loci for pediatric central nervous system tumors have been identified to date. Methods: Meta-analysis of 3 population-based genome-wide association studies comprising 4069 children with glioma and 8778 controls of multiple genetic ancestries. Replication was performed in a separate case-control cohort. Quantitative trait loci analyses and a transcriptome-wide association study were conducted to assess possible links with brain tissue expression across 18 628 genes. Results: Common variants in CDKN2B-AS1 at 9p21.3 were significantly associated with astrocytoma, the most common subtype of glioma in children (rs573687, P-value of 6.974e-10, OR 1.273, 95% CI 1.179-1.374). The association was driven by low-grade astrocytoma (P-value of 3.815e-9) and exhibited unidirectional effects across all 6 genetic ancestries. For glioma overall, the association approached genome-wide significance (rs3731239, P-value of 5.411e-8), while no significant association was observed for high-grade tumors. Predicted decreased brain tissue expression of CDKN2B was significantly associated with astrocytoma (P-value of 8.090e-8). Conclusions: In this population-based genome-wide association study meta-analysis, we identify and replicate 9p21.3 (CDKN2B-AS1) as a risk locus for childhood astrocytoma, thereby establishing the first genome-wide significant evidence of common variant predisposition in pediatric neuro-oncology. We furthermore provide a functional basis for the association by showing a possible link to decreased brain tissue CDKN2B expression and substantiate that genetic susceptibility differs between low- and high-grade astrocytoma.

Original languageEnglish
JournalNeuro-Oncology
Volume25
Issue number9
Pages (from-to)1709-1720
Number of pages12
ISSN1522-8517
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 The Author(s). Published by Oxford University Press on behalf of the Society for Neuro-Oncology.

    Research areas

  • Childhood brain tumors, genetic susceptibility, glioma, GWAS, pediatric neuro-oncology

ID: 397238800