Development of a method for generating SNP interaction-aware polygenic risk scores for radiotherapy toxicity
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Development of a method for generating SNP interaction-aware polygenic risk scores for radiotherapy toxicity. / Franco, Nicola Rares; Massi, Michela Carlotta; Ieva, Francesca; Manzoni, Andrea; Paganoni, Anna Maria; Zunino, Paolo; Veldeman, Liv; Ost, Piet; Fonteyne, Valérie; Talbot, Christopher J; Rattay, Tim; Webb, Adam; Johnson, Kerstie; Lambrecht, Maarten; Haustermans, Karin; De Meerleer, Gert; de Ruysscher, Dirk; Vanneste, Ben; Van Limbergen, Evert; Choudhury, Ananya; Elliott, Rebecca M; Sperk, Elena; Veldwijk, Marlon R; Herskind, Carsten; Avuzzi, Barbara; Noris Chiorda, Barbara; Valdagni, Riccardo; Azria, David; Farcy-Jacquet, Marie-Pierre; Brengues, Muriel; Rosenstein, Barry S; Stock, Richard G; Vega, Ana; Aguado-Barrera, Miguel E; Sosa-Fajardo, Paloma; Dunning, Alison M; Fachal, Laura; Kerns, Sarah L; Payne, Debbie; Chang-Claude, Jenny; Seibold, Petra; West, Catharine M L; Rancati, Tiziana; REQUITE Consortium.
in: RADIOTHER ONCOL, Jahrgang 159, 06.2021, S. 241-248.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Development of a method for generating SNP interaction-aware polygenic risk scores for radiotherapy toxicity
AU - Franco, Nicola Rares
AU - Massi, Michela Carlotta
AU - Ieva, Francesca
AU - Manzoni, Andrea
AU - Paganoni, Anna Maria
AU - Zunino, Paolo
AU - Veldeman, Liv
AU - Ost, Piet
AU - Fonteyne, Valérie
AU - Talbot, Christopher J
AU - Rattay, Tim
AU - Webb, Adam
AU - Johnson, Kerstie
AU - Lambrecht, Maarten
AU - Haustermans, Karin
AU - De Meerleer, Gert
AU - de Ruysscher, Dirk
AU - Vanneste, Ben
AU - Van Limbergen, Evert
AU - Choudhury, Ananya
AU - Elliott, Rebecca M
AU - Sperk, Elena
AU - Veldwijk, Marlon R
AU - Herskind, Carsten
AU - Avuzzi, Barbara
AU - Noris Chiorda, Barbara
AU - Valdagni, Riccardo
AU - Azria, David
AU - Farcy-Jacquet, Marie-Pierre
AU - Brengues, Muriel
AU - Rosenstein, Barry S
AU - Stock, Richard G
AU - Vega, Ana
AU - Aguado-Barrera, Miguel E
AU - Sosa-Fajardo, Paloma
AU - Dunning, Alison M
AU - Fachal, Laura
AU - Kerns, Sarah L
AU - Payne, Debbie
AU - Chang-Claude, Jenny
AU - Seibold, Petra
AU - West, Catharine M L
AU - Rancati, Tiziana
AU - REQUITE Consortium
N1 - Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - AIM: To identify the effect of single nucleotide polymorphism (SNP) interactions on the risk of toxicity following radiotherapy (RT) for prostate cancer (PCa) and propose a new method for polygenic risk score incorporating SNP-SNP interactions (PRSi).MATERIALS AND METHODS: Analysis included the REQUITE PCa cohort that received external beam RT and was followed for 2 years. Late toxicity endpoints were: rectal bleeding, urinary frequency, haematuria, nocturia, decreased urinary stream. Among 43 literature-identified SNPs, the 30% most strongly associated with each toxicity were tested. SNP-SNP combinations (named SNP-allele sets) seen in ≥10% of the cohort were condensed into risk (RS) and protection (PS) scores, respectively indicating increased or decreased toxicity risk. Performance of RS and PS was evaluated by logistic regression. RS and PS were then combined into a single PRSi evaluated by area under the receiver operating characteristic curve (AUC).RESULTS: Among 1,387 analysed patients, toxicity rates were 11.7% (rectal bleeding), 4.0% (urinary frequency), 5.5% (haematuria), 7.8% (nocturia) and 17.1% (decreased urinary stream). RS and PS combined 8 to 15 different SNP-allele sets, depending on the toxicity endpoint. Distributions of PRSi differed significantly in patients with/without toxicity with AUCs ranging from 0.61 to 0.78. PRSi was better than the classical summed PRS, particularly for the urinary frequency, haematuria and decreased urinary stream endpoints.CONCLUSIONS: Our method incorporates SNP-SNP interactions when calculating PRS for radiotherapy toxicity. Our approach is better than classical summation in discriminating patients with toxicity and should enable incorporating genetic information to improve normal tissue complication probability models.
AB - AIM: To identify the effect of single nucleotide polymorphism (SNP) interactions on the risk of toxicity following radiotherapy (RT) for prostate cancer (PCa) and propose a new method for polygenic risk score incorporating SNP-SNP interactions (PRSi).MATERIALS AND METHODS: Analysis included the REQUITE PCa cohort that received external beam RT and was followed for 2 years. Late toxicity endpoints were: rectal bleeding, urinary frequency, haematuria, nocturia, decreased urinary stream. Among 43 literature-identified SNPs, the 30% most strongly associated with each toxicity were tested. SNP-SNP combinations (named SNP-allele sets) seen in ≥10% of the cohort were condensed into risk (RS) and protection (PS) scores, respectively indicating increased or decreased toxicity risk. Performance of RS and PS was evaluated by logistic regression. RS and PS were then combined into a single PRSi evaluated by area under the receiver operating characteristic curve (AUC).RESULTS: Among 1,387 analysed patients, toxicity rates were 11.7% (rectal bleeding), 4.0% (urinary frequency), 5.5% (haematuria), 7.8% (nocturia) and 17.1% (decreased urinary stream). RS and PS combined 8 to 15 different SNP-allele sets, depending on the toxicity endpoint. Distributions of PRSi differed significantly in patients with/without toxicity with AUCs ranging from 0.61 to 0.78. PRSi was better than the classical summed PRS, particularly for the urinary frequency, haematuria and decreased urinary stream endpoints.CONCLUSIONS: Our method incorporates SNP-SNP interactions when calculating PRS for radiotherapy toxicity. Our approach is better than classical summation in discriminating patients with toxicity and should enable incorporating genetic information to improve normal tissue complication probability models.
U2 - 10.1016/j.radonc.2021.03.024
DO - 10.1016/j.radonc.2021.03.024
M3 - SCORING: Journal article
C2 - 33838170
VL - 159
SP - 241
EP - 248
JO - RADIOTHER ONCOL
JF - RADIOTHER ONCOL
SN - 0167-8140
ER -