Functional annotation of the 2q35 breast cancer risk locus implicates a structural variant in influencing activity of a long-range enhancer element

Standard

Functional annotation of the 2q35 breast cancer risk locus implicates a structural variant in influencing activity of a long-range enhancer element. / Baxter, Joseph S; Johnson, Nichola; Tomczyk, Katarzyna; Gillespie, Andrea; Maguire, Sarah; Brough, Rachel; Fachal, Laura; Michailidou, Kyriaki; Bolla, Manjeet K; Wang, Qin; Dennis, Joe; Ahearn, Thomas U; Andrulis, Irene L; Anton-Culver, Hoda; Antonenkova, Natalia N; Arndt, Volker; Aronson, Kristan J; Augustinsson, Annelie; Becher, Heiko; Beckmann, Matthias W; Behrens, Sabine; Benitez, Javier; Bermisheva, Marina; Bogdanova, Natalia V; Bojesen, Stig E; Brenner, Hermann; Brucker, Sara Y; Cai, Qiuyin; Campa, Daniele; Canzian, Federico; Castelao, Jose E; Chan, Tsun L; Chang-Claude, Jenny; Chanock, Stephen J; Chenevix-Trench, Georgia; Choi, Ji-Yeob; Clarke, Christine L; Colonna, Sarah; Conroy, Don M; Couch, Fergus J; Cox, Angela; Cross, Simon S; Czene, Kamila; Daly, Mary B; Devilee, Peter; Dörk, Thilo; Dossus, Laure; Dwek, Miriam; Eccles, Diana M; Ekici, Arif B; Eliassen, A Heather; Engel, Christoph; Fasching, Peter A; Figueroa, Jonine; Flyger, Henrik; Gago-Dominguez, Manuela; Gao, Chi; García-Closas, Montserrat; García-Sáenz, José A; Ghoussaini, Maya; Giles, Graham G; Goldberg, Mark S; González-Neira, Anna; Guénel, Pascal; Gündert, Melanie; Haeberle, Lothar; Hahnen, Eric; Haiman, Christopher A; Hall, Per; Hamann, Ute; Hartman, Mikael; Hatse, Sigrid; Hauke, Jan; Hollestelle, Antoinette; Hoppe, Reiner; Hopper, John L; Hou, Ming-Feng; Ito, Hidemi; Iwasaki, Motoki; Jager, Agnes; Jakubowska, Anna; Janni, Wolfgang; John, Esther M; Joseph, Vijai; Jung, Audrey; Kaaks, Rudolf; Kang, Daehee; Keeman, Renske; Khusnutdinova, Elza; Kim, Sung-Won; Kosma, Veli-Matti; Kraft, Peter; Kristensen, Vessela N; Kubelka-Sabit, Katerina; Kurian, Allison W; Kwong, Ava; Lacey, James V; Lambrechts, Diether; Larson, Nicole L; Larsson, Susanna C; Le Marchand, Loic; Lejbkowicz, Flavio; Li, Jingmei; Long, Jirong; Lophatananon, Artitaya; Lubiński, Jan; Mannermaa, Arto; Manoochehri, Mehdi; Manoukian, Siranoush; Margolin, Sara; Matsuo, Keitaro; Mavroudis, Dimitrios; Mayes, Rebecca; Menon, Usha; Milne, Roger L; Mohd Taib, Nur Aishah; Muir, Kenneth; Muranen, Taru A; Murphy, Rachel A; Nevanlinna, Heli; O'Brien, Katie M; Offit, Kenneth; Olson, Janet E; Olsson, Håkan; Park, Sue K; Park-Simon, Tjoung-Won; Patel, Alpa V; Peterlongo, Paolo; Peto, Julian; Plaseska-Karanfilska, Dijana; Presneau, Nadege; Pylkäs, Katri; Rack, Brigitte; Rennert, Gad; Romero, Atocha; Ruebner, Matthias; Rüdiger, Thomas; Saloustros, Emmanouil; Sandler, Dale P; Sawyer, Elinor J; Schmidt, Marjanka K; Schmutzler, Rita K; Schneeweiss, Andreas; Schoemaker, Minouk J; Shah, Mitul; Shen, Chen-Yang; Shu, Xiao-Ou; Simard, Jacques; Southey, Melissa C; Stone, Jennifer; Surowy, Harald; Swerdlow, Anthony J; Tamimi, Rulla M; Tapper, William J; Taylor, Jack A; Teo, Soo Hwang; Teras, Lauren R; Terry, Mary Beth; Toland, Amanda E; Tomlinson, Ian; Truong, Thérèse; Tseng, Chiu-Chen; Untch, Michael; Vachon, Celine M; van den Ouweland, Ans M W; Wang, Sophia S; Weinberg, Clarice R; Wendt, Camilla; Winham, Stacey J; Winqvist, Robert; Wolk, Alicja; Wu, Anna H; Yamaji, Taiki; Zheng, Wei; Ziogas, Argyrios; Pharoah, Paul D P; Dunning, Alison M; Easton, Douglas F; Pettitt, Stephen J; Lord, Christopher J; Haider, Syed; Orr, Nick; Fletcher, Olivia; NBCS Collaborators.

In: AM J HUM GENET, Vol. 108, No. 7, 01.07.2021, p. 1190-1203.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

Baxter, JS, Johnson, N, Tomczyk, K, Gillespie, A, Maguire, S, Brough, R, Fachal, L, Michailidou, K, Bolla, MK, Wang, Q, Dennis, J, Ahearn, TU, Andrulis, IL, Anton-Culver, H, Antonenkova, NN, Arndt, V, Aronson, KJ, Augustinsson, A, Becher, H, Beckmann, MW, Behrens, S, Benitez, J, Bermisheva, M, Bogdanova, NV, Bojesen, SE, Brenner, H, Brucker, SY, Cai, Q, Campa, D, Canzian, F, Castelao, JE, Chan, TL, Chang-Claude, J, Chanock, SJ, Chenevix-Trench, G, Choi, J-Y, Clarke, CL, Colonna, S, Conroy, DM, Couch, FJ, Cox, A, Cross, SS, Czene, K, Daly, MB, Devilee, P, Dörk, T, Dossus, L, Dwek, M, Eccles, DM, Ekici, AB, Eliassen, AH, Engel, C, Fasching, PA, Figueroa, J, Flyger, H, Gago-Dominguez, M, Gao, C, García-Closas, M, García-Sáenz, JA, Ghoussaini, M, Giles, GG, Goldberg, MS, González-Neira, A, Guénel, P, Gündert, M, Haeberle, L, Hahnen, E, Haiman, CA, Hall, P, Hamann, U, Hartman, M, Hatse, S, Hauke, J, Hollestelle, A, Hoppe, R, Hopper, JL, Hou, M-F, Ito, H, Iwasaki, M, Jager, A, Jakubowska, A, Janni, W, John, EM, Joseph, V, Jung, A, Kaaks, R, Kang, D, Keeman, R, Khusnutdinova, E, Kim, S-W, Kosma, V-M, Kraft, P, Kristensen, VN, Kubelka-Sabit, K, Kurian, AW, Kwong, A, Lacey, JV, Lambrechts, D, Larson, NL, Larsson, SC, Le Marchand, L, Lejbkowicz, F, Li, J, Long, J, Lophatananon, A, Lubiński, J, Mannermaa, A, Manoochehri, M, Manoukian, S, Margolin, S, Matsuo, K, Mavroudis, D, Mayes, R, Menon, U, Milne, RL, Mohd Taib, NA, Muir, K, Muranen, TA, Murphy, RA, Nevanlinna, H, O'Brien, KM, Offit, K, Olson, JE, Olsson, H, Park, SK, Park-Simon, T-W, Patel, AV, Peterlongo, P, Peto, J, Plaseska-Karanfilska, D, Presneau, N, Pylkäs, K, Rack, B, Rennert, G, Romero, A, Ruebner, M, Rüdiger, T, Saloustros, E, Sandler, DP, Sawyer, EJ, Schmidt, MK, Schmutzler, RK, Schneeweiss, A, Schoemaker, MJ, Shah, M, Shen, C-Y, Shu, X-O, Simard, J, Southey, MC, Stone, J, Surowy, H, Swerdlow, AJ, Tamimi, RM, Tapper, WJ, Taylor, JA, Teo, SH, Teras, LR, Terry, MB, Toland, AE, Tomlinson, I, Truong, T, Tseng, C-C, Untch, M, Vachon, CM, van den Ouweland, AMW, Wang, SS, Weinberg, CR, Wendt, C, Winham, SJ, Winqvist, R, Wolk, A, Wu, AH, Yamaji, T, Zheng, W, Ziogas, A, Pharoah, PDP, Dunning, AM, Easton, DF, Pettitt, SJ, Lord, CJ, Haider, S, Orr, N, Fletcher, O & NBCS Collaborators 2021, 'Functional annotation of the 2q35 breast cancer risk locus implicates a structural variant in influencing activity of a long-range enhancer element', AM J HUM GENET, vol. 108, no. 7, pp. 1190-1203. https://doi.org/10.1016/j.ajhg.2021.05.013

APA

Baxter, J. S., Johnson, N., Tomczyk, K., Gillespie, A., Maguire, S., Brough, R., Fachal, L., Michailidou, K., Bolla, M. K., Wang, Q., Dennis, J., Ahearn, T. U., Andrulis, I. L., Anton-Culver, H., Antonenkova, N. N., Arndt, V., Aronson, K. J., Augustinsson, A., Becher, H., ... NBCS Collaborators (2021). Functional annotation of the 2q35 breast cancer risk locus implicates a structural variant in influencing activity of a long-range enhancer element. AM J HUM GENET, 108(7), 1190-1203. https://doi.org/10.1016/j.ajhg.2021.05.013

Vancouver

Bibtex

@article{10daee45018e4911bab5a6597b2139c0,
title = "Functional annotation of the 2q35 breast cancer risk locus implicates a structural variant in influencing activity of a long-range enhancer element",
abstract = "A combination of genetic and functional approaches has identified three independent breast cancer risk loci at 2q35. A recent fine-scale mapping analysis to refine these associations resulted in 1 (signal 1), 5 (signal 2), and 42 (signal 3) credible causal variants at these loci. We used publicly available in silico DNase I and ChIP-seq data with in vitro reporter gene and CRISPR assays to annotate signals 2 and 3. We identified putative regulatory elements that enhanced cell-type-specific transcription from the IGFBP5 promoter at both signals (30- to 40-fold increased expression by the putative regulatory element at signal 2, 2- to 3-fold by the putative regulatory element at signal 3). We further identified one of the five credible causal variants at signal 2, a 1.4 kb deletion (esv3594306), as the likely causal variant; the deletion allele of this variant was associated with an average additional increase in IGFBP5 expression of 1.3-fold (MCF-7) and 2.2-fold (T-47D). We propose a model in which the deletion allele of esv3594306 juxtaposes two transcription factor binding regions (annotated by estrogen receptor alpha ChIP-seq peaks) to generate a single extended regulatory element. This regulatory element increases cell-type-specific expression of the tumor suppressor gene IGFBP5 and, thereby, reduces risk of estrogen receptor-positive breast cancer (odds ratio = 0.77, 95% CI 0.74-0.81, p = 3.1 × 10-31).",
author = "Baxter, {Joseph S} and Nichola Johnson and Katarzyna Tomczyk and Andrea Gillespie and Sarah Maguire and Rachel Brough and Laura Fachal and Kyriaki Michailidou and Bolla, {Manjeet K} and Qin Wang and Joe Dennis and Ahearn, {Thomas U} and Andrulis, {Irene L} and Hoda Anton-Culver and Antonenkova, {Natalia N} and Volker Arndt and Aronson, {Kristan J} and Annelie Augustinsson and Heiko Becher and Beckmann, {Matthias W} and Sabine Behrens and Javier Benitez and Marina Bermisheva and Bogdanova, {Natalia V} and Bojesen, {Stig E} and Hermann Brenner and Brucker, {Sara Y} and Qiuyin Cai and Daniele Campa and Federico Canzian and Castelao, {Jose E} and Chan, {Tsun L} and Jenny Chang-Claude and Chanock, {Stephen J} and Georgia Chenevix-Trench and Ji-Yeob Choi and Clarke, {Christine L} and Sarah Colonna and Conroy, {Don M} and Couch, {Fergus J} and Angela Cox and Cross, {Simon S} and Kamila Czene and Daly, {Mary B} and Peter Devilee and Thilo D{\"o}rk and Laure Dossus and Miriam Dwek and Eccles, {Diana M} and Ekici, {Arif B} and Eliassen, {A Heather} and Christoph Engel and Fasching, {Peter A} and Jonine Figueroa and Henrik Flyger and Manuela Gago-Dominguez and Chi Gao and Montserrat Garc{\'i}a-Closas and Garc{\'i}a-S{\'a}enz, {Jos{\'e} A} and Maya Ghoussaini and Giles, {Graham G} and Goldberg, {Mark S} and Anna Gonz{\'a}lez-Neira and Pascal Gu{\'e}nel and Melanie G{\"u}ndert and Lothar Haeberle and Eric Hahnen and Haiman, {Christopher A} and Per Hall and Ute Hamann and Mikael Hartman and Sigrid Hatse and Jan Hauke and Antoinette Hollestelle and Reiner Hoppe and Hopper, {John L} and Ming-Feng Hou and Hidemi Ito and Motoki Iwasaki and Agnes Jager and Anna Jakubowska and Wolfgang Janni and John, {Esther M} and Vijai Joseph and Audrey Jung and Rudolf Kaaks and Daehee Kang and Renske Keeman and Elza Khusnutdinova and Sung-Won Kim and Veli-Matti Kosma and Peter Kraft and Kristensen, {Vessela N} and Katerina Kubelka-Sabit and Kurian, {Allison W} and Ava Kwong and Lacey, {James V} and Diether Lambrechts and Larson, {Nicole L} and Larsson, {Susanna C} and {Le Marchand}, Loic and Flavio Lejbkowicz and Jingmei Li and Jirong Long and Artitaya Lophatananon and Jan Lubi{\'n}ski and Arto Mannermaa and Mehdi Manoochehri and Siranoush Manoukian and Sara Margolin and Keitaro Matsuo and Dimitrios Mavroudis and Rebecca Mayes and Usha Menon and Milne, {Roger L} and {Mohd Taib}, {Nur Aishah} and Kenneth Muir and Muranen, {Taru A} and Murphy, {Rachel A} and Heli Nevanlinna and O'Brien, {Katie M} and Kenneth Offit and Olson, {Janet E} and H{\aa}kan Olsson and Park, {Sue K} and Tjoung-Won Park-Simon and Patel, {Alpa V} and Paolo Peterlongo and Julian Peto and Dijana Plaseska-Karanfilska and Nadege Presneau and Katri Pylk{\"a}s and Brigitte Rack and Gad Rennert and Atocha Romero and Matthias Ruebner and Thomas R{\"u}diger and Emmanouil Saloustros and Sandler, {Dale P} and Sawyer, {Elinor J} and Schmidt, {Marjanka K} and Schmutzler, {Rita K} and Andreas Schneeweiss and Schoemaker, {Minouk J} and Mitul Shah and Chen-Yang Shen and Xiao-Ou Shu and Jacques Simard and Southey, {Melissa C} and Jennifer Stone and Harald Surowy and Swerdlow, {Anthony J} and Tamimi, {Rulla M} and Tapper, {William J} and Taylor, {Jack A} and Teo, {Soo Hwang} and Teras, {Lauren R} and Terry, {Mary Beth} and Toland, {Amanda E} and Ian Tomlinson and Th{\'e}r{\`e}se Truong and Chiu-Chen Tseng and Michael Untch and Vachon, {Celine M} and {van den Ouweland}, {Ans M W} and Wang, {Sophia S} and Weinberg, {Clarice R} and Camilla Wendt and Winham, {Stacey J} and Robert Winqvist and Alicja Wolk and Wu, {Anna H} and Taiki Yamaji and Wei Zheng and Argyrios Ziogas and Pharoah, {Paul D P} and Dunning, {Alison M} and Easton, {Douglas F} and Pettitt, {Stephen J} and Lord, {Christopher J} and Syed Haider and Nick Orr and Olivia Fletcher and {NBCS Collaborators}",
note = "Copyright {\textcopyright} 2021 The Authors. Published by Elsevier Inc. All rights reserved.",
year = "2021",
month = jul,
day = "1",
doi = "10.1016/j.ajhg.2021.05.013",
language = "English",
volume = "108",
pages = "1190--1203",
journal = "AM J HUM GENET",
issn = "0002-9297",
publisher = "Cell Press",
number = "7",

}

RIS

TY - JOUR

T1 - Functional annotation of the 2q35 breast cancer risk locus implicates a structural variant in influencing activity of a long-range enhancer element

AU - Baxter, Joseph S

AU - Johnson, Nichola

AU - Tomczyk, Katarzyna

AU - Gillespie, Andrea

AU - Maguire, Sarah

AU - Brough, Rachel

AU - Fachal, Laura

AU - Michailidou, Kyriaki

AU - Bolla, Manjeet K

AU - Wang, Qin

AU - Dennis, Joe

AU - Ahearn, Thomas U

AU - Andrulis, Irene L

AU - Anton-Culver, Hoda

AU - Antonenkova, Natalia N

AU - Arndt, Volker

AU - Aronson, Kristan J

AU - Augustinsson, Annelie

AU - Becher, Heiko

AU - Beckmann, Matthias W

AU - Behrens, Sabine

AU - Benitez, Javier

AU - Bermisheva, Marina

AU - Bogdanova, Natalia V

AU - Bojesen, Stig E

AU - Brenner, Hermann

AU - Brucker, Sara Y

AU - Cai, Qiuyin

AU - Campa, Daniele

AU - Canzian, Federico

AU - Castelao, Jose E

AU - Chan, Tsun L

AU - Chang-Claude, Jenny

AU - Chanock, Stephen J

AU - Chenevix-Trench, Georgia

AU - Choi, Ji-Yeob

AU - Clarke, Christine L

AU - Colonna, Sarah

AU - Conroy, Don M

AU - Couch, Fergus J

AU - Cox, Angela

AU - Cross, Simon S

AU - Czene, Kamila

AU - Daly, Mary B

AU - Devilee, Peter

AU - Dörk, Thilo

AU - Dossus, Laure

AU - Dwek, Miriam

AU - Eccles, Diana M

AU - Ekici, Arif B

AU - Eliassen, A Heather

AU - Engel, Christoph

AU - Fasching, Peter A

AU - Figueroa, Jonine

AU - Flyger, Henrik

AU - Gago-Dominguez, Manuela

AU - Gao, Chi

AU - García-Closas, Montserrat

AU - García-Sáenz, José A

AU - Ghoussaini, Maya

AU - Giles, Graham G

AU - Goldberg, Mark S

AU - González-Neira, Anna

AU - Guénel, Pascal

AU - Gündert, Melanie

AU - Haeberle, Lothar

AU - Hahnen, Eric

AU - Haiman, Christopher A

AU - Hall, Per

AU - Hamann, Ute

AU - Hartman, Mikael

AU - Hatse, Sigrid

AU - Hauke, Jan

AU - Hollestelle, Antoinette

AU - Hoppe, Reiner

AU - Hopper, John L

AU - Hou, Ming-Feng

AU - Ito, Hidemi

AU - Iwasaki, Motoki

AU - Jager, Agnes

AU - Jakubowska, Anna

AU - Janni, Wolfgang

AU - John, Esther M

AU - Joseph, Vijai

AU - Jung, Audrey

AU - Kaaks, Rudolf

AU - Kang, Daehee

AU - Keeman, Renske

AU - Khusnutdinova, Elza

AU - Kim, Sung-Won

AU - Kosma, Veli-Matti

AU - Kraft, Peter

AU - Kristensen, Vessela N

AU - Kubelka-Sabit, Katerina

AU - Kurian, Allison W

AU - Kwong, Ava

AU - Lacey, James V

AU - Lambrechts, Diether

AU - Larson, Nicole L

AU - Larsson, Susanna C

AU - Le Marchand, Loic

AU - Lejbkowicz, Flavio

AU - Li, Jingmei

AU - Long, Jirong

AU - Lophatananon, Artitaya

AU - Lubiński, Jan

AU - Mannermaa, Arto

AU - Manoochehri, Mehdi

AU - Manoukian, Siranoush

AU - Margolin, Sara

AU - Matsuo, Keitaro

AU - Mavroudis, Dimitrios

AU - Mayes, Rebecca

AU - Menon, Usha

AU - Milne, Roger L

AU - Mohd Taib, Nur Aishah

AU - Muir, Kenneth

AU - Muranen, Taru A

AU - Murphy, Rachel A

AU - Nevanlinna, Heli

AU - O'Brien, Katie M

AU - Offit, Kenneth

AU - Olson, Janet E

AU - Olsson, Håkan

AU - Park, Sue K

AU - Park-Simon, Tjoung-Won

AU - Patel, Alpa V

AU - Peterlongo, Paolo

AU - Peto, Julian

AU - Plaseska-Karanfilska, Dijana

AU - Presneau, Nadege

AU - Pylkäs, Katri

AU - Rack, Brigitte

AU - Rennert, Gad

AU - Romero, Atocha

AU - Ruebner, Matthias

AU - Rüdiger, Thomas

AU - Saloustros, Emmanouil

AU - Sandler, Dale P

AU - Sawyer, Elinor J

AU - Schmidt, Marjanka K

AU - Schmutzler, Rita K

AU - Schneeweiss, Andreas

AU - Schoemaker, Minouk J

AU - Shah, Mitul

AU - Shen, Chen-Yang

AU - Shu, Xiao-Ou

AU - Simard, Jacques

AU - Southey, Melissa C

AU - Stone, Jennifer

AU - Surowy, Harald

AU - Swerdlow, Anthony J

AU - Tamimi, Rulla M

AU - Tapper, William J

AU - Taylor, Jack A

AU - Teo, Soo Hwang

AU - Teras, Lauren R

AU - Terry, Mary Beth

AU - Toland, Amanda E

AU - Tomlinson, Ian

AU - Truong, Thérèse

AU - Tseng, Chiu-Chen

AU - Untch, Michael

AU - Vachon, Celine M

AU - van den Ouweland, Ans M W

AU - Wang, Sophia S

AU - Weinberg, Clarice R

AU - Wendt, Camilla

AU - Winham, Stacey J

AU - Winqvist, Robert

AU - Wolk, Alicja

AU - Wu, Anna H

AU - Yamaji, Taiki

AU - Zheng, Wei

AU - Ziogas, Argyrios

AU - Pharoah, Paul D P

AU - Dunning, Alison M

AU - Easton, Douglas F

AU - Pettitt, Stephen J

AU - Lord, Christopher J

AU - Haider, Syed

AU - Orr, Nick

AU - Fletcher, Olivia

AU - NBCS Collaborators

N1 - Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

PY - 2021/7/1

Y1 - 2021/7/1

N2 - A combination of genetic and functional approaches has identified three independent breast cancer risk loci at 2q35. A recent fine-scale mapping analysis to refine these associations resulted in 1 (signal 1), 5 (signal 2), and 42 (signal 3) credible causal variants at these loci. We used publicly available in silico DNase I and ChIP-seq data with in vitro reporter gene and CRISPR assays to annotate signals 2 and 3. We identified putative regulatory elements that enhanced cell-type-specific transcription from the IGFBP5 promoter at both signals (30- to 40-fold increased expression by the putative regulatory element at signal 2, 2- to 3-fold by the putative regulatory element at signal 3). We further identified one of the five credible causal variants at signal 2, a 1.4 kb deletion (esv3594306), as the likely causal variant; the deletion allele of this variant was associated with an average additional increase in IGFBP5 expression of 1.3-fold (MCF-7) and 2.2-fold (T-47D). We propose a model in which the deletion allele of esv3594306 juxtaposes two transcription factor binding regions (annotated by estrogen receptor alpha ChIP-seq peaks) to generate a single extended regulatory element. This regulatory element increases cell-type-specific expression of the tumor suppressor gene IGFBP5 and, thereby, reduces risk of estrogen receptor-positive breast cancer (odds ratio = 0.77, 95% CI 0.74-0.81, p = 3.1 × 10-31).

AB - A combination of genetic and functional approaches has identified three independent breast cancer risk loci at 2q35. A recent fine-scale mapping analysis to refine these associations resulted in 1 (signal 1), 5 (signal 2), and 42 (signal 3) credible causal variants at these loci. We used publicly available in silico DNase I and ChIP-seq data with in vitro reporter gene and CRISPR assays to annotate signals 2 and 3. We identified putative regulatory elements that enhanced cell-type-specific transcription from the IGFBP5 promoter at both signals (30- to 40-fold increased expression by the putative regulatory element at signal 2, 2- to 3-fold by the putative regulatory element at signal 3). We further identified one of the five credible causal variants at signal 2, a 1.4 kb deletion (esv3594306), as the likely causal variant; the deletion allele of this variant was associated with an average additional increase in IGFBP5 expression of 1.3-fold (MCF-7) and 2.2-fold (T-47D). We propose a model in which the deletion allele of esv3594306 juxtaposes two transcription factor binding regions (annotated by estrogen receptor alpha ChIP-seq peaks) to generate a single extended regulatory element. This regulatory element increases cell-type-specific expression of the tumor suppressor gene IGFBP5 and, thereby, reduces risk of estrogen receptor-positive breast cancer (odds ratio = 0.77, 95% CI 0.74-0.81, p = 3.1 × 10-31).

U2 - 10.1016/j.ajhg.2021.05.013

DO - 10.1016/j.ajhg.2021.05.013

M3 - SCORING: Journal article

C2 - 34146516

VL - 108

SP - 1190

EP - 1203

JO - AM J HUM GENET

JF - AM J HUM GENET

SN - 0002-9297

IS - 7

ER -