Genetic Risk Score Mendelian Randomization Shows that Obesity Measured as Body Mass Index, but not Waist:Hip Ratio, Is Causal for Endometrial Cancer
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Genetic Risk Score Mendelian Randomization Shows that Obesity Measured as Body Mass Index, but not Waist:Hip Ratio, Is Causal for Endometrial Cancer. / Painter, Jodie N.; O'Mara, Tracy A.; Marquart, Louise; Webb, Penelope M; Attia, John; Medland, Sarah E; Cheng, Timothy; Dennis, Joe; Holliday, Elizabeth G; McEvoy, Mark; Scott, Rodney J; Ahmed, Shahana; Healey, Catherine S; Shah, Mitul; Gorman, Maggie; Martin, Lynn; Hodgson, Shirley V; Ekici, Arif B; Fasching, Peter A; Hein, Alexander; Rübner, Matthias; Czene, Kamila; Darabi, Hatef; Hall, Per; Li, Jingmei; Dörk, Thilo; Dürst, Matthias; Hillemanns, Peter; Runnebaum, Ingo B; Amant, Frederic; Annibali, Daniela; Depreeuw, Jeroen; Lambrechts, Diether; Neven, Patrick; Cunningham, Julie M; Dowdy, Sean C; Goode, Ellen L; Fridley, Brooke L; Winham, Stacey J; Njølstad, Tormund S; Salvesen, Helga B; Trovik, Jone; Werner, Henrica M. J.; Ashton, Katie A; Otton, Geoffrey; Proietto, Anthony; Mints, Miriam; Tham, Emma; Bolla, Manjeet K; Michailidou, Kyriaki; Wang, Qin; Tyrer, Jonathan P; Hopper, John L; Peto, Julian; Swerdlow, Anthony J; Burwinkel, Barbara; Brenner, Hermann; Meindl, Alfons; Brauch, Hiltrud; Lindblom, Annika; Chang-Claude, Jenny; Couch, Fergus J; Giles, Graham; Kristensen, Vessela N; Cox, Angela; Pharoah, Paul D P; Tomlinson, Ian; Dunning, Alison M; Easton, Douglas F; Thompson, Deborah J.; Spurdle, Amanda B; AOCS study group.
In: CANCER EPIDEM BIOMAR, Vol. 25, No. 11, 11.2016, p. 1503-1510.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Genetic Risk Score Mendelian Randomization Shows that Obesity Measured as Body Mass Index, but not Waist:Hip Ratio, Is Causal for Endometrial Cancer
AU - Painter, Jodie N.
AU - O'Mara, Tracy A.
AU - Marquart, Louise
AU - Webb, Penelope M
AU - Attia, John
AU - Medland, Sarah E
AU - Cheng, Timothy
AU - Dennis, Joe
AU - Holliday, Elizabeth G
AU - McEvoy, Mark
AU - Scott, Rodney J
AU - Ahmed, Shahana
AU - Healey, Catherine S
AU - Shah, Mitul
AU - Gorman, Maggie
AU - Martin, Lynn
AU - Hodgson, Shirley V
AU - Ekici, Arif B
AU - Fasching, Peter A
AU - Hein, Alexander
AU - Rübner, Matthias
AU - Czene, Kamila
AU - Darabi, Hatef
AU - Hall, Per
AU - Li, Jingmei
AU - Dörk, Thilo
AU - Dürst, Matthias
AU - Hillemanns, Peter
AU - Runnebaum, Ingo B
AU - Amant, Frederic
AU - Annibali, Daniela
AU - Depreeuw, Jeroen
AU - Lambrechts, Diether
AU - Neven, Patrick
AU - Cunningham, Julie M
AU - Dowdy, Sean C
AU - Goode, Ellen L
AU - Fridley, Brooke L
AU - Winham, Stacey J
AU - Njølstad, Tormund S
AU - Salvesen, Helga B
AU - Trovik, Jone
AU - Werner, Henrica M. J.
AU - Ashton, Katie A
AU - Otton, Geoffrey
AU - Proietto, Anthony
AU - Mints, Miriam
AU - Tham, Emma
AU - Bolla, Manjeet K
AU - Michailidou, Kyriaki
AU - Wang, Qin
AU - Tyrer, Jonathan P
AU - Hopper, John L
AU - Peto, Julian
AU - Swerdlow, Anthony J
AU - Burwinkel, Barbara
AU - Brenner, Hermann
AU - Meindl, Alfons
AU - Brauch, Hiltrud
AU - Lindblom, Annika
AU - Chang-Claude, Jenny
AU - Couch, Fergus J
AU - Giles, Graham
AU - Kristensen, Vessela N
AU - Cox, Angela
AU - Pharoah, Paul D P
AU - Tomlinson, Ian
AU - Dunning, Alison M
AU - Easton, Douglas F
AU - Thompson, Deborah J.
AU - Spurdle, Amanda B
AU - AOCS study group
N1 - ©2016 American Association for Cancer Research.
PY - 2016/11
Y1 - 2016/11
N2 - BACKGROUND: The strongest known risk factor for endometrial cancer is obesity. To determine whether SNPs associated with increased body mass index (BMI) or waist-hip ratio (WHR) are associated with endometrial cancer risk, independent of measured BMI, we investigated relationships between 77 BMI and 47 WHR SNPs and endometrial cancer in 6,609 cases and 37,926 country-matched controls.METHODS: Logistic regression analysis and fixed effects meta-analysis were used to test for associations between endometrial cancer risk and (i) individual BMI or WHR SNPs, (ii) a combined weighted genetic risk score (wGRS) for BMI or WHR. Causality of BMI for endometrial cancer was assessed using Mendelian randomization, with BMIwGRS as instrumental variable.RESULTS: The BMIwGRS was significantly associated with endometrial cancer risk (P = 3.4 × 10(-17)). Scaling the effect of the BMIwGRS on endometrial cancer risk by its effect on BMI, the endometrial cancer OR per 5 kg/m(2) of genetically predicted BMI was 2.06 [95% confidence interval (CI), 1.89-2.21], larger than the observed effect of BMI on endometrial cancer risk (OR = 1.55; 95% CI, 1.44-1.68, per 5 kg/m(2)). The association attenuated but remained significant after adjusting for BMI (OR = 1.22; 95% CI, 1.10-1.39; P = 5.3 × 10(-4)). There was evidence of directional pleiotropy (P = 1.5 × 10(-4)). BMI SNP rs2075650 was associated with endometrial cancer at study-wide significance (P < 4.0 × 10(-4)), independent of BMI. Endometrial cancer was not significantly associated with individual WHR SNPs or the WHRwGRS.CONCLUSIONS: BMI, but not WHR, is causally associated with endometrial cancer risk, with evidence that some BMI-associated SNPs alter endometrial cancer risk via mechanisms other than measurable BMI.IMPACT: The causal association between BMI SNPs and endometrial cancer has possible implications for endometrial cancer risk modeling. Cancer Epidemiol Biomarkers Prev; 25(11); 1503-10. ©2016 AACR.
AB - BACKGROUND: The strongest known risk factor for endometrial cancer is obesity. To determine whether SNPs associated with increased body mass index (BMI) or waist-hip ratio (WHR) are associated with endometrial cancer risk, independent of measured BMI, we investigated relationships between 77 BMI and 47 WHR SNPs and endometrial cancer in 6,609 cases and 37,926 country-matched controls.METHODS: Logistic regression analysis and fixed effects meta-analysis were used to test for associations between endometrial cancer risk and (i) individual BMI or WHR SNPs, (ii) a combined weighted genetic risk score (wGRS) for BMI or WHR. Causality of BMI for endometrial cancer was assessed using Mendelian randomization, with BMIwGRS as instrumental variable.RESULTS: The BMIwGRS was significantly associated with endometrial cancer risk (P = 3.4 × 10(-17)). Scaling the effect of the BMIwGRS on endometrial cancer risk by its effect on BMI, the endometrial cancer OR per 5 kg/m(2) of genetically predicted BMI was 2.06 [95% confidence interval (CI), 1.89-2.21], larger than the observed effect of BMI on endometrial cancer risk (OR = 1.55; 95% CI, 1.44-1.68, per 5 kg/m(2)). The association attenuated but remained significant after adjusting for BMI (OR = 1.22; 95% CI, 1.10-1.39; P = 5.3 × 10(-4)). There was evidence of directional pleiotropy (P = 1.5 × 10(-4)). BMI SNP rs2075650 was associated with endometrial cancer at study-wide significance (P < 4.0 × 10(-4)), independent of BMI. Endometrial cancer was not significantly associated with individual WHR SNPs or the WHRwGRS.CONCLUSIONS: BMI, but not WHR, is causally associated with endometrial cancer risk, with evidence that some BMI-associated SNPs alter endometrial cancer risk via mechanisms other than measurable BMI.IMPACT: The causal association between BMI SNPs and endometrial cancer has possible implications for endometrial cancer risk modeling. Cancer Epidemiol Biomarkers Prev; 25(11); 1503-10. ©2016 AACR.
KW - Journal Article
U2 - 10.1158/1055-9965.EPI-16-0147
DO - 10.1158/1055-9965.EPI-16-0147
M3 - SCORING: Journal article
C2 - 27550749
VL - 25
SP - 1503
EP - 1510
JO - CANCER EPIDEM BIOMAR
JF - CANCER EPIDEM BIOMAR
SN - 1055-9965
IS - 11
ER -