Abstract
Background: Observational studies suggest greater height is associated with increased ovarian cancer risk, but cannot exclude bias and/or confounding as explanations for this. Mendelian randomisation (MR) can provide evidence which may be less prone to bias. Methods: We pooled data from 39 Ovarian Cancer Association Consortium studies (16,395 cases; 23,003 controls). We applied two-stage predictor-substitution MR, using a weighted genetic risk score combining 609 single-nucleotide polymorphisms. Study-specific odds ratios (OR) and 95% confidence intervals (CI) for the association between genetically predicted height and risk were pooled using random-effects meta-analysis. Results: Greater genetically predicted height was associated with increased ovarian cancer risk overall (pooled-OR (pOR) = 1.06; 95% CI: 1.01-1.11 per 5 cm increase in height), and separately for invasive (pOR = 1.06; 95% CI: 1.01-1.11) and borderline (pOR = 1.15; 95% CI: 1.02-1.29) tumours. Conclusions: Women with a genetic propensity to being taller have increased risk of ovarian cancer. This suggests genes influencing height are involved in pathways promoting ovarian carcinogenesis.
Original language | English |
---|---|
Pages (from-to) | 1123-1129 |
Number of pages | 7 |
Journal | British Journal of Cancer |
Volume | 118 |
Issue number | 8 |
DOIs | |
State | Published - 1 Apr 2018 |
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In: British Journal of Cancer, Vol. 118, No. 8, 01.04.2018, p. 1123-1129.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Adult height is associated with increased risk of ovarian cancer
T2 - A Mendelian randomisation study
AU - Dixon-Suen, Suzanne C.
AU - Nagle, Christina M.
AU - Thrift, Aaron P.
AU - Pharoah, Paul D.P.
AU - Ewing, Ailith
AU - Pearce, Celeste Leigh
AU - Zheng, Wei
AU - Chenevix-Trench, Georgia
AU - Fasching, Peter A.
AU - Beckmann, Matthias W.
AU - Lambrechts, Diether
AU - Vergote, Ignace
AU - Lambrechts, Sandrina
AU - Van Nieuwenhuysen, Els
AU - Rossing, Mary Anne
AU - Doherty, Jennifer A.
AU - Wicklund, Kristine G.
AU - Chang-Claude, Jenny
AU - Jung, Audrey Y.
AU - Moysich, Kirsten B.
AU - Odunsi, Kunle
AU - Goodman, Marc T.
AU - Wilkens, Lynne R.
AU - Thompson, Pamela J.
AU - Shvetsov, Yurii B.
AU - Dörk, Thilo
AU - Park-Simon, Tjoung Won
AU - Hillemanns, Peter
AU - Bogdanova, Natalia
AU - Butzow, Ralf
AU - Nevanlinna, Heli
AU - Pelttari, Liisa M.
AU - Leminen, Arto
AU - Modugno, Francesmary
AU - Ness, Roberta B.
AU - Edwards, Robert P.
AU - Kelley, Joseph L.
AU - Heitz, Florian
AU - Du Bois, Andreas
AU - Harter, Philipp
AU - Schwaab, Ira
AU - Karlan, Beth Y.
AU - Lester, Jenny
AU - Orsulic, Sandra
AU - Rimel, Bobbie J.
AU - Kjær, Susanne K.
AU - Høgdall, Estrid
AU - Jensen, Allan
AU - Goode, Ellen L.
AU - Fridley, Brooke L.
AU - Cunningham, Julie M.
AU - Winham, Stacey J.
AU - Giles, Graham G.
AU - Bruinsma, Fiona
AU - Milne, Roger L.
AU - Southey, Melissa C.
AU - Hildebrandt, Michelle A.T.
AU - Wu, Xifeng
AU - Lu, Karen H.
AU - Liang, Dong
AU - Levine, Douglas A.
AU - Bisogna, Maria
AU - Schildkraut, Joellen M.
AU - Berchuck, Andrew
AU - Cramer, Daniel W.
AU - Terry, Kathryn L.
AU - Bandera, Elisa V.
AU - Olson, Sara H.
AU - Salvesen, Helga B.
AU - Thomsen, Liv Cecilie Vestrheim
AU - Kopperud, Reidun K.
AU - Bjorge, Line
AU - Kiemeney, Lambertus A.
AU - Massuger, Leon F.A.G.
AU - Pejovic, Tanja
AU - Bruegl, Amanda
AU - Cook, Linda S.
AU - Le, Nhu D.
AU - Swenerton, Kenneth D.
AU - Brooks-Wilson, Angela
AU - Kelemen, Linda E.
AU - Lubiński, Jan
AU - Huzarski, Tomasz
AU - Gronwald, Jacek
AU - Menkiszak, Janusz
AU - Wentzensen, Nicolas
AU - Brinton, Louise
AU - Yang, Hannah
AU - Lissowska, Jolanta
AU - Høgdall, Claus K.
AU - Lundvall, Lene
AU - Song, Honglin
AU - Tyrer, Jonathan P.
AU - Campbell, Ian
AU - Eccles, Diana
AU - Paul, James
AU - Glasspool, Rosalind
AU - Siddiqui, Nadeem
AU - Whittemore, Alice S.
AU - Sieh, Weiva
AU - McGuire, Valerie
AU - Rothstein, Joseph H.
AU - Narod, Steven A.
AU - Phelan, Catherine
AU - Risch, Harvey A.
AU - McLaughlin, John R.
AU - Anton-Culver, Hoda
AU - Ziogas, Argyrios
AU - Menon, Usha
AU - Gayther, Simon A.
AU - Ramus, Susan J.
AU - Gentry-Maharaj, Aleksandra
AU - Wu, Anna H.
AU - Pike, Malcolm C.
AU - Tseng, Chiu Chen
AU - Kupryjanczyk, Jolanta
AU - Dansonka-Mieszkowska, Agnieszka
AU - Budzilowska, Agnieszka
AU - Rzepecka, Iwona K.
AU - Webb, Penelope M.
N1 - Funding Information: Funding: This work was supported by: the National Cancer Institute at the U.S. National Institutes of Health [K07-CA095666, K07-CA80668, K07-CA143047, K22-CA138563, N01-CN025403, N01-CN55424, N01-PC67001, N01-PC67010, P01-CA17054, P30-CA072720, P30-CA008748, P30-CA14089, P30-CA15083, P50-CA105009, P50-CA136393, P50-CA159981, R01-CA058860, R01 CA063678, R01 CA063682, R01-CA092044, R01-CA095023, R01-CA16056, R01-CA54419, R01-CA58598, R01-CA61107, R01-CA61132, R01-CA76016, R01-CA83918, R01-CA87538, R01-CA112523, R01-CA122443, R03-CA113148, R03-CA115195, U01-CA69417, U01-CA71966 and Intramural Research funds]; the European Commission's Seventh Framework Programme [agreement number 223175 HEALTH F2 2009-223175]; Cancer Research UK [C490/A16561, C536/A13086, C536/A6689, C1287/A10118, C1287/A 10710, C12292/A11174, C1281/A12014, C5047/A8384, C5047/A15007, C5047/A10692 and C8197/A16565]; a National Institutes of Health (CA128978), Cancer Post-GWAS Initiative [1U19 CA148537, 1U19 CA148065 and 1U19 CA148112—the Genetic Associations and Mechanisms in Oncology (GAME‐ON) initiative]; the U.S. Department of Defense [DAMD17-02-1-0669, W81XWH-07-0449, DAMD17-02-1-0666, W81XWH-10-1-0280 and W81XWH-10-1-0341]; the Canadian Institutes of Health Research (CIHR) [MOP-86727 and MSH-87734 to L.E.K.] and the CIHR Team in Familial Risks of Breast Cancer; the Komen Foundation for the Cure; the Breast Cancer Research Foundation; the Ovarian Cancer Research Fund (thanks to donations by the family and friends of Kathryn Sladek Smith); the U.S. Army Medical Research and Materiel Command [DAMD17-01-1-0729 and DAMD17-02-1-0669]; the National Health and Medical Research Council of Australia [199600, 209057, 251553, 400281, 504711, 1073898 and fellowships to G.C.-T. and P.M.W.]; Cancer Councils of Queensland, Victoria, New South Wales, South Australia and Tasmania and the Cancer Foundation of Western Australia [Multi-State Grant Applications 191, 211 and 182]; VicHealth; the ELAN Program of the University of Erlangen-Nuremberg; the Nationaal Kankerplan of Belgium; the German Federal Ministry of Education and Research of Germany Programme of Clinical Biomedical Research [01 GB 9401]; the German Cancer Research Center; the Roswell Park Cancer Institute Alliance Foundation [P30 CA016056]; the Rudolf-Bartling Foundation; the Helsinki University Central Hospital Research Fund; the National Institutes of Health/National Center for Research Resources/General Clinical Research Center [M01-RR000056]; an American Cancer Society Early Detection Professorship [SIOP-06-258-01-COUN to B.Y.K.]; the National Center for Advancing Translational Sciences (NCATS) [UL1TR000124 to B.Y. K.]; the Danish Cancer Society [94-222-52]; the Mermaid I project; the Mayo Foundation; the Minnesota Ovarian Cancer Alliance; the Fred C. and Katherine B. Andersen Foundation; the Cancer Institute of New Jersey; Helse Vest; the Norwegian Cancer Society; the Research Council of Norway; Radboud University Medical Centre; the Oregon Health and Science University (OHSU) Foundation; Pomeranian Medical University; the UK National Institute for Health Research Biomedical Research Centres at the University of Cambridge, University College London Hospital, and the Royal Marsden Hospital; the Imperial Experimental Cancer Research Centre [C1312/ A15589]; the U.S. Public Health Service [PSA-042205]; the Lon V. Smith Foundation [LVS-39420]; The Eve Appeal; The Oak Foundation; the California Cancer Research Program [00-01389V-20170 and 2II0200]; the Polish Ministry of Science and Higher Education [4 PO5C 028 14 and 2 PO5A 068 27]; and the Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw. Publisher Copyright: © 2018 Cancer Research UK.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Background: Observational studies suggest greater height is associated with increased ovarian cancer risk, but cannot exclude bias and/or confounding as explanations for this. Mendelian randomisation (MR) can provide evidence which may be less prone to bias. Methods: We pooled data from 39 Ovarian Cancer Association Consortium studies (16,395 cases; 23,003 controls). We applied two-stage predictor-substitution MR, using a weighted genetic risk score combining 609 single-nucleotide polymorphisms. Study-specific odds ratios (OR) and 95% confidence intervals (CI) for the association between genetically predicted height and risk were pooled using random-effects meta-analysis. Results: Greater genetically predicted height was associated with increased ovarian cancer risk overall (pooled-OR (pOR) = 1.06; 95% CI: 1.01-1.11 per 5 cm increase in height), and separately for invasive (pOR = 1.06; 95% CI: 1.01-1.11) and borderline (pOR = 1.15; 95% CI: 1.02-1.29) tumours. Conclusions: Women with a genetic propensity to being taller have increased risk of ovarian cancer. This suggests genes influencing height are involved in pathways promoting ovarian carcinogenesis.
AB - Background: Observational studies suggest greater height is associated with increased ovarian cancer risk, but cannot exclude bias and/or confounding as explanations for this. Mendelian randomisation (MR) can provide evidence which may be less prone to bias. Methods: We pooled data from 39 Ovarian Cancer Association Consortium studies (16,395 cases; 23,003 controls). We applied two-stage predictor-substitution MR, using a weighted genetic risk score combining 609 single-nucleotide polymorphisms. Study-specific odds ratios (OR) and 95% confidence intervals (CI) for the association between genetically predicted height and risk were pooled using random-effects meta-analysis. Results: Greater genetically predicted height was associated with increased ovarian cancer risk overall (pooled-OR (pOR) = 1.06; 95% CI: 1.01-1.11 per 5 cm increase in height), and separately for invasive (pOR = 1.06; 95% CI: 1.01-1.11) and borderline (pOR = 1.15; 95% CI: 1.02-1.29) tumours. Conclusions: Women with a genetic propensity to being taller have increased risk of ovarian cancer. This suggests genes influencing height are involved in pathways promoting ovarian carcinogenesis.
UR - http://www.scopus.com/inward/record.url?scp=85044249910&partnerID=8YFLogxK
U2 - 10.1038/s41416-018-0011-3
DO - 10.1038/s41416-018-0011-3
M3 - Article
C2 - 29555990
AN - SCOPUS:85044249910
SN - 0007-0920
VL - 118
SP - 1123
EP - 1129
JO - British Journal of Cancer
JF - British Journal of Cancer
IS - 8
ER -