Two susceptibility loci identified for prostate cancer aggressiveness.
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland 20892, USA.
- 1] Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland 20892, USA [2] Cancer Genomics Research Laboratory, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Leidos Biomedical Research Inc., Frederick National Laboratory for Cancer Research, Frederick, Maryland 21701, USA.
- Division of Urologic Surgery, Washington University School of Medicine, St Louis, Missouri 63110, USA.
- Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.
- CeRePP, Assistance Publique-Hôpitaux de Paris, UPMC University Paris 6, Paris, France.
- Genomic Epidemiology Group, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.
- Epidemiology Research Program, American Cancer Society, Atlanta, Georgia 30303, USA.
- Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm 17177, Sweden.
- Department of Preventative Medicine, Keck School of Medicine, University of Southern California/Norris Comprehensive Cancer Center, Los Angeles, California 90033, USA.
- Cancer Genomics Research Laboratory, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Leidos Biomedical Research Inc., Frederick National Laboratory for Cancer Research, Frederick, Maryland 21701, USA.
- Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
- Cancer Epidemiology Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7BN, UK.
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA.
- Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii 96813, USA.
- National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland 20892, USA.
- Department of Epidemiology and Biostatistics, School of Public Health, Imperial College, London SW7 2AZ, UK.
- Department of Genomics of Common Disease, School of Public Health, Imperial College London, London SW7 2AZ, UK.
- 1] Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA [2] Department of Epidemiology, School of Public Health, University of Washington, Seattle, Washington 98195, USA.
- Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina 45110, Greece.
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, FI-00271 Helsinki, Finland.
- Center for Cancer Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
- Information Management Services Inc., Rockville, Maryland 20852, USA.
Most men diagnosed with prostate cancer will experience indolent disease; hence, discovering genetic variants that distinguish aggressive from nonaggressive prostate cancer is of critical clinical importance for disease prevention and treatment. In a multistage, case-only genome-wide association study of 12,518 prostate cancer cases, we identify two loci associated with Gleason score, a pathological measure of disease aggressiveness: rs35148638 at 5q14.3 (RASA1, P=6.49 × 10(-9)) and rs78943174 at 3q26.31 (NAALADL2, P=4.18 × 10(-8)). In a stratified case-control analysis, the SNP at 5q14.3 appears specific for aggressive prostate cancer (P=8.85 × 10(-5)) with no association for nonaggressive prostate cancer compared with controls (P=0.57). The proximity of these loci to genes involved in vascular disease suggests potential biological mechanisms worthy of further investigation.