Abstract:
BACKGROUND & AIMS:Esophageal adenocarcinoma (EA) and its premalignant lesion, Barrett's esophagus (BE), are characterized by a strong and yet unexplained male predominance (with a male-to-female ratio in EA incidence of up to 6:1). Genome-wide association studies (GWAS) have identified more than 20 susceptibility loci for these conditions. However, potential sex differences in genetic associations with BE/EA remain largely unexplored. METHODS:Given strong genetic overlap, BE and EA cases were combined into a single case group for analysis. These were compared with population-based controls. We performed sex-specific GWAS of BE/EA in 3 separate studies and then used fixed-effects meta-analysis to provide summary estimates for >9 million variants for male and female individuals. A series of downstream analyses were conducted separately in male and female individuals to identify genes associated with BE/EA and the genetic correlations between BE/EA and other traits. RESULTS:We included 6758 male BE/EA cases, 7489 male controls, 1670 female BE/EA cases, and 6174 female controls. After Bonferroni correction, our meta-analysis of sex-specific GWAS identified 1 variant at chromosome 6q11.1 (rs112894788, KHDRBS2-MTRNR2L9, PBONF = .039) that was statistically significantly associated with BE/EA risk in male individuals only, and 1 variant at chromosome 8p23.1 (rs13259457, PRSS55-RP1L1, PBONF = 0.057) associated, at borderline significance, with BE/EA risk in female individuals only. We also observed strong genetic correlations of BE/EA with gastroesophageal reflux disease in male individuals and obesity in female individuals. CONCLUSIONS:The identified novel sex-specific variants associated with BE/EA could improve the understanding of the genetic architecture of the disease and the reasons for the male predominance.
journal_name
Gastroenterologyjournal_title
Gastroenterologyauthors
Dong J,Maj C,Tsavachidis S,Ostrom QT,Gharahkhani P,Anderson LA,Wu AH,Ye W,Bernstein L,Borisov O,Schröder J,Chow WH,Gammon MD,Liu G,Caldas C,Pharoah PD,Risch HA,May A,Gerges C,Anders M,Venerito M,Schmidt T,Izbidoi
10.1053/j.gastro.2020.08.052subject
Has Abstractpub_date
2020-12-01 00:00:00pages
2065-2076.e1issue
6eissn
0016-5085issn
1528-0012pii
S0016-5085(20)35130-1journal_volume
159pub_type
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