PMID- 21533074 OWN - NLM STAT- MEDLINE DCOM- 20110812 LR - 20240211 IS - 1553-7404 (Electronic) IS - 1553-7390 (Print) IS - 1553-7390 (Linking) VI - 7 IP - 4 DP - 2011 Apr TI - GWAS of follicular lymphoma reveals allelic heterogeneity at 6p21.32 and suggests shared genetic susceptibility with diffuse large B-cell lymphoma. PG - e1001378 LID - 10.1371/journal.pgen.1001378 [doi] LID - e1001378 AB - Non-Hodgkin lymphoma (NHL) represents a diverse group of hematological malignancies, of which follicular lymphoma (FL) is a prevalent subtype. A previous genome-wide association study has established a marker, rs10484561 in the human leukocyte antigen (HLA) class II region on 6p21.32 associated with increased FL risk. Here, in a three-stage genome-wide association study, starting with a genome-wide scan of 379 FL cases and 791 controls followed by validation in 1,049 cases and 5,790 controls, we identified a second independent FL-associated locus on 6p21.32, rs2647012 (OR(combined) = 0.64, P(combined) = 2 x 10(-21)) located 962 bp away from rs10484561 (r(2)<0.1 in controls). After mutual adjustment, the associations at the two SNPs remained genome-wide significant (rs2647012:OR(adjusted) = 0.70, P(adjusted) = 4 x 10(-12); rs10484561:OR(adjusted) = 1.64, P(adjusted) = 5 x 10(-15)). Haplotype and coalescence analyses indicated that rs2647012 arose on an evolutionarily distinct haplotype from that of rs10484561 and tags a novel allele with an opposite (protective) effect on FL risk. Moreover, in a follow-up analysis of the top 6 FL-associated SNPs in 4,449 cases of other NHL subtypes, rs10484561 was associated with risk of diffuse large B-cell lymphoma (OR(combined) = 1.36, P(combined) = 1.4 x 10(-7)). Our results reveal the presence of allelic heterogeneity within the HLA class II region influencing FL susceptibility and indicate a possible shared genetic etiology with diffuse large B-cell lymphoma. These findings suggest that the HLA class II region plays a complex yet important role in NHL. FAU - Smedby, Karin E AU - Smedby KE AD - Department of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden. FAU - Foo, Jia Nee AU - Foo JN FAU - Skibola, Christine F AU - Skibola CF FAU - Darabi, Hatef AU - Darabi H FAU - Conde, Lucia AU - Conde L FAU - Hjalgrim, Henrik AU - Hjalgrim H FAU - Kumar, Vikrant AU - Kumar V FAU - Chang, Ellen T AU - Chang ET FAU - Rothman, Nathaniel AU - Rothman N FAU - Cerhan, James R AU - Cerhan JR FAU - Brooks-Wilson, Angela R AU - Brooks-Wilson AR FAU - Rehnberg, Emil AU - Rehnberg E FAU - Irwan, Ishak D AU - Irwan ID FAU - Ryder, Lars P AU - Ryder LP FAU - Brown, Peter N AU - Brown PN FAU - Bracci, Paige M AU - Bracci PM FAU - Agana, Luz AU - Agana L FAU - Riby, Jacques AU - Riby J FAU - Cozen, Wendy AU - Cozen W FAU - Davis, Scott AU - Davis S FAU - Hartge, Patricia AU - Hartge P FAU - Morton, Lindsay M AU - Morton LM FAU - Severson, Richard K AU - Severson RK FAU - Wang, Sophia S AU - Wang SS FAU - Slager, Susan L AU - Slager SL FAU - Fredericksen, Zachary S AU - Fredericksen ZS FAU - Novak, Anne J AU - Novak AJ FAU - Kay, Neil E AU - Kay NE FAU - Habermann, Thomas M AU - Habermann TM FAU - Armstrong, Bruce AU - Armstrong B FAU - Kricker, Anne AU - Kricker A FAU - Milliken, Sam AU - Milliken S FAU - Purdue, Mark P AU - Purdue MP FAU - Vajdic, Claire M AU - Vajdic CM FAU - Boyle, Peter AU - Boyle P FAU - Lan, Qing AU - Lan Q FAU - Zahm, Shelia H AU - Zahm SH FAU - Zhang, Yawei AU - Zhang Y FAU - Zheng, Tongzhang AU - Zheng T FAU - Leach, Stephen AU - Leach S FAU - Spinelli, John J AU - Spinelli JJ FAU - Smith, Martyn T AU - Smith MT FAU - Chanock, Stephen J AU - Chanock SJ FAU - Padyukov, Leonid AU - Padyukov L FAU - Alfredsson, Lars AU - Alfredsson L FAU - Klareskog, Lars AU - Klareskog L FAU - Glimelius, Bengt AU - Glimelius B FAU - Melbye, Mads AU - Melbye M FAU - Liu, Edison T AU - Liu ET FAU - Adami, Hans-Olov AU - Adami HO FAU - Humphreys, Keith AU - Humphreys K FAU - Liu, Jianjun AU - Liu J LA - eng GR - N01 PC067009/CN/NCI NIH HHS/United States GR - N01 PC067010/PC/NCI NIH HHS/United States GR - P42 ES004705/ES/NIEHS NIH HHS/United States GR - N01 PC067008/PC/NCI NIH HHS/United States GR - R01 CA122663/CA/NCI NIH HHS/United States GR - R01 CA062006/CA/NCI NIH HHS/United States GR - N01 PC065064/PC/NCI NIH HHS/United States GR - R01 CA104682/CA/NCI NIH HHS/United States GR - R01 CA092153/CA/NCI NIH HHS/United States GR - R01 CA045614/CA/NCI NIH HHS/United States GR - U01 CA118444/CA/NCI NIH HHS/United States GR - R03 CA089745/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20110421 PL - United States TA - PLoS Genet JT - PLoS genetics JID - 101239074 RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Chromosomes, Human, Pair 6/*genetics MH - Denmark MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - Genetic Variation MH - Genome, Human MH - Genome-Wide Association Study MH - Haplotypes MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Lymphoma, Follicular/*genetics MH - Lymphoma, Large B-Cell, Diffuse/*genetics MH - Polymorphism, Single Nucleotide MH - Risk Factors MH - Sweden PMC - PMC3080853 COIS- The authors have declared that no competing interests exist. EDAT- 2011/05/03 06:00 MHDA- 2011/08/13 06:00 PMCR- 2011/04/01 CRDT- 2011/05/03 06:00 PHST- 2010/09/24 00:00 [received] PHST- 2011/03/18 00:00 [accepted] PHST- 2011/05/03 06:00 [entrez] PHST- 2011/05/03 06:00 [pubmed] PHST- 2011/08/13 06:00 [medline] PHST- 2011/04/01 00:00 [pmc-release] AID - 10-PLGE-RA-NV-4214R2 [pii] AID - 10.1371/journal.pgen.1001378 [doi] PST - ppublish SO - PLoS Genet. 2011 Apr;7(4):e1001378. doi: 10.1371/journal.pgen.1001378. Epub 2011 Apr 21.