PMID- 24403192 OWN - NLM STAT- MEDLINE DCOM- 20141125 LR - 20211021 IS - 2045-7634 (Electronic) IS - 2045-7634 (Print) IS - 2045-7634 (Linking) VI - 3 IP - 1 DP - 2014 Feb TI - A variant upstream of HLA-DRB1 and multiple variants in MICA influence susceptibility to cervical cancer in a Swedish population. PG - 190-8 LID - 10.1002/cam4.183 [doi] AB - In a genome-wide association study, we have previously identified and performed the initial replication of three novel susceptibility loci for cervical cancer: rs9272143 upstream of HLA-DRB1, rs2516448 adjacent to MHC class I polypeptide-related sequence A gene (MICA), and rs3117027 at HLA-DPB2. The risk allele T of rs2516448 is in perfect linkage disequilibrium with a frameshift mutation (A5.1) in MICA exon 5, which results in a truncated protein. To validate these associations in an independent study and extend our prior work to MICA exon 5, we genotyped the single-nucleotide polymorphisms at rs9272143, rs2516448, rs3117027 and the MICA exon 5 microsatellite in a nested case-control study of 961 cervical cancer patients (827 carcinoma in situ and 134 invasive carcinoma) and 1725 controls from northern Sweden. The C allele of rs9272143 conferred protection against cervical cancer (odds ratio [OR] = 0.73, 95% confidence interval [CI] = 0.65-0.82; P = 1.6 x 10(-7)), which is associated with higher expression level of HLA-DRB1, whereas the T allele of rs2516448 increased the susceptibility to cervical cancer (OR = 1.33, 95% CI = 1.19-1.49; P = 5.8 x 10(-7)), with the same association shown with MICA-A5.1. The direction and the magnitude of these associations were consistent with our previous findings. We also identified protective effects of the MICA-A4 (OR = 0.80, 95% CI = 0.68-0.94; P = 6.7 x 10(-3)) and MICA-A5 (OR = 0.60, 95% CI = 0.50-0.72; P = 3.0 x 10(-8)) alleles. The associations with these variants are unlikely to be driven by the nearby human leukocyte antigen (HLA) alleles. No association was observed between rs3117027 and risk of cervical cancer. Our results support the role of HLA-DRB1 and MICA in the pathogenesis of cervical cancer. CI - (c) 2014 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Chen, Dan AU - Chen D AD - Department of Immunology, Genetics and Pathology, Rudbeck Laboratory, Science for Life Laboratory Uppsala, Uppsala University, SE-751 85, Uppsala, Sweden. FAU - Hammer, Joanna AU - Hammer J FAU - Lindquist, David AU - Lindquist D FAU - Idahl, Annika AU - Idahl A FAU - Gyllensten, Ulf AU - Gyllensten U LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140107 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (HLA-DRB1 Chains) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (MHC class I-related chain A) SB - IM MH - Adult MH - Female MH - *Genetic Association Studies MH - Genetic Predisposition to Disease MH - Genetics, Population MH - Genotype MH - HLA-DRB1 Chains/*genetics MH - Haplotypes MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Polymorphism, Single Nucleotide MH - Sweden MH - Uterine Cervical Neoplasms/*genetics/pathology PMC - PMC3930404 OTO - NOTNLM OT - Cervical cancer OT - HLA-DRB1 OT - MICA OT - cis-eQTL OT - frameshift mutation EDAT- 2014/01/10 06:00 MHDA- 2014/12/15 06:00 PMCR- 2014/02/01 CRDT- 2014/01/10 06:00 PHST- 2013/10/16 00:00 [received] PHST- 2013/11/26 00:00 [revised] PHST- 2013/11/29 00:00 [accepted] PHST- 2014/01/10 06:00 [entrez] PHST- 2014/01/10 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - 10.1002/cam4.183 [doi] PST - ppublish SO - Cancer Med. 2014 Feb;3(1):190-8. doi: 10.1002/cam4.183. Epub 2014 Jan 7.