Assessment of Multifactor Gene-Environment Interactions and Ovarian Cancer Risk: Candidate Genes, Obesity, and Hormone-Related Risk Factors
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
Authors: Usset, Joseph L.; Raghavan, Rama; Tyrer, Jonathan P.; McGuire, Valerie; Sieh, Weiva; Webb, Penelope; Chang-Claude, Jenny; Rudolph, Anja; Anton-Culver, Hoda; Berchuck, Andrew; Brinton, Louise; Cunningham, Julie M.; DeFazio, Anna; Doherty, Jennifer A.; Edwards, Robert P.; Gayther, Simon A.; Gentry-Maharaj, Aleksandra; Goodman, Marc T.; Hogdall, Estrid; Jensen, Allan; Johnatty, Sharon E.; Kiemeney, Lambertus A.; Kjaer, Susanne K.; Larson, Melissa C.; Lurie, Galina; Massuger, Leon; Menon, Usha; Modugno, Francesmary; Moysich, Kirsten B.; Ness, Roberta B.; Pike, Malcolm C.; Ramus, Susan J.; Rossing, Mary Anne; Rothstein, Joseph; Song, Honglin; Thompson, Pamela J.; van den Berg, David J.; Vierkant, Robert A.; Wang-Gohrke, Shan; Wentzensen, Nicolas; Whittemore, Alice S.; Wilkens, Lynne R.; Wu, Anna H.; Yang, Hannah; Pearce, Celeste Leigh; Schildkraut, Joellen M.; Pharoah, Paul; Goode, Ellen L.; Fridley, Brooke L.
Abstract
Background: Many epithelial ovarian cancer (EOC) risk factors relate to hormone exposure and elevated estrogen levels are associated with obesity in postmenopausal women. Therefore, we hypothesized that gene-environment interactions related to hormone-related risk factors could differ between obese and nonobese women. Methods: We considered interactions between 11,441 SNPs within 80 candidate genes related to hormone biosynthesis and metabolism and insulin-like growth factors with six hormone-related factors (oral contraceptive use, parity, endometriosis, tubal ligation, hormone replacement therapy, and estrogen use) and assessed whether these interactions differed between obese and non-obese women. Interactions were assessed using logistic regression models and data from 14 case-control studies (6,247 cases; 10,379 controls). Histotype-specific analyses were also completed. Results: SNPs in the following candidate genes showed notable interaction: IGF1R (rs41497346, estrogen plus progesterone hormone therapy, histology - all, P - 4.9 x 10 (-6)) and ESR1 (rs12661437, endometriosis, histology - all, P - 1.5 x 10 (-5)). The most notable obesity-gene-hormone risk factor interaction was within INSR (rs113759408, parity, histology - endometrioid, P - 8.8 x 10 (-6)). Conclusions: We have demonstrated the feasibility of assessing multifactor interactions in large genetic epidemiology studies. Follow-up studies are necessary to assess the robustness of our findings for ESR1, CYP11A1, IGF1R, CYP11B1, INSR, and IGFBP2. Future work is needed to develop powerful statistical methods able to detect these complex interactions. Impact: Assessment of multifactor interaction is feasible, and, here, suggests that the relationship between genetic variants within candidate genes and hormone-related risk factors may vary EOC susceptibility. (C) 2016 AACR.
Gene Expression in Granulosa Cells From Small Antral Follicles From Women With or Without Polycystic Ovaries
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
Authors: Owens, Lisa Ann; Kristensen, Stine Gry; Lerner, Avi; Christopoulos, Georgios; Lavery, Stuart; Hanyaloglu, Aylin C.; Hardy, Kate; Andersen, Claus Yding; Franks, Stephen
Abstract
Context: Polycystic ovary syndrome (PCOS) is the most common cause of anovulation. A key feature of PCOS is arrest of follicles at the small- to medium-sized antral stage. Objective and Design: To provide further insight into the mechanism of follicle arrest in PCOS, we profiled (i) gonadotropin receptors; (ii) characteristics of aberrant steroidogenesis; and (iii) expression of anti-Mullerian hormone (AMH) and its receptor in granulosa cells (GCs) from unstimulated, human small antral follicles (hSAFs) and from granulosa lutein cells (GLCs). Setting: GCs from hSAFs were collected at the time of cryopreservation of ovarian tissue for fertility preservation and GLCs collected during oocyte aspiration before in vitro fertilization/intracytoplasmic sperm injection. Participants: We collected hSAF GCs from 31 women (98 follicles): 10 with polycystic ovaries (PCO) and 21 without. GLCs were collected from 6 women with PCOS and 6 controls undergoing IVF. Main Outcome Measures: Expression of the following genes: LHCGR, FSHR, AR, INSR, HSD3B2, CYP11A1, CYP19, STAR, AMH, AMHR2, FST, INHBA, INHBB in GCs and GLCs were compared between women with PCO and controls. Results: GCs in hSAFs from women with PCO showed higher expression of LHCGR in a subset (20%) of follicles. Expression of FSHR (P, 0.05), AR(P < 0.05), andCYP11A1(P < 0.05) was lower, and expression of CYP19A1 (P < 0.05), STAR (P < 0.05), HSD3B2 (P5NS), and INHBA(P < 0.05) was higher in PCO GCs. Gene expression in GL cells differed betweenwomenwith and without PCOS but also differed fromthat in GCs. Conclusions: Follicle arrest in PCO is characterized in GCs by differential regulation of key genes involved in follicle growth and function.