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Genetic variants in fas signaling pathway genes and risk of gastric cancer
Authors:Paula L. Hyland  Shih‐Wen Lin  Nan Hu  Han Zhang  Lemin Wang  Hua Su  Chaoyu Wang  Ti Ding  Ze‐Zhong Tang  Jin‐Hu Fan  You‐Lin Qiao  Xiaoqin Xiong  William Wheeler  Carol Giffen  Kai Yu  Jeff Yuenger  Laurie Burdett  Zhaoming Wang  Stephen J. Chanock  Margaret A. Tucker  Sanford M. Dawsey  Neal D. Freedman  Alisa M. Goldstein  Christian C. Abnet  Philip R. Taylor
Affiliation:1. Genetic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA;2. Cancer Prevention Fellowship Program, Division of Cancer Prevention, NCI, NIH, Bethesda, MD, USA;3. Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, NCI, NIH, Bethesda, MD, USA;4. Biostatistics Branch, Division of Cancer Epidemiology and Genetics, NCI, NIH, Bethesda, MD, USA;5. Shanxi Cancer Hospital, Taiyuan, People's Republic (PR) China;6. Department of Epidemiology, Cancer Institute (Hospital), Chinese Academy of Medical Sciences, Beijing, People's Republic (PR) China;7. Information Management Services, Inc, Silver Spring, MD, USA;8. Core Genotyping Facility, NCI‐Frederick, SAIC‐Frederick Inc, and Division of Cancer Epidemiology and Genetics, Bethesda, MD, USA;9. Human Genetics Program, Division of Cancer Epidemiology and Genetics, NCI, NIH, Bethesda, MD, USA
Abstract:Populations in north central China are at high risk for gastric cancers (GC), and altered FAS‐mediated cell signaling and/or apoptosis may contribute to this risk. We examined the association of 554 single nucleotide polymorphisms (SNPs) in 53 Fas signaling‐related genes using a pathway‐based approach in 1758 GC cases (1126 gastric cardia adenocarcinomas (GCA) and 632 gastric noncardia adenocarcinomas (GNCA)), and 2111 controls from a genome‐wide association study (GWAS) of GC in ethnic Chinese. SNP associations with risk of overall GC, GCA and GNCA were evaluated using unconditional logistic regressions controlling for age, sex and study. Gene‐ and pathway‐based associations were tested using the adaptive rank‐truncated product (ARTP) method. Statistical significance was evaluated empirically by permutation. Significant pathway‐based associations were observed for Fas signaling with risk of overall GC (p = 5.5E‐04) and GCA (p = 6.3E‐03), but not GNCA (p= 8.1E‐02). Among examined genes in the Fas signaling pathway, MAP2K4, FAF1, MAPK8, CASP10, CASP8, CFLAR, MAP2K1, CAP8AP2, PAK2 and IKBKB were associated with risk of GC (nominal p < 0.05), and FAF1 and MAPK8 were significantly associated with risk of both GCA and GNCA (nominal p< 0.05). Our examination of genetic variation in the Fas signaling pathway is consistent with an association of altered Fas signaling and/or apoptosis with risk of GC. As one of the first attempts to investigate a pathway‐level association, our results suggest that these genes and the Fas signaling pathway warrant further evaluation in relation to GC risk in other populations.
Keywords:gastric cancer  gastric cardia  gastric noncardia  Fas signaling  genetic variants  GWAS  single nucleotide polymorphisms  pathway genes
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