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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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A Novel Risk Locus at 6p21.3 for Epstein–Barr Virus-Positive Hodgkin Lymphoma

Manon Delahaye-Sourdeix, Kevin Y. Urayama, Valérie Gaborieau, Rianne Veenstra, Matthieu Foll, Amelie Chabrier, Yolanda Benavente, Alexandra Nieters, Nikolaus Becker, Lenka Foretova, Marc Maynadié, Anthony Staines, Karin Ekstrom Smedby, Ingrid Glimelius, Tracy Lightfoot, Pierluigi Cocco, Pilar Galan, Lars J. Vatten, Eric J. Duell, Lambertus Kiemeney, Eve Roman, Silvia de Sanjosé, Mark Lathrop, Mads Melbye, Paul Brennan, Arjan Diepstra, Anke van den Berg, Henrik Hjalgrim, Ruth F. Jarrett and James D. McKay
Manon Delahaye-Sourdeix
1International Agency for Research on Cancer (IARC), Lyon, France.
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Kevin Y. Urayama
2Department of Human Genetics and Disease Diversity, Tokyo Medical and Dental University, Tokyo, Japan.
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Valérie Gaborieau
1International Agency for Research on Cancer (IARC), Lyon, France.
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Rianne Veenstra
3Department of Pathology and Medical Biology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
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Matthieu Foll
1International Agency for Research on Cancer (IARC), Lyon, France.
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Amelie Chabrier
1International Agency for Research on Cancer (IARC), Lyon, France.
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Yolanda Benavente
4Unit of Infections and Cancer, Cancer Epidemiology Research Programme, IDIBELL, Catalan Institute of Oncology, Barcelona, Spain.
5CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
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Alexandra Nieters
6Centre of Chronic Immunodeficiency Freiburg, University Medical Centre Freiburg, Freiburg, Germany.
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Nikolaus Becker
7Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany.
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Lenka Foretova
8Department of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
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Marc Maynadié
9Registry of Hematological Malignancies, University of Burgundy, University Hospital of Dijon, Dijon, France.
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Anthony Staines
10School of Nursing, Dublin City University, Glasnevin, Dublin, Ireland.
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Karin Ekstrom Smedby
11Department of Medicine Solna, Clinical Epidemiology Unit, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
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Ingrid Glimelius
12Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
13Department of Radiology, Oncology, and Clinical Immunology, Uppsala University, Uppsala, Sweden.
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Tracy Lightfoot
14Epidemiology and Genetics Unit, Department of Health Sciences, University of York, York, United Kingdom.
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Pierluigi Cocco
15Department of Public Health, Occupational Health Section, University of Cagliari, Cagliari, Italy.
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Pilar Galan
16Sorbonne Paris Cité Epidemiology and Biostatistics Research Center (CRESS), Nutritional Epidemiology Research Team (EREN), Inserm U1153, Inra U1125, Cnam, University Paris 13, University Paris 5, University Paris 7, Bobigny, France.
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Lars J. Vatten
17Norwegian University of Science and Technology, Trondheim, Norway.
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Eric J. Duell
4Unit of Infections and Cancer, Cancer Epidemiology Research Programme, IDIBELL, Catalan Institute of Oncology, Barcelona, Spain.
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Lambertus Kiemeney
18Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
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Eve Roman
14Epidemiology and Genetics Unit, Department of Health Sciences, University of York, York, United Kingdom.
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Silvia de Sanjosé
4Unit of Infections and Cancer, Cancer Epidemiology Research Programme, IDIBELL, Catalan Institute of Oncology, Barcelona, Spain.
5CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
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Mark Lathrop
19McGill University and Genome Quebec Innovation Centre, Montreal, Quebec, Canada.
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Mads Melbye
20Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
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Paul Brennan
1International Agency for Research on Cancer (IARC), Lyon, France.
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Arjan Diepstra
3Department of Pathology and Medical Biology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
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Anke van den Berg
3Department of Pathology and Medical Biology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
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Henrik Hjalgrim
20Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
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Ruth F. Jarrett
21MRC University of Glasgow Centre for Virus Research, University of Glasgow, Glasgow, United Kingdom.
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James D. McKay
1International Agency for Research on Cancer (IARC), Lyon, France.
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  • For correspondence: gcs@iarc.fr
DOI: 10.1158/1055-9965.EPI-15-0534 Published December 2015
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    Figure 1.

    Association between genetic variants and Epstein–Barr virus (EBV)-positive Hodgkin lymphoma within an approximately 6.5 Mb region of the extended MHC located at 6p21. Overlayed plots of the −log10 (P values) for 25,961 SNPs by their chromosomal position. Results of the EBV-positive cHL analysis unadjusted for previously associated SNPs in the region are plotted in gray. Plotted in black are the results for EBV-positive cHL adjusted by other associated genetic loci, including rs2734986, rs6904029, rs2248462, rs2395185, and rs6903608. The horizontal dotted line represents the genome-wide significance threshold level (P < 1 × 10−7). The arrow highlights the new EBV-positive associated variant rs6457715. There are three SNPs (rs6457715, rs6457714, and rs6457711) exceeding the P value of threshold at the 33 Mb position, although results of two (rs6457715 and rs6457714) appear overlapping.

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    Figure 2.

    Summary of results for rs6457715 and risk of HL by cHL subgroups. Results of analyses combining the GWAS and replication stages are shown for total cHL and by histology, tumor cell EBV status, age of onset, and study. EBV-positive cHL results are also shown stratified by study. ORs and 95% CIs were derived using multiple logistic regression assuming a log-additive genetic model and adjusting for the five known MHC loci (i.e., rs2734986, rs2248462, rs2395185, rs6903608, and rs3823355), sex and eight principal components analysis eigenvectors (or country in the replication analysis). The risk allele is the major allele (A) of rs6457715. Combined GWAS and replication results were generated using inverse variance weighting meta-analysis. aStudy-specific results for EPILYMPH and UK studies included GWAS and replication data, whereas results for SCALE and the Netherlands studies are those from the GWAS.

Additional Files

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    • Supplementary Tables S1- S6 and Supplementary Figure S1 - Supplementary Table S1. Summary of results for rs6457715 in total classical Hodgkin lymphoma and subgroups. Supplementary Table S2. Regression analysis of EBV-positive cHL risk and rs6457715 genotype. Supplementary Table S3. Association between risk score comprising rs2734986, rs6904029, and rs6457715 and EBV+ Hodgkin lymphoma in the GWAS population. Supplementary Table S4. HLA-DPB1 significant eQTLs and their effect on EBV-positive cHL risk. Supplementary Table S5. Subjects included in the genome-wide association imputation analysis and independent replication of classical Hodgkin lymphoma. Supplementary Table S6. Concordance rates between HLA imputed and directly genotyped data across 334 UK and 284 Dutch individuals. Supplementary Figure S1. Association between genetic variants and HL and Epstein-Barr virus (EBV)-negative HL within an approximately 6.5 Mb region of the extended major histocompatibility complex located at 6p21.
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Cancer Epidemiology Biomarkers & Prevention: 24 (12)
December 2015
Volume 24, Issue 12
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A Novel Risk Locus at 6p21.3 for Epstein–Barr Virus-Positive Hodgkin Lymphoma
Manon Delahaye-Sourdeix, Kevin Y. Urayama, Valérie Gaborieau, Rianne Veenstra, Matthieu Foll, Amelie Chabrier, Yolanda Benavente, Alexandra Nieters, Nikolaus Becker, Lenka Foretova, Marc Maynadié, Anthony Staines, Karin Ekstrom Smedby, Ingrid Glimelius, Tracy Lightfoot, Pierluigi Cocco, Pilar Galan, Lars J. Vatten, Eric J. Duell, Lambertus Kiemeney, Eve Roman, Silvia de Sanjosé, Mark Lathrop, Mads Melbye, Paul Brennan, Arjan Diepstra, Anke van den Berg, Henrik Hjalgrim, Ruth F. Jarrett and James D. McKay
Cancer Epidemiol Biomarkers Prev December 1 2015 (24) (12) 1838-1843; DOI: 10.1158/1055-9965.EPI-15-0534

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A Novel Risk Locus at 6p21.3 for Epstein–Barr Virus-Positive Hodgkin Lymphoma
Manon Delahaye-Sourdeix, Kevin Y. Urayama, Valérie Gaborieau, Rianne Veenstra, Matthieu Foll, Amelie Chabrier, Yolanda Benavente, Alexandra Nieters, Nikolaus Becker, Lenka Foretova, Marc Maynadié, Anthony Staines, Karin Ekstrom Smedby, Ingrid Glimelius, Tracy Lightfoot, Pierluigi Cocco, Pilar Galan, Lars J. Vatten, Eric J. Duell, Lambertus Kiemeney, Eve Roman, Silvia de Sanjosé, Mark Lathrop, Mads Melbye, Paul Brennan, Arjan Diepstra, Anke van den Berg, Henrik Hjalgrim, Ruth F. Jarrett and James D. McKay
Cancer Epidemiol Biomarkers Prev December 1 2015 (24) (12) 1838-1843; DOI: 10.1158/1055-9965.EPI-15-0534
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