Genome-wide association study of 398,238 women unveils seven loci associated with high-grade serous ovarian cancer.

Publication Title

NPJ Genom Med

Authors

Daniel R Barnes
Jonathan P Tyrer
Joe Dennis
Goska Leslie
Manjeet K Bolla
Michael Lush
Amber M Aeilts
Kristiina Aittomäki
Nadine Andrieu
Irene L Andrulis
Hoda Anton-Culver
Adalgeir Arason
Banu K Arun
Judith Balmaña
Elisa V Bandera
Rosa B Barkardottir
Lieke P V Berger
Amy Berrington de Gonzalez
Pascaline Berthet
Katarzyna Białkowska
Line Bjørge
Amie M Blanco
Marinus J Blok
Kristie A Bobolis
Natalia V Bogdanova
James D Brenton
Henriett Butz
Saundra S Buys
Maria A Caligo
Ian Campbell
Carmen Castillo
Kathleen B M Claes
Sarah V Colonna
Linda S Cook
Mary B Daly
Agnieszka Dansonka-Mieszkowska
Miguel de la Hoya
Anna deFazio
Allison DePersia
Yuan Chun Ding
Jennifer A Doherty
Susan M Domchek
Thilo Dörk
Zakaria Einbeigi
Christoph Engel
D Gareth Evans
Lenka Foretova
Renée T Fortner
Florentia Fostira
Maria Cristina Foti
Eitan Friedman
Megan N Frone
Patricia A Ganz
Aleksandra Gentry-Maharaj
Gord Glendon
Andrew K Godwin
Anna González-Neira
Mark H Greene
Jacek Gronwald
Aliana Guerrieri-Gonzaga
Ute Hamann
Thomas V O Hansen
Holly R Harris
Jan Hauke
Florian Heitz
Frans B L Hogervorst
Maartje J Hooning
John L Hopper
Chad D Huff
David G Huntsman
Evgeny N Imyanitov
Louise Izatt
Anna Jakubowska
Paul A James
Ramunas Janavicius
Esther M John
Siddhartha Kar
Beth Y Karlan
Catherine J Kennedy
Lambertus A L M Kiemeney
Irene Konstantopoulou
Jolanta Kupryjanczyk
Yael Laitman
Ofer Lavie
Kate Lawrenson
Jenny Lester
Fabienne Lesueur
Carlos Lopez-Pleguezuelos
Phuong L Mai
Siranoush Manoukian
Taymaa May
Iain A McNeish
Usha Menon
Roger L Milne
Francesmary Modugno
Jennifer M Mongiovi
Marco Montagna
Kirsten B Moysich
Susan L Neuhausen
Finn C Nielsen
Catherine Noguès
Edit Oláh
Olufunmilayo I Olopade
Ana Osorio
Laura Papi
Harsh Pathak
Celeste L Pearce
Inge S Pedersen
Ana Peixoto
Tanja Pejovic, Department of Obstetrics & Gynecology, Providence Medical Center, Medford, OR, USA.; Providence Cancer Center, Medford, OR, USA.Follow
Pei-Chen Peng
Beth N Peshkin
Paolo Peterlongo
C Bethan Powell
Darya Prokofyeva
Miquel Angel Pujana
Paolo Radice
Muhammad U Rashid
Gad Rennert
George Richenberg
Dale P Sandler
Naoko Sasamoto
Veronica W Setiawan
Priyanka Sharma
Weiva Sieh
Christian F Singer
Katie Snape
Anna P Sokolenko
Penny Soucy
Melissa C Southey
Dominique Stoppa-Lyonnet
Rebecca Sutphen
Christian Sutter
Yen Y Tan
Manuel R Teixeira
Kathryn L Terry
Liv Cecilie V Thomsen
Marc Tischkowitz
Amanda E Toland
Toon Van Gorp
Ana Vega
Digna R Velez Edwards
Penelope M Webb
Jeffrey N Weitzel
Nicolas Wentzensen
Alice S Whittemore
Stacey J Winham
Anna H Wu
Siddhartha Yadav
Yao Yu
Argyrios Ziogas
Andrew Berchuck
Fergus J Couch
Ellen L Goode
Marc T Goodman
Alvaro N Monteiro
Kenneth Offit
Susan J Ramus
Harvey A Risch
Joellen M Schildkraut
Mads Thomassen
Jacques Simard
Douglas F Easton
Michelle R Jones
Georgia Chenevix-Trench
Simon A Gayther
Antonis C Antoniou
Paul D P Pharoah

Document Type

Article

Publication Date

11-20-2025

Keywords

oregon; medford; genomics

Abstract

Nineteen genomic regions have been associated with high-grade serous ovarian cancer (HGSOC). We meta-analyzed >22 million variants for 398,238 women from the Ovarian Cancer Association Consortium (OCAC), UK Biobank (UKBB) and Consortium of Investigators of Modifiers of BRCA1/BRCA2 (CIMBA) to identify novel HGSOC susceptibility loci. Eight novel variants were associated with HGSOC risk. An interesting discovery biologically was TP53 3'-UTR SNP rs78378222-T's association with HGSOC (per-T-allele relative risk (RR) = 1.44, 95% CI:1.28-1.62, P = 1.76 × 10-9). Polygenic scores (PGS) were developed using OCAC and CIMBA data and trained on FinnGen data. The optimal PGS included 64,518 variants and was associated with an odds ratio of 1.46 (95% CI:1.37-1.54) per standard deviation when validated in the UKBB. This study represents the largest HGSOC GWAS to date - demonstrating that improvements in imputation reference panels and increased sample sizes help to identify HGSOC associated variants that previously went undetected, ultimately improving PGS which can improve personalized HGSOC risk prediction.

Area of Special Interest

Women & Children

Area of Special Interest

Cancer

Specialty/Research Institute

Oncology

Specialty/Research Institute

Obstetrics & Gynecology

DOI

10.1038/s41525-025-00529-w

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