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Abstract
Incidence of glioma is approximately 50% higher in males. Previous analyses have examined exposures related to sex hormones in women as potential protective factors for these tumors, with inconsistent results. Previous glioma genome-wide association studies (GWAS) have not stratified by sex. Potential sex-specific genetic effects were assessed in autosomal SNPs and sex chromosome variants for all glioma, GBM and non-GBM patients using data from four previous glioma GWAS. Datasets were analyzed using sex-stratified logistic regression models and combined using meta-analysis. There were 4,831 male cases, 5,216 male controls, 3,206 female cases and 5,470 female controls. A significant association was detected at rs11979158 (7p11.2) in males only. Association at rs55705857 (8q24.21) was stronger in females than in males. A large region on 3p21.31 was identified with significant association in females only. The identified differences in effect of risk variants do not fully explain the observed incidence difference in glioma by sex.
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1 Department of Medicine, Section of Epidemiology and Population Sciences, Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, United States of America; Case Comprehensive Cancer Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America; Department of Population and Quantitative Heath Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America
2 Division of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, Surrey, United Kingdom
3 Department of Neurological Surgery and Institute of Human Genetics, School of Medicine, University of California, San Francisco, San Francisco, California, United States of America
4 Division of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine, Rochester, Minnesota, United States of America
5 Department of Medicine, Section of Epidemiology and Population Sciences, Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, United States of America
6 Case Comprehensive Cancer Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America
7 Institute for Clinical and Translational Research, Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, United States of America
8 Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, United States of America
9 School of Public Health, Yale University, New Haven, Connecticut, United States of America; Department of Neurosurgery, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America
10 Department of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, Georgia, United States of America; Cancer Control and Prevention Program, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina, United States of America; Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina, United States of America
11 Oncology clinic, Finsen Center, Rigshospitalet, Copenhagen, Denmark; Survivorship Research Unit, The Danish Cancer Society Research Center, Copenhagen, Denmark
12 Department of Neurology, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Rochester, Minnesota, United States of America
13 Department of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America; Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America
14 Department of Neurology, NorthShore University HealthSystem, Evanston, Illinois, United States of America
15 Cancer and Radiation Epidemiology Unit, Gertner Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
16 Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, United States of America
17 Department of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
18 Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, United States of America; Department of Neuroscience, Washington University School of Medicine, St. Louis, Missouri, United States of America
19 Department of Stem Cell Biology and Regenerative Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, United States of America
20 Cancer and Cell Biology Division, The Translational Genomics Research Institute, Phoenix, Arizona, United States of America
21 Department of Radiation Sciences, Faculty of Medicine, Umeå University, Umeå, Sweden
22 Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America
23 Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, United States of America; Core Genotyping Facility, National Cancer Institute, SAIC-Frederick, Inc, Gaithersburg, Maryland, United States of America
24 Department of Epidemiology, John Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
25 American Cancer Society, Atlanta, Georgia, United States of America
26 Department of Oncology, Karolinska University Hospital, Stockholm, Sweden
27 Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, United States of America
28 Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
29 Cancer Epidemiology and Intelligence Division, Cancer Council Victoria, Melbourne, Australia
30 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America
31 Department of Public Health, John A. Burns School of Medicine, University of Hawaii at Manoa, Manoma, Hawaii, United States of America
32 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, United States of America; Department of Epidemiology, Nutrition, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, United States of America
33 National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
34 Division of Surveillance, Hazard Evaluations, and Field Studies, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
35 Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden
36 Departments of Population Health and Environmental Medicine, New York University School of Medicine, New York, New York, United States of America
37 Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America
38 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, United States of America
39 Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, United States of America
40 Department of Laboratory Medicine and Pathology, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Rochester, Minnesota, United States of America