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Abstract
Acute myeloid leukemia (AML) is a hematological malignancy with an undefined heritable risk. Here we perform a meta-analysis of three genome-wide association studies, with replication in a fourth study, incorporating a total of 4018 AML cases and 10488 controls. We identify a genome-wide significant risk locus for AML at 11q13.2 (rs4930561; P = 2.15 × 10−8; KMT5B). We also identify a genome-wide significant risk locus for the cytogenetically normal AML sub-group (N = 1287) at 6p21.32 (rs3916765; P = 1.51 × 10−10; HLA). Our results inform on AML etiology and identify putative functional genes operating in histone methylation (KMT5B) and immune function (HLA).
Genome wide association studies in cancer are used to understand the heritable genetic contribution to disease risk. Here, the authors perform a genome wide association study in European patients with acute myeloid leukemia and identify loci associated with risk of developing the disease.
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1 Newcastle University, Translational and Clinical Research Institute, Newcastle University Centre for Cancer, Faculty of Medical Sciences, Newcastle upon Tyne, UK (GRID:grid.1006.7) (ISNI:0000 0001 0462 7212)
2 University of Chicago, Section of Pediatric Hematology and Oncology, Chicago, USA (GRID:grid.170205.1) (ISNI:0000 0004 1936 7822)
3 Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany (GRID:grid.4567.0) (ISNI:0000 0004 0483 2525); Ludwig-Maximilians-Universität München, Chair of Genetic Epidemiology, IBE, Faculty of Medicine, Munich, Germany (GRID:grid.5252.0) (ISNI:0000 0004 1936 973X)
4 Ludwig-Maximilians-Universität München, Chair of Genetic Epidemiology, IBE, Faculty of Medicine, Munich, Germany (GRID:grid.5252.0) (ISNI:0000 0004 1936 973X)
5 College of Pharmacy, The Ohio State University, Columbus, USA (GRID:grid.261331.4) (ISNI:0000 0001 2285 7943)
6 Roswell Park Cancer Institute, Department of Medicine, Buffalo, USA (GRID:grid.240614.5) (ISNI:0000 0001 2181 8635)
7 University of South Carolina, Arnold School of Public Health, Department of Epidemiology & Biostatistics, Greenville, USA (GRID:grid.254567.7) (ISNI:0000 0000 9075 106X)
8 Department of Haematology, Freeman Hospital, Newcastle upon Tyne Hospitals National Health Service Foundation Trust, Newcastle upon Tyne, UK (GRID:grid.415050.5) (ISNI:0000 0004 0641 3308)
9 Department of Medical and Molecular Genetics, King’s College Medical School, London, UK (GRID:grid.415050.5)
10 University of Oxford, Nuffield Department of Population Health, Oxford, UK (GRID:grid.4991.5) (ISNI:0000 0004 1936 8948)
11 Paul O’Gorman Leukaemia Research Centre, University of Glasgow, Glasgow, UK (GRID:grid.8756.c) (ISNI:0000 0001 2193 314X)
12 Department of Haematology, Nottingham University Hospitals NHS Trust, Nottingham, UK (GRID:grid.240404.6) (ISNI:0000 0001 0440 1889)
13 Barts Cancer Institute, Queen Mary University of London, London, UK (GRID:grid.4868.2) (ISNI:0000 0001 2171 1133)
14 Centre for Atherothrombosis and Metabolic Disease, Hull York Medical School, Hull, UK (GRID:grid.413631.2) (ISNI:0000 0000 9468 0801)
15 Division of Genetics and Epidemiology, The Institute of Cancer Research, London, UK (GRID:grid.18886.3f)
16 Newcastle University, Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle upon Tyne, UK (GRID:grid.1006.7) (ISNI:0000 0001 0462 7212)
17 West Midlands Regional Genetics Laboratory, Birmingham Women’s Hospital, Birmingham, UK (GRID:grid.423077.5) (ISNI:0000 0004 0399 7598)
18 The Rayne Institute, King’s College London, Department of Haematological Medicine, London, UK (GRID:grid.13097.3c) (ISNI:0000 0001 2322 6764); National Center for Tumor Diseases NCT, Partner site Dresden, Dresden, Germany (GRID:grid.461742.2); Medizinische Klinik und Poliklinik I, University Hospital Carl Gustav Carus Dresden, Technical University of Dresden, Dresden, Germany (GRID:grid.4488.0) (ISNI:0000 0001 2111 7257)
19 Medizinische Klinik und Poliklinik I, University Hospital Carl Gustav Carus Dresden, Technical University of Dresden, Dresden, Germany (GRID:grid.4488.0) (ISNI:0000 0001 2111 7257)
20 Newcastle University, Population Health Sciences Institute, Newcastle upon Tyne, UK (GRID:grid.1006.7) (ISNI:0000 0001 0462 7212)
21 University Hospital Rigshospitalet, Department of Clinical Genetics, Copenhagen, Denmark (GRID:grid.475435.4)
22 University of Bologna, Institute of Hematology “L. and A. Seràgnoli”, Bologna, Italy (GRID:grid.6292.f) (ISNI:0000 0004 1757 1758); IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, Italy (GRID:grid.6292.f)
23 IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, Italy (GRID:grid.6292.f)
24 Hematology Service, Hospital Universitario y Politécnico La Fe, Valencia, Spain (GRID:grid.84393.35) (ISNI:0000 0001 0360 9602); CIBERONC, Instituto de Salud Carlos III, Madrid, Spain (GRID:grid.413448.e) (ISNI:0000 0000 9314 1427)
25 Cote d’Azur University, CHU of Nice, Hematology department, Nice, France (GRID:grid.410528.a) (ISNI:0000 0001 2322 4179)
26 Medical University of Graz, Division of Hematology, Graz, Austria (GRID:grid.11598.34) (ISNI:0000 0000 8988 2476)
27 Università di Roma Tor Vergata, Dipartimento di Biomedicina e Prevenzione, Rome, Italy (GRID:grid.6530.0) (ISNI:0000 0001 2300 0941)
28 Hôpital Saint-Louis, Institut Universitaire d’Hématologie, Université Paris Diderot, Paris, France (GRID:grid.6530.0)
29 Univ. Lille, Inserm, CHU Lille, UMR-S 1172 - JPArc - Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer, Lille, France (GRID:grid.410463.4) (ISNI:0000 0004 0471 8845)
30 University College London Cancer Institute, Department of Haematology, London, UK (GRID:grid.83440.3b) (ISNI:0000000121901201)
31 Semmewleis University, 1st Department of Internal Medicine, Budapest, Hungary (GRID:grid.83440.3b)
32 Semmewleis University, 3rd Department of Internal Medicine, Budapest, Hungary (GRID:grid.83440.3b)
33 Heidelberg University, Department of Hematology and Oncology, Medical Faculty Mannheim, Mannheim, Germany (GRID:grid.7700.0) (ISNI:0000 0001 2190 4373)
34 University of Cardiff, Department of Haematology, Cardiff, UK (GRID:grid.5600.3) (ISNI:0000 0001 0807 5670)
35 Hematology Research Unit Helsinki, University of Helsinki, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland (GRID:grid.7737.4) (ISNI:0000 0004 0410 2071)
36 Medical University of Vienna, Department of Laboratory Medicine, Vienna, Austria (GRID:grid.22937.3d) (ISNI:0000 0000 9259 8492)
37 Department of Medical and Molecular Genetics, King’s College Medical School, London, UK (GRID:grid.22937.3d)
38 MLL Munich Leukemia Laboratory, Munich, Germany (GRID:grid.420057.4) (ISNI:0000 0004 7553 8497)
39 Semmelweis University, HCEMM-SE Molecular Oncohematology Research Group, 1st Department of Pathology and Experimental Cancer Research, Budapest, Hungary (GRID:grid.11804.3c) (ISNI:0000 0001 0942 9821)
40 Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, USA (GRID:grid.59734.3c) (ISNI:0000 0001 0670 2351)