Many common genetic variants have been associated with non-Hodgkin lymphoma (NHL), but individual study results are often conflicting. To confirm the role of putative risk alleles in B-cell NHL etiology, we performed a validation genotyping study of 67 candidate single nucleotide polymorphisms within InterLymph, a large international consortium of NHL case-control studies. A meta-analysis was performed on data from 5633 B-cell NHL cases and 7034 controls from 8 InterLymph studies. rs3789068 in the proapoptotic BCL2L11 gene was associated with an increased risk for B-cell NHL (odds ratio ؍ 1.21, P random ؍ 2.21 ؋ 10 ؊11 ), with similar risk estimates for common B-cell subtypes. PRRC2A rs3132453 in the HLA complex class III region conferred a reduced risk of B-cell NHL (odds ratio ؍ 0.68, P random ؍ 1.07 ؋ 10 ؊9 ) and was likewise evident for common B-cell subtypes. These results are consistent with the known biology of NHL and provide insights into shared pathogenic components, including apoptosis and immune regulation, for the major B-cell lymphoma subtypes. (Blood. 2012;120(23): 4645-4648)
IntroductionNon-Hodgkin lymphoma (NHL) comprises a heterogeneous group of malignancies of lymphoid tissues. Familial aggregations 1 and NHL candidate gene and genome-wide association studies support the influence of common gene variants on NHL risk. [2][3][4][5][6][7] We conducted a validation study within the large international consortium of lymphoma, InterLymph, to confirm associations of 67 putative B-cell NHL risk alleles previously identified in smaller studies through a meta-analysis of 5633 B-cell NHL cases and 7034 controls.
Methods
Participating InterLymph studiesData were made available from the British Columbia NHL study 8 ; the Connecticut Women's NHL Study from Yale University 9 ; the European EpiLymph multicenter study 10 ; the Mayo Clinic NHL study 11 ; the National Cancer Institute/Surveillance, Epidemiology, and End Results Multi-Center Case-Control Study (NCI-SEER) 12 ; the New South Wales (NSW) lymphoma study 13 ; and the University of California, San Francisco (UCSF1)/ For personal use only. on May 11, 2018. by guest www.bloodjournal.
org FromUniversity of California, Berkeley (UCSF2) studies of NHL 14,15 (supplemental Table 1, available on the Blood Web site; see the Supplemental Materials link at the top of the online article). Demographic data, including age at diagnosis for cases and age at interview for controls, sex, self-reported race and Hispanic/Latino ethnicity, HIV status, histologic subtype classification and/or International Classification of Diseases for Oncology code for lymphoma diagnoses, and genotype data were obtained for each study.Cases were diagnosed with incident lymphoma between 1989 and 2008. Analyses were restricted to participants Ն 18 years of age who were HIV-negative, non-Hispanic whites diagnosed with B-cell NHL. Histologic subtypes were grouped for analyses using the pathology coding scheme developed by InterLymph collaborators and pathologists based on the current ...