Carcinogenesis Advance Access published online on March 31, 2005
Carcinogenesis, doi:10.1093/carcin/bgi085
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1 UCSF Comprehensive Cancer Center, University of California, San Francisco, CA
STK15 (Aurora-A) is a serine/threonine kinase involved in mitotic chromosomal segregation. A genetic variant in STK15 T+91A (resulting in the amino acid substitution F31I) is associated with increased aneuploidy in colon tumors and cell transformation in vitro (1). Since this polymorphism plays a role in mitotic control, a process critical for all cancer types, we conducted association analyses for risk of cancer development of the colon, breast, prostate, skin, lung and esophagus in ten independent case-control populations. We carried out a meta-analysis of these 10 case-control studies together with 5 additional published studies for a total of 9549 cases of breast, colon, ovarian, prostate, lung, esophageal, and non-melanoma skin cancer and 8326 population or hospital-based controls. Meta-analysis of three colorectal cancer studies showed an increased risk in T+91A homozygotes (OR=1.50; 95%CI of 1.14-1.99). Meta-analysis of four breast cancer studies showed increased risk for T+91A homozygotes (OR=1.35 95%CI of 1.12-1.64). The results of the multiple cancer type meta-analysis for all 15 studies combined were significant for cancer risk in both homozygotes and heterozygotes. The T+91A heterozygotes show an OR of 1.10 (95% CI of 1.03-1.18, p-value=.006) and the T+91A homozygotes show an OR of 1.40 (95%CI of 1.22-1.59, p-value <.001) for cancer risk. These results confirm that the STK15 T+91A variant is a low penetrance cancer susceptibility allele affecting multiple cancer types, and provide genetic evidence from large-scale human population studies that genetic stability at the chromosome level is an important determinant of cancer susceptibility. The data also underline the advantages of comparative association studies involving study populations from different ethnic groups for determination of disease risk.
Received November 17, 2004
Revised February 17, 2005
Accepted March 25, 2005
MOLECULAR EPIDEMIOLOGY AND CANCER PREVENTION
Aurora-A/STK15 T+91A is a general low penetrance cancer susceptibility gene: a meta-analysis of multiple cancer types
2 Department of Medicine and Vanderbilt-Ingrim Cancer Center, School of Medicine, Vanderbilt University, Nashville TN 37232-8300
3 Department of Epidemiology, Shanghai, Cancer Institute, Shanghai 200032, P.R. China
4 Department of Cancer Genetics, Roswell Park Cancer Institute, Buffalo, NY
5 Division of Oncology, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, UK
6 Epidemiology Division, Department of Medicine, University of California, Irvine, CA
7 Department of Etiology and Carcinogenesis, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
8 Division of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA; Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA
9 Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA
10 Department of Epidemiology & Biostatistics, University of California, San Francisco, CA; Department of Urology, University of California, San Francisco, CA
11 Laboratory of Human Carcinogenesis, National Cancer Institute, National Institutes of Health, Bethesda, MD
12 Department of Head and Neck Surgery and Cancer Biology, M. D. Anderson Cancer Center, Houston, TX
13 Thoracic/Head and Neck Medical Oncology and Clinical Cancer Prevention, M. D. Anderson Cancer Center, Houston, TX
14 Biostatistics, M. D. Anderson Cancer Center, Houston, TX
15 UCSF Comprehensive Cancer Center, University of California, San Francisco, CA; Department of Biochemistry and Biophysics (A.B), University of California San Francisco, San Francisco, CA 94115
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