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Association between genetic polymorphisms and endometrial cancer risk: a systematic review.

Published version
Peer-reviewed

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Authors

Thompson, Deborah J 
Lophatananon, Artitaya 
Ryan, Neil Aj 

Abstract

INTRODUCTION: Endometrial cancer is one of the most commonly diagnosed cancers in women. Although there is a hereditary component to endometrial cancer, most cases are thought to be sporadic and lifestyle related. The aim of this study was to systematically review prospective and retrospective case-control studies, meta-analyses and genome-wide association studies to identify genomic variants that may be associated with endometrial cancer risk. METHODS: We searched MEDLINE, Embase and CINAHL from 2007 to 2019 without restrictions. We followed PRISMA 2009 guidelines. The search yielded 3015 hits in total. Following duplicate exclusion, 2674 abstracts were screened and 453 full-texts evaluated based on our pre-defined screening criteria. 149 articles were eligible for inclusion. RESULTS: We found that single nucleotide polymorphisms (SNPs) in HNF1B, KLF, EIF2AK, CYP19A1, SOX4 and MYC were strongly associated with incident endometrial cancer. Nineteen variants were reported with genome-wide significance and a further five with suggestive significance. No convincing evidence was found for the widely studied MDM2 variant rs2279744. Publication bias and false discovery rates were noted throughout the literature. CONCLUSION: Endometrial cancer risk may be influenced by SNPs in genes involved in cell survival, oestrogen metabolism and transcriptional control. Larger cohorts are needed to identify more variants with genome-wide significance.

Description

Funder: national institute of health research

Keywords

endometrial cancer, genetic epidemiology, risk prediction, single nucleotide polymorphism (SNP), systematic review, Aromatase, Endometrial Neoplasms, Female, Genetic Predisposition to Disease, Genome-Wide Association Study, Hepatocyte Nuclear Factor 1-beta, Humans, Kruppel-Like Transcription Factors, Polymorphism, Single Nucleotide, Prospective Studies, Proto-Oncogene Proteins c-mdm2, Proto-Oncogene Proteins c-myc, Risk Factors, SOXC Transcription Factors, eIF-2 Kinase

Journal Title

J Med Genet

Conference Name

Journal ISSN

0022-2593
1468-6244

Volume Title

Publisher

BMJ