Additional SNPs improve risk stratification of a polygenic hazard score for prostate cancer.

Loading...
Thumbnail Image

Embargo End Date

Authors

Karunamuni, RA
Huynh-Le, M-P
Fan, CC
Thompson, W
Eeles, RA
Kote-Jarai, Z
Muir, K
Lophatananon, A
UKGPCS collaborators,
Schleutker, J
Pashayan, N
Batra, J
APCB BioResource (Australian Prostate Cancer BioResource),
Grönberg, H
Walsh, EI
Turner, EL
Lane, A
Martin, RM
Neal, DE
Donovan, JL
Hamdy, FC
Nordestgaard, BG
Tangen, CM
MacInnis, RJ
Wolk, A
Albanes, D
Haiman, CA
Travis, RC
Stanford, JL
Mucci, LA
West, CML
Nielsen, SF
Kibel, AS
Wiklund, F
Cussenot, O
Berndt, SI
Koutros, S
Sørensen, KD
Cybulski, C
Grindedal, EM
Park, JY
Ingles, SA
Maier, C
Hamilton, RJ
Rosenstein, BS
Vega, A
IMPACT Study Steering Committee and Collaborators,
Kogevinas, M
Penney, KL
Teixeira, MR
Brenner, H
John, EM
Kaneva, R
Logothetis, CJ
Neuhausen, SL
Razack, A
Newcomb, LF
Canary PASS Investigators,
Gamulin, M
Usmani, N
Claessens, F
Gago-Dominguez, M
Townsend, PA
Roobol, MJ
Zheng, W
Profile Study Steering Committee,
Mills, IG
Andreassen, OA
Dale, AM
Seibert, TM
PRACTICAL Consortium,

Document Type

Journal Article

Date

2021-01-08

Date Accepted

2020-12-04

Abstract

BACKGROUND: Polygenic hazard scores (PHS) can identify individuals with increased risk of prostate cancer. We estimated the benefit of additional SNPs on performance of a previously validated PHS (PHS46). MATERIALS AND METHOD: 180 SNPs, shown to be previously associated with prostate cancer, were used to develop a PHS model in men with European ancestry. A machine-learning approach, LASSO-regularized Cox regression, was used to select SNPs and to estimate their coefficients in the training set (75,596 men). Performance of the resulting model was evaluated in the testing/validation set (6,411 men) with two metrics: (1) hazard ratios (HRs) and (2) positive predictive value (PPV) of prostate-specific antigen (PSA) testing. HRs were estimated between individuals with PHS in the top 5% to those in the middle 40% (HR95/50), top 20% to bottom 20% (HR80/20), and bottom 20% to middle 40% (HR20/50). PPV was calculated for the top 20% (PPV80) and top 5% (PPV95) of PHS as the fraction of individuals with elevated PSA that were diagnosed with clinically significant prostate cancer on biopsy. RESULTS: 166 SNPs had non-zero coefficients in the Cox model (PHS166). All HR metrics showed significant improvements for PHS166 compared to PHS46: HR95/50 increased from 3.72 to 5.09, HR80/20 increased from 6.12 to 9.45, and HR20/50 decreased from 0.41 to 0.34. By contrast, no significant differences were observed in PPV of PSA testing for clinically significant prostate cancer. CONCLUSIONS: Incorporating 120 additional SNPs (PHS166 vs PHS46) significantly improved HRs for prostate cancer, while PPV of PSA testing remained the same.

Citation

Prostate cancer and prostatic diseases, 2021

Source Title

Publisher

SPRINGERNATURE

ISSN

1365-7852

eISSN

1476-5608
1476-5608

Research Team

Oncogenetics

Notes