Polygenic hazard score to guide screening for aggressive prostate cancer: development and validation in large scale cohorts.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Seibert Tyler M, Fan Chun Chieh, Wang Yunpeng, Zuber Verena, Karunamuni Roshan, Parsons J Kellogg, Eeles Rosalind A, Easton Douglas F, Kote-Jarai ZSofia, Al Olama Ali Amin, Garcia Sara Benlloch, Muir Kenneth, Grönberg Henrik, Wiklund Fredrik, Aly Markus, Schleutker Johanna, Sipeky Csilla, Tammela Teuvo Lj, Nordestgaard Børge G, Nielsen Sune F, Weischer Maren, Bisbjerg Rasmus, Røder M Andreas, Iversen Peter, Key Tim J, Travis Ruth C, Neal David E, Donovan Jenny L, Hamdy Freddie C, Pharoah Paul, Pashayan Nora, Khaw Kay-Tee, Maier Christiane, Vogel Walther, Luedeke Manuel, Herkommer Kathleen, Kibel Adam S, Cybulski Cezary, Wokolorczyk Dominika, Kluzniak Wojciech, Cannon-Albright Lisa, Brenner Hermann, Cuk Katarina, Saum Kai-Uwe, Park Jong Y, Sellers Thomas A, Slavov Chavdar, Kaneva Radka, Mitev Vanio, Batra Jyotsna, Clements Judith A, Spurdle Amanda, Teixeira Manuel R, Paulo Paula, Maia Sofia, Pandha Hardev, Michael Agnieszka, Kierzek Andrzej, Karow David S, Mills Ian G, Andreassen Ole A, Dale Anders M, PRACTICAL Consortium*
Аннотация
DESIGN: Analysis of genotype, PCa status, and age to select single nucleotide polymorphisms (SNPs) associated with diagnosis. These polymorphisms were incorporated into a survival analysis to estimate their effects on age at diagnosis of aggressive PCa (that is, not eligible for surveillance according to National Comprehensive Cancer Network guidelines; any of Gleason score ≥7, stage T3-T4, PSA (prostate specific antigen) concentration ≥10 ng/L, nodal metastasis, distant metastasis). The resulting polygenic hazard score is an assessment of individual genetic risk. The final model was applied to an independent dataset containing genotype and PSA screening data. The hazard score was calculated for these men to test prediction of survival free from PCa.
SETTING: Multiple institutions that were members of international PRACTICAL consortium.
PARTICIPANTS: All consortium participants of European ancestry with known age, PCa status, and quality assured custom (iCOGS) array genotype data. The development dataset comprised 31 747 men; the validation dataset comprised 6411 men.
MAIN OUTCOME MEASURES: Prediction with hazard score of age of onset of aggressive cancer in validation set.
RESULTS: In the independent validation set, the hazard score calculated from 54 single nucleotide polymorphisms was a highly significant predictor of age at diagnosis of aggressive cancer (z=11.2, P<10-16). When men in the validation set with high scores (>98th centile) were compared with those with average scores (30th-70th centile), the hazard ratio for aggressive cancer was 2.9 (95% confidence interval 2.4 to 3.4). Inclusion of family history in a combined model did not improve prediction of onset of aggressive PCa (P=0.59), and polygenic hazard score performance remained high when family history was accounted for. Additionally, the positive predictive value of PSA screening for aggressive PCa was increased with increasing polygenic hazard score.
CONCLUSIONS: Polygenic hazard scores can be used for personalised genetic risk estimates that can predict for age at onset of aggressive PCa.