HLA class I and II diversity contributes to the etiologic heterogeneity of non-Hodgkin lymphoma subtypes
File(s)HLA class 1 and 11.pdf (1.16 MB)
Accepted version
Author(s)
Type
Journal Article
Abstract
A growing number of loci within the human leukocyte antigen (HLA) region have been implicated in non-Hodgkin lymphoma (NHL) etiology. Here, we test a complementary hypothesis of "heterozygote advantage" regarding the role of HLA and NHL, whereby HLA diversity is beneficial and homozygous HLA loci are associated with increased disease risk. HLA alleles at class I and II loci were imputed from genome-wide association studies (GWAS) using SNP2HLA for: 3,617 diffuse large B-cell lymphomas (DLBCL), 2,686 follicular lymphomas (FL), 2,878 chronic lymphocytic leukemia/small lymphocytic lymphomas (CLL/SLL), 741 marginal zone lymphomas (MZL), and 8,753 controls of European descent. Both DLBCL and MZL risk were elevated with homozygosity at class I HLA-B and -C loci (OR DLBCL=1.31, 95% CI=1.06-1.60; OR MZL=1.45, 95% CI=1.12-1.89) and class II HLA-DRB1 locus (OR DLBCL=2.10, 95% CI=1.24-3.55; OR MZL= 2.10, 95% CI=0.99-4.45). Increased FL risk was observed with the overall increase in number of homozygous HLA class II loci (p-trend<0.0001, FDR=0.0005). These results support a role for HLA zygosity in NHL etiology and suggests that distinct immune pathways may underly the etiology of the different NHL subtypes.
Date Issued
2018-07
Date Acceptance
2018-04-24
Citation
Cancer Research, 2018, 78 (14), pp.4086-4096
ISSN
1538-7445
Publisher
American Association for Cancer Research
Start Page
4086
End Page
4096
Journal / Book Title
Cancer Research
Volume
78
Issue
14
Copyright Statement
©2018, American Association for Cancer Research.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29735552
PII: 0008-5472.CAN-17-2900
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
GENOME-WIDE ASSOCIATION
CHRONIC LYMPHOCYTIC-LEUKEMIA
B-VIRUS INFECTION
HETEROZYGOTE ADVANTAGE
EPIDEMIOLOGIC RESEARCH
SUSCEPTIBILITY LOCI
CLASSIFICATION
INTERLYMPH
NEOPLASMS
ANTIGENS
1112 Oncology and Carcinogenesis
Oncology & Carcinogenesis
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-05-07