Volume 147, Issue 2 pp. 392-403
Cancer Epidemiology

Novel genetic variants in KIF16B and NEDD4L in the endosome-related genes are associated with nonsmall cell lung cancer survival

Sen Yang

Sen Yang

Department of Internal Medicine, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Population Health Sciences, Duke University School of Medicine, Durham, NC

S.Y. and D.T. contributed equally to this workSearch for more papers by this author
Dongfang Tang

Dongfang Tang

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Population Health Sciences, Duke University School of Medicine, Durham, NC

S.Y. and D.T. contributed equally to this workSearch for more papers by this author
Yu C. Zhao

Yu C. Zhao

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Population Health Sciences, Duke University School of Medicine, Durham, NC

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Hongliang Liu

Hongliang Liu

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Population Health Sciences, Duke University School of Medicine, Durham, NC

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Sheng Luo

Sheng Luo

Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC

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Thomas E. Stinchcombe

Thomas E. Stinchcombe

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Medicine, Duke University Medical Center, Durham, NC

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Carolyn Glass

Carolyn Glass

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Pathology, Duke University School of Medicine, Durham, NC

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Li Su

Li Su

Department of Environmental Health and Department of Epidemiology, Harvard School of Public Health, Boston, MA

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Sipeng Shen

Sipeng Shen

Department of Environmental Health and Department of Epidemiology, Harvard School of Public Health, Boston, MA

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David C. Christiani

David C. Christiani

Department of Environmental Health and Department of Epidemiology, Harvard School of Public Health, Boston, MA

Department of Medicine, Massachusetts General Hospital, Boston, MA

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Qiming Wang

Corresponding Author

Qiming Wang

Department of Internal Medicine, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China

Correspondence to: Qiming Wang, E-mail: [email protected]; or Qingyi Wei, E-mail: [email protected]Search for more papers by this author
Qingyi Wei

Corresponding Author

Qingyi Wei

Duke Cancer Institute, Duke University Medical Center, Durham, NC

Department of Population Health Sciences, Duke University School of Medicine, Durham, NC

Department of Medicine, Duke University Medical Center, Durham, NC

Correspondence to: Qiming Wang, E-mail: [email protected]; or Qingyi Wei, E-mail: [email protected]Search for more papers by this author
First published: 16 October 2019
Citations: 9
Conflict of interest: The authors state no conflict of interest.

Abstract

The endosome is a membrane-bound organ inside most eukaryotic cells, playing an important role in adaptive immunity by delivering endocytosed antigens to both MHC class I and II pathways. Here, by analyzing genotyping data from two published genome-wide association studies (GWASs), we evaluated associations between genetic variants in the endosome-related gene-set and survival of patients with nonsmall cell lung cancer (NSCLC). The discovery included 44,112 (3,478 genotyped and 40,634 imputed) single-nucleotide polymorphisms (SNPs) in 220 genes in a singlelocus analysis for their associations with survival of 1,185 NSCLC patients from the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial. After validation of the 821 survival-associated significant SNPs in additional 984 NSCLC patients from the Harvard Lung Cancer Susceptibility Study, 14 SNPs remained significant. The final multivariate stepwise Cox proportional hazards regression modeling of the PLCO dataset identified three potentially functional and independent SNPs (i.e., KIF16B rs1555195 C>T, NEDD4L rs11660748 A>G and rs73440898 A>G) with an adjusted hazards ratio (HR) of 0.86 (95% confidence interval [CI] = 0.79–0.94, p = 0.0007), 1.31 (1.16–1.47, p = 6.0 × 10−5) and 1.27 (1.12–1.44, p = 0.0001) for overall survival (OS), respectively. Combined analysis of the adverse genotypes of these three SNPs revealed a trend in the genotype-survival association (ptrend < 0.0001 for OS and ptrend < 0.0001 for disease-specific survival). Furthermore, the survival-associated KIF16B rs1555195T allele was significantly associated with decreased mRNA expression levels of KIF16B in both lung tissues and blood cells. Therefore, genetic variants of the endosome-related genes may be biomarker for NSCLC survival, possibly through modulating the expression of corresponding genes.

Abstract

What's new?

Immunotherapy has become a key component of non-small cell lung cancer (NSCLC) treatment. However, not all patients benefit from immunotherapy, and there is increasing need to predict immunotherapy response in order to improve treatment efficacy and patient outcomes. In the present investigation of genes involved in endosome-related pathways, which are suspected of serving important immune-guided anti-tumor functions, three variants, located in the genes KIF16B and NEDD4L, were associated with NSCLC survival. The survival-associated variant in KIF16B was specifically associated with reduced KIF16B mRNA expression levels in lung tissue and blood cells, identifying it as a potentially useful biomarker for NSCLC survival.

Data availability

The datasets used for the analyses described in the present study were obtained from dbGaP (http://www.ncbi.nlm.nih.gov/gap) through dbGaP accession number phs000336.v1.p1 and phs000093.v2.p2.

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