학술논문

A noncoding single-nucleotide polymorphism at 8q24 drives IDH1-mutant glioma formation
Document Type
article
Source
Science. 378(6615)
Subject
Biomedical and Clinical Sciences
Oncology and Carcinogenesis
Brain Disorders
Genetics
Brain Cancer
Cancer
Neurosciences
Human Genome
Rare Diseases
2.1 Biological and endogenous factors
Aetiology
Animals
Brain Neoplasms
Chromosomes
Human
Pair 8
Glioma
Humans
Isocitrate Dehydrogenase
Mice
Mutation
Polymorphism
Single Nucleotide
General Science & Technology
Language
Abstract
Establishing causal links between inherited polymorphisms and cancer risk is challenging. Here, we focus on the single-nucleotide polymorphism rs55705857, which confers a sixfold greater risk of isocitrate dehydrogenase (IDH)-mutant low-grade glioma (LGG). We reveal that rs55705857 itself is the causal variant and is associated with molecular pathways that drive LGG. Mechanistically, we show that rs55705857 resides within a brain-specific enhancer, where the risk allele disrupts OCT2/4 binding, allowing increased interaction with the Myc promoter and increased Myc expression. Mutating the orthologous mouse rs55705857 locus accelerated tumor development in an Idh1R132H-driven LGG mouse model from 472 to 172 days and increased penetrance from 30% to 75%. Our work reveals mechanisms of the heritable predisposition to lethal glioma in ~40% of LGG patients.