Exome-wide pan-cancer analysis of germline variants in 8,719 individuals finds little evidence of rare variant associations Journal Article


Authors: Guan, Z.; Shen, R.; Begg, C. B.
Article Title: Exome-wide pan-cancer analysis of germline variants in 8,719 individuals finds little evidence of rare variant associations
Abstract: Background: Many cancer types show considerable heritability, and extensive research has been done to identify germline susceptibility variants. Linkage studies have discovered many rare high-risk variants, and genome-wide association studies (GWAS) have discovered many common low-risk variants. However, it is believed that a considerable proportion of the heritability of cancer remains unexplained by known susceptibility variants. The rare variant hypothesis proposes that much of the missing heritability lies in rare variants that cannot reliably be detected by linkage analysis or GWAS. Until recently, high sequencing costs have precluded extensive surveys of rare variants, but technological advances have now made it possible to analyze rare variants on a much greater scale. Objectives: In this study, we investigated associations between rare variants and 14 cancer types. Methods: We ran association tests using whole-exome sequencing data from The Cancer Genome Atlas (TCGA) and validated the findings using data from the Pan-Cancer Analysis of Whole Genomes Consortium (PCAWG). Results: We identified four significant associations in TCGA, only one of which was replicated in PCAWG (BRCA1 and ovarian cancer). Conclusions: Our results provide little evidence in favor of the rare variant hypothesis. Much larger sample sizes may be needed to detect undiscovered rare cancer variants. © 2021 S. Karger AG, Basel. Copyright: All rights reserved.
Keywords: rare variants; germline variants; burden test; skat; skat-o; tow test
Journal Title: Human Heredity
Volume: 86
Issue: 1-4
ISSN: 0001-5652
Publisher: S. Karger AG  
Date Published: 2021-01-01
Start Page: 34
End Page: 44
Language: English
DOI: 10.1159/000519355
PUBMED: 34718237
PROVIDER: scopus
PMCID: PMC8889565
DOI/URL:
Notes: Article -- Export Date: 1 February 2022 -- Source: Scopus
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  1. Colin B Begg
    306 Begg
  2. Ronglai Shen
    205 Shen
  3. Zoe Guan
    7 Guan