Language
English
Publication Date
2-19-2025
Journal
Nature Communications
DOI
10.1038/s41467-025-56944-1
PMID
39971927
PMCID
PMC11839991
PubMedCentral® Posted Date
2-19-2025
PubMedCentral® Full Text Version
Post-print
Abstract
To assess the contribution of rare coding germline genetic variants to prostate cancer risk and severity, we perform here a meta-analysis of 37,184 prostate cancer cases and 331,329 male controls from five cohorts with germline whole exome or genome sequencing data, and one cohort with imputed array data. At the gene level, our case-control collapsing analysis confirms associations between rare damaging variants in four genes and increased prostate cancer risk: SAMHD1, BRCA2 and ATM at the study-wide significance level (P < 1×10−8), and CHEK2 at the suggestive threshold (P < 2.6×10−6). Our case-only analysis, reveals that rare damaging variants in AOX1 are associated with more aggressive disease (OR = 2.60 [1.75–3.83], P = 1.35×10−6), as well as confirming the role of BRCA2 in determining disease severity. At the single-variant level, our study reveals that a rare missense variant in TERT is associated with substantially reduced prostate cancer risk (OR = 0.13 [0.07–0.25], P = 4.67×10−10), and confirms rare non-synonymous variants in a further three genes associated with reduced risk (ANO7, SPDL1, AR) and in three with increased risk (HOXB13, CHEK2, BIK). Altogether, this work provides deeper insights into the genetic architecture and biological basis of prostate cancer risk and severity, with potential implications for clinical risk prediction and therapeutic strategies.
Keywords
Humans, Male, Prostatic Neoplasms, Germ-Line Mutation, Genetic Predisposition to Disease, Checkpoint Kinase 2, Case-Control Studies, BRCA2 Protein, Ataxia Telangiectasia Mutated Proteins, Middle Aged, Risk Factors
Published Open-Access
yes
Recommended Citation
Mitchell, Jonathan; Camacho, Niedzica; Shea, Patrick; et al., "Assessing the Contribution of Rare Protein-Coding Germline Variants to Prostate Cancer Risk and Severity in 37,184 Cases" (2025). Faculty and Staff Publications. 5134.
https://digitalcommons.library.tmc.edu/baylor_docs/5134
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