Background
A common 30 kb deletion affecting the
APOBEC3A
and
APOBEC3B
genes has been linked to increased
APOBEC
activity and APOBEC‐related mutational signatures in human cancers. The role of this deletion as a cancer risk factor remains controversial.
Materials and Methods
We genotyped the
APOBEC3A/B
deletion in a sample of 1,470 Norwegian endometrial cancer cases and compared to 1,918 healthy controls. For assessment across Caucasian populations, we mined genotypes of the SNP rs12628403, which is in strong linkage disequilibrium with the deletion, in a GWAS dataset of 4,274 cases and 18,125 healthy controls, through the ECAC consortium.
Results
We found the
APOBEC3A/B
deletion variant to be significantly associated with reduced risk of endometrial cancer among Norwegian women (OR = 0.75; 95% CI = 0.62–0.91;
p
= 0.003; dominant model). Similar results were found in the subgroup of endometrioid endometrial cancer (OR = 0.64; 95% CI = 0.51–0.79;
p
= 3.6 × 10
−5
; dominant model). The observed risk reduction was particularly strong among individuals in the range of 50–60 years of age (OR = 0.51; 95% CI = 0.33–0.78;
p
= 0.002; dominant model). In the different populations included in the ECAC dataset, the ORs varied from 0.85 to 1.05. Although five out of six populations revealed ORs <1.0, the overall estimate was nonsignificant and, as such, did not formally validate the findings in the Norwegian cohort.
Conclusion
The
APOBEC3A/B
deletion polymorphism is associated with a decreased risk of endometrial cancer in the Norwegian population.