Authors: Samantha White, Maizy Brasher, Jack Pattee, Wei Zhou, Sinéad Chapman, Yon Jee, Caitlin Bell, Taylor Jamil, Martin Barrio, Jibril Hirbo, Nancy Cox, Peter Straub, Shinichi Namba, Emily Bertucci Richter, Lindsay Guare, Ahmed Edrismohammed, Sam Morris, Ashley Mulford, Haoyu Zhang, Brian Fennessy, Martin Tobin, Jing Chen, Alexander Williams, Catherine John, David Van Heel, Rohini Mathur, Sarah Finer, Marta Moksnes, Ben Brumpton, Bjørn Åsvold, Raitis Peculis, Vita Rovite, Ilze Konrade, Ying Wang, Kristy Crooks, Sameer Chavan, Matthew Fisher, Nicholas Rafaels, Meng Lin, Jonathan Shortt, Alan Sanders, David Whiteman, Stuart Macgregor, Sarah Medland, Unnur Thorsteinsdóttir, Kári Stefánsson, Tugce Karaderi, Kathleen Egan, Therese Bocklage, Hilary Mccrary, Greg Riedlingeer, Bodour Salhia, Craig Shriver, Minh Phan, Janice Farlow, Stephen Edge, Varinder Kaur, Michelle Churchman, Robert Rounbehler, Pamela Brock, Matthew Ringel, Milton Pividori, Rebecca Schweppe, Christopher Raeburn, Robin Walters, Zhengming Chen, Liming Li, Koichi Matsuda, Yukinori Okada, Sebastian Zoellner, Anurag Verma, Michael Preuss, Eimear Kenny, Audrey Hendricks, Lauren Fishbein, Peter Kraft, Mark Daly, Benjamin Neale, Christopher Gignoux, Nikita Pozdeyev
Description:Thyroid diseases are common and highly heritable. Under the Global Biobank Meta-analysis Initiative, we performed a meta-analysis of genome-wide association studies from 19 biobanks for five thyroid diseases: thyroid cancer, benign nodular goiter, Graves' disease, lymphocytic thyroiditis, and primary hypothyroidism. We analyzed genetic association data from ~2.9 million genomes and identified 235 known and 501 novel independent variants significantly linked to thyroid diseases. We discovered genetic correlations between thyroid cancer, benign nodular goiter, and autoimmune thyroid diseases (r 2 =0.21-0.97). Telomere maintenance genes contribute to benign and malignant thyroid nodular disease risk, whereas cell cycle, DNA repair, and DNA damage response genes are predominantly associated with thyroid cancer. We proposed a paradigm explaining genetic predisposition to benign and malignant thyroid nodules. We evaluated thyroid cancer polygenic risk scores (PRS) for clinical applications in thyroid cancer diagnosis. We found PRS associations with thyroid cancer risk features: multifocality, lymph node metastases, and extranodal extension.