An integrative multi-omics approach to characterize prostate cancer risk in diverse populations

PROJECT SUMMARY In the US, prostate cancer (PCa) is the second leading cause of cancer death in men, with men of African ancestry having the highest incidence and mortality rates. Indeed, men of African ancestry who develop PCa have more aggressive and lethal prostate tumors on average, compared to their non-African ancestry

counterparts. While the reasons for this health disparity are unknown, evidence suggests that genetics is likely a contributing factor. Indeed, large-scale genome-wide association studies (GWAS) of PCa have identified 300 genomic risk variants; however, the vast majority are in non-coding regions, which makes identifying the proximal

target gene challenging and hinders translational efforts. A large body of works have demonstrated that PCa risk is highly enriched in functional regions of the genome, which indicates that risk is mediated through perturbed regulatory action on relevant susceptibility genes. Multiple lines of evidence have shown that integrating omics

with large-scale genetic data increases statistical power to identify novel genomic risk regions and uncovers target molecular mechanisms of risk. These analyses rely on first identifying associations between genetics and various omics data (i.e., molecular quantitative trait loci, or molQTLs) and then using these associations to impute

or predict omics into large-scale PCa GWAS data. However, to date, analyses have been limited for three primary reasons. First, previous integrative analyses with PCa risk relied on diverse omics data measured across tissues other than prostate, where translation to prostate-specific results may be inaccurate. Previous omics datasets

measured in prostate together with genotype have been limited to small sample sizes, resulting in less accurate prediction when compared with larger sample size datasets. Second, prior omics datasets have been measured primarily in men of European ancestry. Multiple recent works find that genetic-based omics prediction translates

poorly across populations, which limits the utility of existing omics data to non-European men. Third, previous studies have shown the importance of integrating omics data beyond gene expression with PCa risk, thus demonstrating that multi-omics investigations facilitate a more unbiased approach to provide biological insights

into disease mechanisms. To date, the majority of imputation-based approaches have been applied to large- scale GWAS, however recent works have made crucial discoveries in cancer biology by imputing cancer risk from GWAS into molecular cohorts. Here, to understand the genetic regulatory mechanisms in prostate tissues

across the molecular cascade, we propose to assay methylation, transcriptomic, proteomic, and metabolomic data in prostate tissue to perform large-scale molQTL mapping for African- and European-ancestry men. To elucidate the underlying mechanisms responsible for PCa risk and identify novel genetic risk factors, we will

integrate identified molQTLs with the largest-available PCa GWAS. Overall, our proposal aims to characterize the genetic regulatory landscape of prostate tissue, its effect on PCa risk, and health disparities of this disease.