- Yanchus, Connor;
- Drucker, Kristen L;
- Kollmeyer, Thomas M;
- Tsai, Ricky;
- Winick-Ng, Warren;
- Liang, Minggao;
- Malik, Ahmad;
- Pawling, Judy;
- De Lorenzo, Silvana B;
- Ali, Asma;
- Decker, Paul A;
- Kosel, Matt L;
- Panda, Arijit;
- Al-Zahrani, Khalid N;
- Jiang, Lingyan;
- Browning, Jared WL;
- Lowden, Chris;
- Geuenich, Michael;
- Hernandez, J Javier;
- Gosio, Jessica T;
- Ahmed, Musaddeque;
- Loganathan, Sampath Kumar;
- Berman, Jacob;
- Trcka, Daniel;
- Michealraj, Kulandaimanuvel Antony;
- Fortin, Jerome;
- Carson, Brittany;
- Hollingsworth, Ethan W;
- Jacinto, Sandra;
- Mazrooei, Parisa;
- Zhou, Lily;
- Elia, Andrew;
- Lupien, Mathieu;
- He, Housheng Hansen;
- Murphy, Daniel J;
- Wang, Liguo;
- Abyzov, Alexej;
- Dennis, James W;
- Maass, Philipp G;
- Campbell, Kieran;
- Wilson, Michael D;
- Lachance, Daniel H;
- Wrensch, Margaret;
- Wiencke, John;
- Mak, Tak;
- Pennacchio, Len A;
- Dickel, Diane E;
- Visel, Axel;
- Wrana, Jeffrey;
- Taylor, Michael D;
- Zadeh, Gelareh;
- Dirks, Peter;
- Eckel-Passow, Jeanette E;
- Attisano, Liliana;
- Pombo, Ana;
- Ida, Cristiane M;
- Kvon, Evgeny Z;
- Jenkins, Robert B;
- Schramek, Daniel
Establishing causal links between inherited polymorphisms and cancer risk is challenging. Here, we focus on the single-nucleotide polymorphism rs55705857, which confers a sixfold greater risk of isocitrate dehydrogenase (IDH)-mutant low-grade glioma (LGG). We reveal that rs55705857 itself is the causal variant and is associated with molecular pathways that drive LGG. Mechanistically, we show that rs55705857 resides within a brain-specific enhancer, where the risk allele disrupts OCT2/4 binding, allowing increased interaction with the Myc promoter and increased Myc expression. Mutating the orthologous mouse rs55705857 locus accelerated tumor development in an Idh1R132H-driven LGG mouse model from 472 to 172 days and increased penetrance from 30% to 75%. Our work reveals mechanisms of the heritable predisposition to lethal glioma in ~40% of LGG patients.