Burden of rare genetic variants in genes associated with cancer among Malawian cervical cancer patients

African Journal of Laboratory Medicine

 
 
Field Value
 
Title Burden of rare genetic variants in genes associated with cancer among Malawian cervical cancer patients
 
Creator Gwayi, Samuel D. Tomoka, Tamiwe Chimusa, Emile R. Fedoriw, George Kumwenda, Benjamin
 
Subject Cancer genetics; Bioinformatics cervical cancer; human papillomavirus; whole genome sequencing; qualifying variants; rare variants; Malawian women
Description Background: Cervical cancer (CC) is one of the most common cancer types affecting women globally. Cervical cancer is largely associated with human papillomavirus infections; however, approximately 5% to 11% of CC cases are non-human papillomavirus virus-related. Malawi has the second highest CC prevalence and mortality rate worldwide.Objective: This study investigated the burden of rare genetic variants in genes associated with CC among Malawian women.Methods: Ethical approval was obtained from the National Health Science Research committee on 28 August 2023. Whole-genome sequencing was performed on 20 Malawian CC patients, followed by variant discovery and annotation using the Genome Analysis Toolkit and Ensembl’s Variant Effector Predictor. Test for Rare Variants Against Public Database was performed on qualifying variants using 76 156 genomes from the Genome Aggregation database as controls. Bonferroni correction was applied to account for multiple testing.Results: We identified 372 genes with a significant burden of rare variants (p  0.05), including FAT1 (p = 0.0003), a known tumour suppressor gene associated with CC. After Bonferroni correction (p  6.7×10−05), significance shifted to HTR3B, EPHA8, ABCC2, and SEC23B genes linked to various cancer types.Conclusion: A significant burden of rare variants associated with CC was observed in known genes associated with lung, ovarian and osteosarcoma cancers, suggesting an increased population risk of developing CC and other cancers among Malawian women that needs further investigation.What this study adds: The high burden of rare variants in the FAT1 gene, and a significant rare–variant burden in other cancer associated genes, supports a broader CC genetic risk and possible novel roles requiring further exploration.
 
Publisher AOSIS
 
Contributor Kamuzu University of health Sciences, University of North Carolina, National Institutes of Health, National Cancer Institute
Date 2026-05-15
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Association test
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajlm.v15i1.3073
 
Source African Journal of Laboratory Medicine; Vol 15, No 1 (2026); 6 pages 2225-2010 2225-2002
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajlmonline.org/index.php/ajlm/article/view/3073/3455 https://ajlmonline.org/index.php/ajlm/article/view/3073/3456 https://ajlmonline.org/index.php/ajlm/article/view/3073/3457 https://ajlmonline.org/index.php/ajlm/article/view/3073/3458
 
Coverage — — 30-60 years; Female; Malawian
Rights Copyright (c) 2026 Samuel D. Gwayi, Tamiwe Tomoka, Emile R. Chimusa, George Fedoriw, Benjamin Kumwenda https://creativecommons.org/licenses/by/4.0
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