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1 A Genome-Wide Association Study Identifies Susceptibility Loci for Ovarian Cancer at 2q31 and 8q24 Supplementary Data Supplementary Note: Membership of WTCCC (Wellcome Trust Case-Control Consortium) is as follows: Membership of the Wellcome Trust Case–Control Consortium (WTCCC) Management Committee: Paul R Burton 1 , David G Clayton 2 , Lon R Cardon 3 , Nick Craddock 4 , Panos Deloukas 5 , Audrey Duncanson 6 , Dominic P Kwiatkowski 3,5 , Mark I McCarthy 3,7 , Willem H Ouwehand 8,9 , Nilesh J Samani 10 , John A Todd 2 , Peter Donnelly (Chair) 11 Analysis Committee: Jeffrey C Barrett 3 , Paul R Burton 1 , Dan Davison 11 , Peter Donnelly 11 , Doug Easton 12 , David Evans 3 , Hin-Tak Leung 2 , Jonathan L Marchini 11 , Andrew P Morris 3 , I CA Spencer 11 , Martin D Tobin 1 , Lon R Cardon (co-chair) 3 , David G Clayton (co-chair) 2 UK Blood Services and University of Cambridge Controls: Antony P Attwood 5,8 , James P Boorman 8,9 , Barbara Cant 8 , Ursula Everson 13 , Judith M Hussey 14 , Jennifer D Jolley 8 , Alexandra S Knight 8 , Kerstin Koch 8 , Elizabeth Meech 15 , Sarah Nutland 2 , Christopher V Prowse 16 , Helen E Stevens 2 , Niall C Taylor 8 , Graham R Walters 17 , Neil M Walker 2 , Nicholas A Watkins 8,9 , Thilo Winzer 8 , John A Todd 2 , Willem H Ouwehand 8,9 1958 Birth Cohort Controls: Richard W Jones 18 , Wendy L McArdle 18 , Susan M Ring 18 , David P Strachan 19 , Marcus Pembrey 18,20 Bipolar Disorder: Aberdeen – Gerome Breen 21 , David St Clair 21 ; Birmingham – Sian Caesar 22 , Katherine Gordon-Smith 22,23 , Lisa Jones 22 ; Cardiff – Christine Fraser 23 , Elaine K Green 23 , Detelina Grozeva 23 , Marian L Hamshere 23 , Peter A Holmans 23 , Ian R Jones 23 , George Kirov 23 , Valentina Moskvina 23 , Ivan Nikolov 23 , Michael C O'Donovan 23 , Michael J Owen 23 , Nick Craddock 23 ; London – David A Collier 24 , Amanda Elkin 24 , Anne Farmer 24 , Richard Williamson 24 , Peter McGuffin 24 ; Newcastle – Allan H Young 25 , I Nicol Ferrier 25 Coronary Artery Disease: Leeds – Stephen G Ball 26 , Anthony J Balmforth 26 , Jennifer H Barrett 26 , D Timothy Bishop 26 , Mark M Iles 26 , Azhar Maqbool 26 , Nadira Yuldasheva 26 , Alistair S Hall 26 ; Leicester – Peter S Braund 10 , Paul R Burton 1 , Richard J Dixon 10 , Massimo Mangino 10 , Suzanne Stevens 10 , Martin D Tobin 1 , John R Thompson 1 , Nilesh J Samani 10 Crohn's Disease: Cambridge – Francesca Bredin 27 , Mark Tremelling 27 , Miles Parkes 27 ; Edinburgh – Hazel Drummond 28 , Charles W Lees 28 , Elaine R Nimmo 28 , Jack Satsangi 28 ; London – Sheila A Fisher 29 , Alastair Forbes 30 , Cathryn M Lewis 29 , Clive M Onnie 29 , Natalie J Prescott 29 , Jeremy Sanderson 31 , Christopher G Mathew 29 ; Newcastle – Jamie Barbour 32 , M Khalid Mohiuddin 32 , Catherine E Todhunter 32 , John C Mansfield 32 ; Oxford – Tariq Ahmad 33 , Fraser R Cummings 33 , Derek P Jewell 33 Hypertension: Aberdeen – John Webster 34 ; Cambridge – Morris J Brown 35 , David G Clayton 2 ; Evry, France – G Mark Lathrop 36 ; Glasgow – John Connell 37 , Anna Dominiczak 37 ; Leicester – Nilesh J Samani 10 ; London – Carolina A Braga Marcano 38 , Beverley Burke 38 , Richard Dobson 38 , Johannie Gungadoo 38 , Kate L Lee 38 , Patricia B Munroe 38 , Stephen J Newhouse 38 , Abiodun Onipinla 38 , I Wallace 38 , Mingzhan Xue 38 , Nature Genetics: doi: 10.1038/ng.668

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A Genome-Wide Association Study Identifies Susceptibility Loci for Ovarian Cancer at 2q31 and 8q24

Supplementary Data

Supplementary Note: Membership of WTCCC (Wellcome Trust Case-Control Consortium) is as follows:

Membership of the Wellcome Trust Case–Control Consortium (WTCCC) Management Committee: Paul R Burton1, David G Clayton2, Lon R Cardon3, Nick Craddock4, Panos Deloukas5, Audrey Duncanson6, Dominic P Kwiatkowski3,5, Mark I McCarthy3,7, Willem H Ouwehand8,9, Nilesh J Samani10, John A Todd2, Peter Donnelly (Chair)11

Analysis Committee: Jeffrey C Barrett3, Paul R Burton1, Dan Davison11, Peter Donnelly11, Doug Easton12, David Evans3, Hin-Tak Leung2, Jonathan L Marchini11, Andrew P Morris3, I CA Spencer11, Martin D Tobin1, Lon R Cardon (co-chair)3, David G Clayton (co-chair)2

UK Blood Services and University of Cambridge Controls: Antony P Attwood5,8, James P Boorman8,9, Barbara Cant8, Ursula Everson13, Judith M Hussey14, Jennifer D Jolley8, Alexandra S Knight8, Kerstin Koch8, Elizabeth Meech15, Sarah Nutland2, Christopher V Prowse16, Helen E Stevens2, Niall C Taylor8, Graham R Walters17, Neil M Walker2, Nicholas A Watkins8,9, Thilo Winzer8, John A Todd2, Willem H Ouwehand8,9

1958 Birth Cohort Controls: Richard W Jones18, Wendy L McArdle18, Susan M Ring18, David P Strachan19, Marcus Pembrey18,20

Bipolar Disorder: Aberdeen – Gerome Breen21, David St Clair21; Birmingham – Sian Caesar22, Katherine Gordon-Smith22,23, Lisa Jones22; Cardiff – Christine Fraser23, Elaine K Green23, Detelina Grozeva23, Marian L Hamshere23, Peter A Holmans23, Ian R Jones23, George Kirov23, Valentina Moskvina23, Ivan Nikolov23, Michael C O'Donovan23, Michael J Owen23, Nick Craddock23; London – David A Collier24, Amanda Elkin24, Anne Farmer24, Richard Williamson24, Peter McGuffin24; Newcastle – Allan H Young25, I Nicol Ferrier25

Coronary Artery Disease: Leeds – Stephen G Ball26, Anthony J Balmforth26, Jennifer H Barrett26, D Timothy Bishop26, Mark M Iles26, Azhar Maqbool26, Nadira Yuldasheva26, Alistair S Hall26; Leicester – Peter S Braund10, Paul R Burton1, Richard J Dixon10, Massimo Mangino10, Suzanne Stevens10, Martin D Tobin1, John R Thompson1, Nilesh J Samani10

Crohn's Disease: Cambridge – Francesca Bredin27, Mark Tremelling27, Miles Parkes27; Edinburgh – Hazel Drummond28, Charles W Lees28, Elaine R Nimmo28, Jack Satsangi28; London – Sheila A Fisher29, Alastair Forbes30, Cathryn M Lewis29, Clive M Onnie29, Natalie J Prescott29, Jeremy Sanderson31, Christopher G Mathew29; Newcastle – Jamie Barbour32, M Khalid Mohiuddin32, Catherine E Todhunter32, John C Mansfield32; Oxford – Tariq Ahmad33, Fraser R Cummings33, Derek P Jewell33

Hypertension: Aberdeen – John Webster34; Cambridge – Morris J Brown35, David G Clayton2; Evry, France – G Mark Lathrop36; Glasgow – John Connell37, Anna Dominiczak37; Leicester – Nilesh J Samani10; London – Carolina A Braga Marcano38, Beverley Burke38, Richard Dobson38, Johannie Gungadoo38, Kate L Lee38, Patricia B Munroe38, Stephen J Newhouse38, Abiodun Onipinla38, I Wallace38, Mingzhan Xue38,

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Mark Caulfield38; Oxford – Martin Farrall39

Rheumatoid Arthritis: Anne Barton40, The Biologics in RA Genetics and Genomics Study Syndicate (BRAGGS) Steering Committee, Ian N Bruce40, Hannah Donovan40, Steve Eyre40, Paul D Gilbert40, Samantha L Hider40, Anne M Hinks40, Sally L John40, Catherine Potter40, Alan J Silman40, Deborah PM Symmons40, Wendy Thomson40, Jane Worthington40

Type 1 Diabetes: David G Clayton2, David B Dunger2,41, Sarah Nutland2, Helen E Stevens2, Neil M Walker2, Barry Widmer2,41, John A Todd2

Type 2 Diabetes: Exeter – Timothy M Frayling42,43, Rachel M Freathy42,43, Hana Lango42,43, John R B Perry42,43, Beverley M Shields43, Michael N Weedon42,43, Andrew T Hattersley42,43; London – Graham A Hitman44; Newcastle – Mark Walker45; Oxford – Kate S Elliott3,7, Christopher J Groves7, Cecilia M Lindgren3,7, Nigel W Rayner3,7, Nicholas J Timpson3,46, Eleftheria Zeggini3,7, Mark I McCarthy3,7

Tuberculosis: Gambia – Melanie Newport47, Giorgio Sirugo47; Oxford – Emily Lyons3, Fredrik Vannberg3, Adrian VS Hill3

Ankylosing Spondylitis: Linda A Bradbury48, Claire Farrar49, Jennifer J Pointon48, Paul Wordsworth49, Matthew A Brown48,49

AutoImmune Thyroid Disease: Jayne A Franklyn50, Joanne M Heward50, Matthew J Simmonds50, Stephen CL Gough50

Breast Cancer: Sheila Seal51, Breast Cancer Susceptibility Collaboration (UK)*, Michael R Stratton51,52, Nazneen Rahman51

Multiple Sclerosis: Maria Ban53, An Goris53, Stephen J Sawcer53, Alastair Compston53

Gambian Controls: Gambia – David Conway47, Muminatou Jallow47, Melanie Newport47, Giorgio Sirugo47; Oxford – Kirk A Rockett3, Dominic P Kwiatkowski3,5

DNA, Genotyping, Data QC and Informatics: Wellcome Trust Sanger Institute, Hinxton – Claire Bryan5, Suzannah J Bumpstead5, Amy Chaney5, Kate Downes2,5, Jilur Ghori5, Rhian Gwilliam5, Sarah E Hunt5, Michael Inouye5, Andrew Keniry5, Emma King5, Ralph McGinnis5, Simon Potter5, Rathi Ravindrarajah5, Pamela Whittaker5, David Withers5, Panos Deloukas5; Cambridge – Hin-Tak Leung2, Sarah Nutland2, Helen E Stevens2, Neil M Walker2, John A Todd2

Statistics: Cambridge – Doug Easton12, David G Clayton2; Leicester – Paul R Burton1, Martin D Tobin1; Oxford – Jeffrey C Barrett3, David Evans3, Andrew P Morris3, Lon R Cardon3; Oxford – Niall J Cardin11, Dan Davison11, Teresa Ferreira11, Joanne Pereira-Gale11, Ingeleif B Hallgrimsdóttir11, Bryan N Howie11, Jonathan L Marchini11, I CA Spencer11, Zhan Su11, Yik Ying Teo3,11, Damjan Vukcevic11, Peter Donnelly11

PIs: David Bentley5,54, Matthew A Brown48,49, Lon R Cardon3, Mark Caulfield38, David G Clayton2, Alistair Compston53, Nick Craddock23, Panos Deloukas5, Peter Donnelly11, Martin Farrall39, Stephen CL Gough50, Alistair S Hall26, Andrew T Hattersley42,43, Adrian VS Hill3, Dominic P Kwiatkowski3,5, Christopher G Mathew29, Mark I McCarthy3,7, Willem H Ouwehand8,9, Miles Parkes27, Marcus Pembrey18,20, Nazneen Rahman51, Nilesh J Samani10, Michael R Stratton51,52, John A Todd2, Jane Worthington40

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1Genetic Epidemiology Group, Department of Health Sciences, University of Leicester, Adrian Building, University Road, Leicester LE1 7RH, UK; 2Juvenile Diabetes Research Foundation/Wellcome Trust Diabetes and Inflammation Laboratory, Department of Medical Genetics, Cambridge Institute for Medical Research, University of Cambridge, Wellcome Trust/MRC Building, Cambridge CB2 0XY, UK; 3Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford OX3 7BN, UK; 4Department of Psychological Medicine, Henry Wellcome Building, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; 5The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK; 6The Wellcome Trust, Gibbs Building, 215 Euston Road, London NW1 2BE, UK; 7Oxford Centre for Diabetes, Endocrinology and Medicine, University of Oxford, Churchill Hospital, Oxford OX3 7LJ, UK; 8Department of Haematology, University of Cambridge, Long Road, Cambridge CB2 2PT, UK; 9National Health Service Blood and Transplant, Cambridge Centre, Long Road, Cambridge CB2 2PT, UK; 10Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK; 11Department of Statistics, University of Oxford, 1 South Parks Road, Oxford OX1 3TG, UK; 12Cancer Research UK Genetic Epidemiology Unit, Strangeways Research Laboratory, Worts Causeway, Cambridge CB1 8RN, UK;13National Health Service Blood and Transplant, Sheffield Centre, Longley Lane, Sheffield S5 7JN, UK; 14National Health Service Blood and Transplant, Brentwood Centre, Crescent Drive, Brentwood CM15 8DP, UK; 15The Welsh Blood Service, Ely Valley Road, Talbot Green, Pontyclun CF72 9WB, UK; 16The Scottish National Blood Transfusion Service, Ellen's Glen Road, Edinburgh EH17 7QT, UK; 17National Health Service Blood and Transplant, Southampton Centre, Coxford Road, Southampton SO16 5AF, UK; 18Avon Longitudinal Study of Parents and Children, University of Bristol, 24 Tyndall Avenue, Bristol BS8 1TQ, UK; 19Division of Community Health Services, St George's University of London, Cranmer Terrace, London SW17 0RE, UK; 20Institute of Child Health, University College London, 30 Guilford St, London WC1N 1EH, UK; 21University of Aberdeen, Institute of Medical Sciences, Foresterhill, Aberdeen AB25 2ZD, UK; 22Division of Neuroscience, Department of Psychiatry, Birmingham University, Birmingham B15 2QZ, UK; 23Department of Psychological Medicine, Henry Wellcome Building, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; 24King's College London, SGDP, The Institute of Psychiatry, De Crespigny Park Denmark Hill London SE5 8AF, UK; 25School of Neurology, Neurobiology and Psychiatry, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK; 26Faculty of Medicine and Health, LIGHT and LIMM Research Institutes, University of Leeds, Leeds LS1 3EX, UK; 27IBD Research Group, Addenbrooke's Hospital, University of Cambridge, Cambridge CB2 2QQ, UK; 28Gastrointestinal Unit, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, UK; 29King's College London School of Medicine, Department of Medical and Molecular Genetics, 8th Floor Guy's Tower, Guy's Hospital, London SE1 9RT, UK; 30Institute for Digestive Diseases, University College London Hospitals Trust, London NW1 2BU, UK; 31Department of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, UK; 32Department of Gastroenterology and Hepatology, University of Newcastle upon Tyne, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK; 33Gastroenterology Unit, Radcliffe Infirmary, University of Oxford, Oxford OX2 6HE, UK; 34Medicine and Therapeutics, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, Grampian AB9 2ZB, UK; 35Clinical Pharmacology Unit and the Diabetes and Inflammation Laboratory, University of Cambridge, Addenbrookes Hospital, Hills Road, Cambridge CB2 2QQ, UK; 36Centre National de Genotypage, 2, Rue Gaston Cremieux, Evry, Paris 91057; 37BHF Glasgow Cardiovascular Research Centre, University of Glasgow, 126 University Place, Glasgow G12 8TA, UK; 38Clinical Pharmacology and Barts and The London Genome Centre, William Harvey Research Institute, Barts and The London, Queen Mary's School of Medicine, Charterhouse Square, London EC1M 6BQ, UK; 39Cardiovascular Medicine, University of Oxford, Wellcome Trust Centre for Human Genetics, Roosevelt Drive, Oxford OX3 7BN, UK; 40arc Epidemiology Research Unit, University of Manchester, Stopford Building, Oxford Rd, Manchester M13 9PT, UK; 41Department of Paediatrics, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK; 42Genetics of Complex Traits, Institute of Biomedical and Clinical Science, Peninsula Medical School, Magdalen Road, Exeter EX1 2LU UK; 43Diabetes Genetics, Institute of Biomedical and Clinical Science, Peninsula Medical School, Barrack Road, Exeter EX2 5DU UK; 44Centre for Diabetes and Metabolic Medicine, Barts and The London, Royal London

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Hospital, Whitechapel, London E1 1BB UK; 45Diabetes Research Group, School of Clinical Medical Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK; 46The MRC Centre for Causal Analyses in Translational Epidemiology, Bristol University, Canynge Hall, Whiteladies Rd, Bristol BS2 8PR, UK; 47MRC Laboratories, Fajara, The Gambia; 48Diamantina Institute for Cancer, Immunology and Metabolic Medicine, Princess Alexandra Hospital, University of Queensland, Woolloongabba, Qld 4102, Australia; 49Botnar Research Centre, University of Oxford, Headington, Oxford OX3 7BN, UK; 50Division of Medical Sciences, Department of Medicine, Institute of Biomedical Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; 51Section of Cancer Genetics, Institute of Cancer Research, 15 Cotswold Road, Sutton SM2 5 NG, UK; 52Cancer Genome Project, The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK; 53Department of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK; 54PRESENT ADDRESS: Illumina Cambridge, Chesterford Research Park, Little Chesterford, Nr Saffron Walden, Essex CB10 1XL, UK.

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Supplementary Table 1: GWAS Participating Studies Abbrev. Name Country Cases Controls Platform Cases Controls Phase I SupplemenPhase I

UK SEARCH Ovarian Cancer Study; United Kingdom Ovarian Cancer Population Study (UKOPS); Royal Marsden Hospital Ovarian Cancer Study; Cancer Research UK Familial Ovarian Cancer Register; 1958 Birth Cohort; Colorectal Tumor Gene Identification consortium (CORGI)

United Kingdom

Four collections including 1) cases <70 years from East Anglian West Midlands & Trent regions of England (prevalent cases diagnosed 1991-1998; incident cases diagnosed 1998 onwards); 2) Cases attending ten major Gynecological Oncology NHS centers in England, Wales & Northern Ireland from 2006 onwards; 3) Royal Marsden Hospital-based case collection; 4) Cancer Research UK Familial Ovarian Cancer Register

Two collections including 1) controls selected from the UK 1958 Birth cohort; and 2) controls selected from a population-based UK colorectal control set

Illumina 610K/ Illumina 550K

1,768 2,354

Sub-Total 1,768 2,354 Phase II AUS Australian Cancer Study

(ACS) Ovary; Australian Ovarian Cancer Study (AOCS)

Australia Diagnosed from 2002-2006; recruited through surgical treatment centers throughout Australia & cancer registries of Queensland South Australia & West Australia (AOCS) & cancer registries of New South Wales & Victoria (ACS).

Randomly selected from Commonwealth electoral roll. Frequency matched for age & geographical region.

Illumina iSelect

964 1,099

DOV Diseases of the Ovary and their Evaluation Study (DOVE)

United States

Cases diagnosed with primary invasive ovarian cancer between 2002 and 2005 from a 13-county area of Western Washington state.

Random-digit dial identification from study area. Frequency matched to cases for race/ethnicity & 5-year age group.

Illumina iSelect

700 727

POC Polish Ovarian Cancer Study (POCS)

Poland Cases diagnosed with epithelial ovarian cancer in five gynecological oncology centers in the cities of Szczecin, Opole, Poznan, Rzeszów in Poland; between 1998 and 2006.

Healthy women from the general population were randomly selected and matched to cases with the same year of birth and geographical region.

Illumina iSelect

514 507

MAL Danish Malignant Ovarian Tumor Study (MALOVA)

Denmark Incident cases (35-79 years) diagnosed 1994-1999 from municipalities of Copenhagen, Frederiksberg & surrounding counties.

Random sample of general female population (35-79 years) in study area selected using computerized Central Population Register. Matched to cases for age & address.

Illumina iSelect

444 551

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Abbrev. Name Country Cases Controls Platform Cases Controls GR+HOP Gilda Radner Familial

Ovarian Cancer Register; Hormones and Ovarian Cancer Prediction Study (HOPE)

United States

Gilda Radner Familial Ovarian Cancer Register; HOPE used variable sources including physician offices, cancer registries & pathology databases from counties of Western Pennsylvania, Eastern Ohio & Western New York.

Identified in same regions as HOPE cases. Frequency matched for age & ethnicity. All participants underwent home interviews.

Illumina iSelect

467 372

SEA+UKO UK SEARCH Ovarian Cancer Study; United Kingdom Ovarian Cancer Population Study (UKOPS)

United Kingdom

SEARCH cases <70 years from East Anglian, West Midlands & Trent regions of England. Prevalent cases diagnosed 1991-1998; incident cases diagnosed 1998 onwards; UKOPS cases attending ten major Gynecological Oncology NHS centers in England, Wales, & Northern Ireland from 2006 onwards.

Apparently healthy postmenopausal women aged 50 to 74 years from the general population participating in the United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). All women followed up for cancers through the Office of National Statistics.

Illumina iSelect

197 450

USC Los Angeles County Case-Control Studies of Ovarian Cancer (LAC-CCOC)

United States

Rapid case ascertainment through Los Angeles Cancer Surveillance program from 1993 onwards.

Neighborhood recruited controls frequency matched to cases for socio-economic status age & ethnicity.

Illumina iSelect

260 352

STA Genetic Epidemiology of Ovarian Cancer (GEOCS)

United States

Consecutive cases diagnosed from 1997-2002 in Greater Bay Area Cancer Registry San Francisco.

Random-digit dial identification from study area. Frequency matched to cases for race/ethnicity & 5 year age group.

Illumina iSelect

234 330

POL NCI Ovarian Cancer Case-Control Study in Poland (NCI-POCS)

Poland Cases collected from cities of Warsaw & Lodz 2001-2003 by rapid ascertainment at participating hospitals.

Identified at random through The Polish Electronic System. Stratified by city & 5-year age categories.

Illumina iSelect

237 228

BAV Bavarian Ovarian Cancer Cases and Controls (BOCC)

Germany Hospital based study from Erlangen, Northern Bavaria, Germany, recruitment from May 2002 to August 2008.

Random selected woman from Erlangen, Northern Bavaria, Germany Recruitment from May 2002 to August 2008.

Illumina iSelect

145 194

Sub-Total 4,162 4,810 Phase III TOR Familial Ovarian Tumor

Study (FOTS) Canada Enrollment of patients aged 20-79 years

of age and diagnosed between January 1, 1995 and December 31, 1999 with epithelial ovarian cancer identified by the Ontario Cancer Registry.

Two control series are included: family-based controls and population-based controls drawn from women attending a screening clinic at Women’s College Hospital for blood

Illumina 610K 724 556

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Abbrev. Name Country Cases Controls Platform Cases Controls pressure checks, bone density measurement, mammograms, or cholesterol checks.

NCO North Carolina Ovarian Cancer Study (NCOCS)

United States

Cases from 1999 onwards identified from 48 counties within the region by rapid-case ascertainment.

Selected using random digit dialing and matched by age (5-year categories) & race (black vs. non-black).

Illumina 610K 495 655

MAY Mayo Clinic Ovarian Cancer Case-Control Study

United States

Cases attending Mayo Clinic diagnosed from 2000 onwards identified in a six-state surrounding region.

Identified through Mayo Clinic. Women seeking general medical examination. Frequency-matched to cases on age & region of residence.

Illumina 610K 361 520

OVA Ovarian Cancer in Alberta and British Columbia Study (OVAL-BC)

Canada Cases diagnosed 2002-2007 identified through the British Columbia Cancer Registry.

Identified through the British Columbia provincial health roster.

iPlex/Taqman 413 437

NTH Nijmegen Polygene Study & Nijmegen Biomedical Study (POLYGENE)

Netherlands Women diagnosed with ovarian cancer between 1989 and 2006 and still alive in 2008, identified from the population-based cancer registry of the Comprehensive Cancer Center East in the Mid-Eastern part of the Netherlands.

An age-stratified random sample of the general population of the municipality of Nijmegen in 2002, frequency age-matched to the cases.

iPlex/Taqman 245 577

HJO Hannover-Jena Ovarian Cancer Study (HJOCS)

Germany Cases attending the Gynecology Clinics at Hannover Medical School or Friedrich Schiller University Jena.

Unselected healthy German female blood donors at Hannover Medical School.

iPlex/Taqman 210 591

HOC Helsinki Ovarian Cancer Study (HOCS)

Finland Cases treated between 1989-2003 at the Department of Obstetrics and Gynecology of the Helsinki University Central Hospital, where treatment of ovarian cancer patients from southern Finland is centralized.

Healthy women from the same geographical region in Southern Finland.

iPlex/Taqman 248 454

SOC+UKO Southhampton Ovarian Cancer Study (SOCS); United Kingdom Ovarian Cancer Population Study (UKOPS)

United Kingdom

SOCS cases represent a sequential series of patients undergoing primary surgery or epithelial ovarian cancer at hospitals in the Wessex region of Southern England between 1993 and 1998; UKOPS cases attending ten major Gynecological Oncology NHS centers in England, Wales, & Northern Ireland from 2006 onwards.

Apparently healthy postmenopausal women aged 50 to 74 years from the general population participating in the United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). All women followed up for cancers through the Office of National Statistics.

iPlex/Taqman 362 384

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Abbrev. Name Country Cases Controls Platform Cases Controls BEL Belgian Ovarian Cancer

Study (BELOCS) Belgium Cases attending the Gynecologic

Oncology Unit at the Leuven University Hospital diagnosed with incident ovarian cancer from 2009 onwards.

Apparently healthy women with self-declared Belgian/Flemish ancestry for three generations recruited at the Blood Transfusion Center of the Leuven University Hospital.

iPlex/Taqman 166 432

GER German Ovarian Cancer Study (GOCS)

Germany Incident cases (20-75 years) diagnosed 1993 -1996 from two study areas in Southern Germany and identified through frequent monitoring of hospitals serving the study areas.

Two controls per case matched by age & study area were selected from a random sample of the general female population in study area selected using population registries.

iPlex/Taqman 187 398

HMO Hannover-Minsk Ovarian Cancer Study (HMOCS)

Germany Hospital-based case series of Byelorussian patients with epithelial ovarian cancer who had been recruited during the years 2006–2009 at the Byelorussian Institute for Oncology and Medical Radiology Aleksandrov N.N. in Minsk, Belarus.

Healthy female Byelorussian volunteers who had been recruited during the same time period at the Institute for Inherited Diseases or at the Institute for Transfusion Medicine in Minsk, Belarus.

iPlex/Taqman 195 335

TBO Tampa Bay Ovarian Cancer Study (TBOCS)

United States

Rapid case ascertainment (18-80 years) diagnosed 2000-2008 from the 2-county Tampa Bay metropolitan area.

Recruited from same geographic region matched for age (5-year category) and race.

Illumina 610K 260 181

NCI National Cancer Institute Ovarian Cancer Collaboration

United States

Cases recruited from Memorial Sloan Kettering, MD Andersen Cancer Center, Fox Chase Cancer Center, and Brigham and Women's Hospital.

Controls recruited from Brigham and Women's Hospital.

Illumina 317K 252 142

UCI UC Irvine Ovarian Cancer Study

United States

Rapid case ascertainment through Orange and San Diego Cancer Surveillance program from 1993-2003.

Random-digit dial identification from study area. Frequency matched to cases for race/ethnicity & 5-year age group.

iPlex/Taqman 154 198

HAW Hawaii Ovarian Cancer Study

United States

Rapid case ascertainment through Hawaii Tumor Registry from 1993 onwards.

Randomly selected from Hawaii Department of Health Annual Survey of the representative households. Matched to cases for age (5-year categories) & ethnicity.

iPlex/Taqman 81 161

Sub-Total 4,353 6,021 Meta-Analysis Only

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Abbrev. Name Country Cases Controls Platform Cases Controls ICE deCODE Ovarian

Cancer Nested-Case Control Study

Iceland Identified based on records from the nation-wide Icelandic Cancer Registry (ICR; www.krabbameinsskra.is) which includes information on the age, month and year of diagnosis, month and year of death, SNOMED code & ICD-10 classification. 94.5% of diagnoses in the ICR have histological confirmation. Includes all prevalent cases available at the start of recruitment in the year 2001, and all incident cases since then. The median age at diagnosis was 55 years (range 12-88).

2,900 controls without ovarian cancer and other controls selected from over 40,000 individuals from ongoing genome-wide association studies at deCODE.

Centaurus, Illumina 317K,

Illumina HumanCNV37

0-duo

194 40,933

Total 10,477 54,018 Studies are sorted by decreasing total sample size within each phase. Participants in these studies were self-reported white European participants were from several collections of invasive epithelial OC cases and collections of unaffected control individuals.

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Supplementary Table 2: Associations at Additional SNPs and Loci Phase I Phase II Phase III Combined

Locus SNP OR (95% CI) p-value OR (95% CI) p-value N

sites OR (95% CI) p-value N Cases: N

Controls OR (95% CI) p-value ALL CASES

1p36 rs7517829 1.21 (1.11,1.33) 2.8x10-5 1.07 (1.01,1.14) 0.02 5 1.05 (0.96,1.15) 0.26 8,017:9,214 1.10 (1.05,1.15) 1.8x10-5 rs2744721 0.84 (0.77,0.92) 1.7x10-4 0.95 (0.89,1.01) 0.07 5 0.94 (0.86,1.03) 0.19 8,021:9,218 0.92 (0.88,0.96) 1.5x10-4 rs7521902 1.18 (1.07,1.31) 1.4x10-3 1.10 (1.02,1.17) 9.5x10-3 5 1.14 (1.03,1.26) 0.01 8,018:9,215 1.12 (1.07,1.18) 4.9x10-6 rs3920498 1.17 (1.05,1.31) 4.2x10-3 1.10 (1.02,1.19) 8.9x10-3 15 1.08 (1.01,1.16) 0.03 10,473:16,352 1.10 (1.06,1.16) 1.6x10-5

1p31 rs12730089 1.19 (1.08,1.32) 7.4x10-4 1.07 (1.00,1.14) 0.05 5 1.03 (0.94,1.14) 0.52 8,022:9,217 1.09 (1.04,1.14) 5.8x10-4 rs7512893 1.19 (1.04,1.35) 9.5x10-3 1.07 (0.98,1.17) 0.13 5 1.08 (0.94,1.23) 0.26 8,020:9,218 1.10 (1.03,1.18) 2.9x10-3 rs12131772 1.50 (1.30,1.73) 4.3x10-8 1.07 (0.98,1.17) 0.13 5 1.08 (0.92,1.27) 0.34 8,022:9,218 1.16 (1.08,1.24) 2.2x10-5

2p22 rs4670981 1.32 (1.15,1.50) 3.7x10-5 1.10 (1.01,1.20) 0.03 15 0.96 (0.88,1.05) 0.35 10,247:13,148 1.08 (1.02,1.14) 9.1x10-3 rs12469949 1.29 (1.13,1.47) 1.5x10-4 1.11 (1.02,1.22) 0.02 15 0.96 (0.88,1.05) 0.39 10,464:38,378 1.07 (1.02,1.13) 0.01 rs10181603 1.37 (1.18,1.58) 2.2x10-5 1.10 (1.00,1.21) 0.04 15 0.98 (0.89,1.07) 0.63 10,468:17,267 1.08 (1.02,1.15) 8.7x10-3 rs17024636 1.37 (1.19,1.58) 2.0x10-5 1.10 (1.00,1.21) 0.05 5 0.95 (0.83,1.09) 0.47 8,022:9,218 1.12 (1.04,1.20) 1.7x10-3

2q31 rs2301301 0.87 (0.79,0.96) 4.4x10-3 0.91 (0.86,0.97) 6.1x10-3 5 0.92 (0.84,1.02) 0.10 8,015:9,216 0.91 (0.86,0.95) 2.8x10-5 7p21 rs7793050 0.88 (0.80,0.98) 0.02 0.98 (0.91,1.05) 0.53 5 1.04 (0.94,1.16) 0.41 8,022:9,218 0.97 (0.92,1.02) 0.23

rs10249817 0.91 (0.83,0.99) 0.03 0.96 (0.90,1.02) 0.16 15 1.00 (0.94,1.06) 0.93 10,467:17,420 0.97 (0.93,1.00) 0.09 rs17138237 0.87 (0.79,0.95) 1.7x10-3 0.94 (0.88,0.99) 0.03 5 1.04 (0.95,1.14) 0.39 8,152:13,393 0.95 (0.91,0.99) 0.02

8q24 rs1516982 0.87 (0.78,0.99) 0.03 0.86 (0.79,0.93) 3.1x10-4 15 0.85 (0.79,0.92) 9.4x10-5 10,472:54,111 0.86 (0.82,0.91) 2.0x10-8 rs10098821 0.83 (0.72,0.96) 0.01 0.89 (0.81,0.98) 0.02 15 0.79 (0.71,0.86) 6.0x10-7 10,414:16,136 0.83 (0.78,0.89) 4.7x10-9

11p14 rs12791486 1.26 (1.10,1.45) 1.2x10-3 1.13 (1.03,1.24) 0.01 5 1.12 (0.98,1.28) 0.10 7,994:9,196 1.16 (1.08,1.24) 1.8x10-5 rs12800697 1.24 (1.07,1.43) 3.2x10-3 1.16 (1.06,1.28) 1.6x10-3 15 1.06 (0.97,1.16) 0.18 10,240:13,138 1.14 (1.07,1.20) 2.6x10-5 rs12794435 1.31 (1.11,1.55) 1.6x10-3 1.17 (1.06,1.28) 1.6x10-3 15 1.08 (0.98,1.19) 0.14 10,464:16,343 1.16 (1.09,1.23) 5.3x10-6 rs17241923 1.24 (1.07,1.42) 3.4x10-3 1.16 (1.06,1.28) 2.1x10-3 5 1.08 (0.94,1.25) 0.25 8,013:9,208 1.16 (1.09,1.25) 1.5x10-5

17q21 rs17680229 1.23 (1.09 1.39) 7.2x10-4 1.13 (1.04,1.23) 3.4x10-3 5 0.99 (0.87,1.13) 0.86 8,022:9,218 1.12 (1.06,1.19) 2.0x10-4 rs2084881 1.20 (1.09,1.32) 1.7x10-4 1.13 (1.061.21) 3.2x10-4 5 1.03 (0.94,1.14) 0.53 8,021:9,218 1.12 (1.07,1.18) 2.0x10-6 rs7219985 1.20 (1.09,1.33) 1.7x10-4 1.13 (1.06,1.21) 3.4x10-4 5 1.03 (0.94,1.14) 0.51 8,001:9,201 1.12 (1.07,1.18) 2.0x10-6 rs1533057 1.21 (1.09,1.34) 2.3x10-4 1.11 (1.04,1.19) 3.3x10-3 5 1.04 (0.93,1.15) 0.50 8,016:9,215 1.12 (1.06,1.18) 2.1x10-5 rs8072770 1.21 (1.10,1.35) 2.0x10-4 1.11 (1.04,1.19) 3.2x10-3 5 1.03 (0.93,1.14) 0.57 8,020:9,214 1.12 (1.06,1.17) 2.5x10-5

SEROUS SUBTYPE ONLY 1p36 rs7517829 1.22 (1.09,1.37) 6.7x10-4 1.10 (1.02,1.18) 9.6x10-3 5 1.02 (0.92,1.12) 0.76 4,665:9,214 1.10 (1.04,1.16) 3.2x10-4

rs2744721 0.85 (0.76,0.96) 6.2x10-3 0.92 (0.85,0.99) 0.02 5 0.97 (0.88,1.08) 0.62 4,668:9,218 0.92 (0.87,0.97) 1.2x10-3 rs7521902 1.14 (1.00,1.30) 0.05 1.12 (1.03,1.21) 6.3x10-3 5 1.15 (1.02,1.29) 0.02 4,666:9,215 1.13 (1.06,1.19) 8.2x10-5 rs3920498 1.13 (0.98,1.30) 0.08 1.10 (1.01,1.20) 0.03 15 1.08 (0.99,1.17) 0.08 5,925:16,352 1.09 (1.04,1.16) 1.4x10-3

1p31 rs12730089 1.22 (1.07,1.38) 2.7x10-3 1.05 (0.97,1.13) 0.23 5 1.09 (0.97,1.22) 0.13 4,669:9,217 1.09 (1.03,1.16) 1.9x10-3 rs7512893 1.27 (1.08,1.50) 3.6x10-3 1.04 (0.94,1.16) 0.42 5 1.12 (0.97,1.30) 0.13 4,669:9,218 1.11 (1.03,1.20) 5.3x10-3

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Phase I Phase II Phase III Combined

Locus SNP OR (95% CI) p-value OR (95% CI) p-value N

sites OR (95% CI) p-value N Cases: N

Controls OR (95% CI) p-value rs12131772 1.62 (1.36,1.94) 1.2x10-7 1.04 (0.94,1.16) 0.41 5 1.12 (0.93,1.33) 0.22 4,669:9,218 1.16 (1.07,1.25) 3.4x10-4

2p22 rs4670981 1.44 (1.23,1.69) 5.3x10-6 1.18 (1.06,1.30) 1.6x10-3 15 0.95 (0.86,1.06) 0.35 5,824:13,148 1.12 (1.05,1.19) 8.8x10-4 rs12469949 1.43 (1.22,1.68) 1.2x10-5 1.19 (1.07,1.31) 9.1x10-4 15 0.96 (0.86,1.06) 0.39 5,835:38,378 1.12 (1.05,1.20) 5.5x10-4 rs10181603 1.52 (1.28,1.81) 2.5x10-6 1.17 (1.05,1.30) 4.9x10-3 15 0.97 (0.86,1.08) 0.53 5,925:17,267 1.13 (1.05,1.21) 7.7x10-4 rs17024636 1.52 (1.28,1.82) 2.2x10-6 1.16 (1.04,1.30) 7.1x10-3 5 0.98 (0.84,1.15) 0.83 4,669:9,218 1.18 (1.09,1.27) 7.2x10-5

2q31 rs2301301 0.91 (0.81,1.03) 0.13 0.89 (0.83,0.96) 3.9x10-3 5 0.91 (0.81,1.01) 0.07 4,664:9,216 0.90 (0.85,0.95) 2.2x10-4 7p21 rs7793050 0.82 (0.72,0.94) 3.7x10-3 0.93 (0.85,1.01) 0.07 5 1.02 (0.90,1.14) 0.79 4,669:9,218 0.93 (0.87,0.98) 0.01

rs10249817 0.84 (0.75,0.94) 2.0x10-3 0.93 (0.87,0.99) 0.03 15 1.02 (0.95,1.09) 0.58 5,922:17,420 0.95 (0.91,1.00) 0.03 rs17138237 0.82 (0.73,0.92) 8.3x10-4 0.90 (0.84,0.97) 3.4x10-3 5 1.02 (0.92,1.13) 0.67 4,716:13,393 0.91 (0.87,0.96) 6.2x10-4

8q24 rs1516982 0.77 (0.66,0.90) 1.4x10-3 0.81 (0.74,0.90) 7.1x10-5 15 0.82 (0.75,0.91) 7.6x10-5 5,926:54,111 0.81 (0.76,0.86) 3.3x10-11 rs10098821 0.69 (0.57,0.84) 2.7x10-4 0.82 (0.73,0.93) 1.6x10-3 15 0.71 (0.64,0.80) 2.1x10-8 5,888:16,136 0.75 (0.70,0.81) 2.3x10-13

11p14 rs12791486 1.31 (1.10,1.57) 2.5x10-3 1.08 (0.97,1.21) 0.17 5 1.11 (0.95,1.29) 0.19 4,649:9,196 1.14 (1.05,1.24) 1.4x10-3 rs12800697 1.21 (1.01,1.45) 0.04 1.10 (0.98,1.23) 0.09 15 1.05 (0.94,1.17) 0.37 5,818:13,138 1.10 (1.02,1.18) 8.4x10-3 rs12794435 1.24 (1.00,1.53) 0.05 1.10 (0.99,1.24) 0.08 15 1.07 (0.95,1.21) 0.24 5,923:16,343 1.12 (1.04,1.20) 4.0x10-3 rs17241923 1.20 (1.00,1.43) 0.05 1.10 (0.98,1.23) 0.09 5 1.05 (0.90,1.23) 0.52 4,662:9,208 1.11 (1.03,1.21) 9.8x10-3

17q21 rs17680229 1.36 (1.17,1.58) 8.1x10-5 1.15 (1.04,1.26) 57x10-3 5 1.02 (0.88,1.18) 0.79 4,669:9,218 1.16 (1.08,1.24) 7.6x10-5 rs2084881 1.29 (1.15,1.46) 3.3x10-5 1.13 (1.04,1.22) 2.1x10-3 5 1.07 (0.96,1.20) 0.20 4,668:9,218 1.15 (1.08,1.21) 1.6x10-6 rs7219985 1.29 (1.15,1.46) 3.3x10-5 1.13 (1.04,1.22) 2.3x10-3 5 1.08 (0.96,1.20) 0.20 4,657:9,201 1.15 (1.08,1.21) 1.7x10-6 rs1533057 1.28 (1.12,1.45) 1.8x10-4 1.11 (1.02,1.21) 0.01 5 1.06 (0.94,1.19) 0.35 4,664:9,215 1.13 (1.06,1.20) 6.9x10-5 rs8072770 1.27 (1.12,1.45) 2.3x10-4 1.11 (1.03,1.21) 0.01 5 1.05 (0.94,1.19) 0.38 4,669:9,214 1.13 (1.06,1.20) 6.5x10-5

Phase I and Phase II adjusted for study site and first principal component; Phase III adjusted for study site; combined analyses of all cases adjusted for study site and included additional ICE data for rs3920498, rs12469949, rs10181603, rs10249817, rs17138237, rs1516982, rs10098821, and rs12794435; bold indicates p<10-7.

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Supplementary Table 3: Subtype-Specific Associations, Additional SNPs and Loci

Locus SNP Subtype

N cases

N controls OR (95% CI)

p-value Heterogeneity p-value

1p36 rs7517829 Serous 4,665 9,214 1.10 (1.04, 1.16) 3.2x10-4 0.42 Endometrioid 1,225 9,214 1.08 (1.00, 1.18) 0.07 Mucinous 567 9,214 1.04 (0.92, 1.17) 0.58 Clear Cell 577 9,214 1.19 (1.06, 1.34) 4.7x10-3

rs2744721 Serous 4,668 9,218 0.92 (0.87, 0.97) 1.2x10-3 0.37 Endometrioid 1,225 9,218 0.95 (0.87, 1.04) 0.26 Mucinous 567 9,218 0.92 (0.81, 1.04) 0.19 Clear Cell 578 9,218 0.83 (0.74, 0.95) 4.3x10-3

rs7521902 Serous 4,666 9,215 1.13 (1.06, 1.19) 8.2x10-5 0.07 Endometrioid 1,225 9,215 1.14 (1.03, 1.26) 8.4x10-3 Mucinous 567 9,215 0.97 (0.84, 1.12) 0.70 Clear Cell 578 9,215 1.25 (1.09, 1.42) 1.2x10-3

rs3920498 Serous 5,925 16,352 1.09 (1.04, 1.16) 1.3x10-3 0.04 Endometrioid 1,607 16,352 1.14 (1.04, 1.25) 3.9x10-3 Mucinous 797 16,352 0.97 (0.86, 1.11) 0.69 Clear Cell 733 16,352 1.26 (1.12, 1.43) 2.1x10-4 1p31 rs12730089 Serous 4,669 9,217 1.09 (1.03, 1.16) 1.9x10-3 0.34

Endometrioid 1,225 9,217 1.02 (0.92, 1.12) 0.74 Mucinous 567 9,217 1.07 (0.94, 1.22) 0.33 Clear Cell 578 9,217 1.16 (1.01, 1.32) 0.03

rs7512893 Serous 4,669 9,218 1.11 (1.03, 1.20) 1.9x10-3 0.63 Endometrioid 1,225 9,218 1.04 (0.92, 1.18) 0.53 Mucinous 567 9,218 1.14 (0.96, 1.36) 0.14 Clear Cell 578 9,218 1.17 (0.99, 1.39) 0.07

rs12131772 Serous 4,669 9,218 1.12 (1.05, 1.19) 8.8x10-4 0.62 Endometrioid 1,225 9,218 1.08 (0.95, 1.24) 0.24 Mucinous 567 9,218 1.18 (0.98, 1.42) 0.08 Clear Cell 578 9,218 1.24 (1.04, 1.48) 0.02 2p22 rs4670981 Serous 5,824 13,148 1.13 (1.06, 1.21) 1.6x10-4 0.20

Endometrioid 1,571 13,148 1.00 (0.89, 1.12) 0.95 Mucinous 764 13,148 1.10 (0.95, 1.28) 0.21 Clear Cell 715 13,148 1.06 (0.91, 1.24) 0.46

rs12469949 Serous 5,920 38,378 1.12 (1.05, 1.20) 5.6x10-4 0.23 Endometrioid 1,607 38,378 1.00 (0.90, 1.12) 0.99 Mucinous 797 38,378 1.07 (0.92, 1.24) 0.40 Clear Cell 731 38,378 1.03 (0.88, 1.20) 0.71

rs10181603 Serous 5,925 17,267 1.13 (1.05, 1.21) 7.7x10-4 0.27 Endometrioid 1,605 17,267 1.02 (0.91, 1.15) 0.72 Mucinous 797 17,267 1.04 (0.89, 1.23) 0.61

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Locus SNP Subtype

N cases

N controls OR (95% CI)

p-value Heterogeneity p-value

Clear Cell 732 17,267 1.02 (0.86, 1.21) 0.81 rs17024636 Serous 4,669 9,218 1.18 (1.09, 1.27) 7.2x10-5 0.17

Endometrioid 1,225 9,218 1.03 (0.90, 1.19) 0.63 Mucinous 567 9,218 1.08 (0.89, 1.31) 0.42 Clear Cell 578 9,218 1.04 (0.86, 1.26) 0.71 2q31 rs2301301 Serous 4,664 9,216 0.90 (0.85, 0.95) 2.2x10-4 0.84

Endometrioid 1,224 9,216 0.89 (0.81, 0.97) 0.01 Mucinous 567 9,216 0.94 (0.83, 1.07) 0.37 Clear Cell 578 9,216 0.93 (0.82, 1.06) 0.26 7p21 rs7793050 Serous 4,669 9,218 0.93 (0.87, 0.98) 0.01 0.03

Endometrioid 1,225 9,218 1.06 (0.96, 1.17) 0.21 Mucinous 567 9,218 0.94 (0.81, 1.08) 0.36 Clear Cell 578 9,218 1.05 (0.92, 1.21) 0.48

rs10249817 Serous 5,922 17,420 0.95 (0.91, 1.00) 0.03 0.05 Endometrioid 1,608 17,420 0.95 (0.89, 1.03) 0.21 Mucinous 796 17,420 0.99 (0.90, 1.10) 0.89 Clear Cell 730 17,420 1.10 (0.99, 1.22) 0.06

rs17138237 Serous 4,716 13,393 0.91 (0.87, 0.96) 5.5x10-4 0.12 Endometrioid 1,248 13,393 0.99 (0.91, 1.08) 0.79 Mucinous 589 13,393 0.97 (0.86,1.09) 0.59 Clear Cell 587 13,393 1.05 (0.93,1.18) 0.42 8q24 rs1516982 Serous 5,926 54,111 0.81 (0.76,0.86) 2.3x10-11 4.9x10-4

Endometrioid 1,607 54,111 0.91 (0.82,1.01) 0.07 Clear Cell 732 54,111 1.12 (0.98,1.29) 0.09 Mucinous 795 54,111 0.91 (0.79,1.05) 0.22

rs10098821 Serous 5888 16,136 0.75 (0.70,0.81) 2.3x10-13 3.5x10-6 Endometrioid 1,602 16,136 0.93 (0.82,1.05) 0.21 Mucinous 792 16,136 0.94 (0.79,1.11) 0.44 Clear Cell 731 16,136 1.16 (0.99,1.35) 0.07 11p14 rs12791486 Serous 4,649 9,196 1.14 (1.05, 1.24) 1.4x10-3 0.41 Endometrioid 1,223 9,196 1.15 (1.01, 1.32) 0.04 Mucinous 566 9,196 1.11 (0.92, 1.34) 0.29 Clear Cell 576 9,196 1.35 (1.13, 1.61) 1.0x10-3

rs12800697 Serous 5,818 13,138 1.10 (1.02, 1.18) 8.4x10-3 0.16 Endometrioid 1,573 13,138 1.10 (0.98, 1.24) 0.12 Mucinous 765 13,138 1.26 (1.08, 1.47) 3.9x10-3 Clear Cell 714 13,138 1.29 (1.10, 1.52) 1.8x10-3

rs12794435 Serous 5,923 16,343 1.12 (1.04,1.20) 4.0x10-3 0.14 Endometrioid 1,605 16,343 1.09 (0.96,1.23) 0.18 Mucinous 796 16,343 1.30 (1.10,1.52) 1.6x10-3

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Locus SNP Subtype

N cases

N controls OR (95% CI)

p-value Heterogeneity p-value

Clear Cell 732 16,343 1.30 (1.10,1.54) 1.9x10-3 rs17241923 Serous 4,662 9,208 1.11 (1.03,1.21) 9.8x10-3 0.12

Endometrioid 1,224 9,208 1.16 (1.02,1.33) 0.03 Mucinous 567 9,208 1.21 (1.01,1.46) 0.04 Clear Cell 577 9,208 1.41 (1.19,1.68) 1.1x10-4 17q21 rs17680229 Serous 4,669 9,218 1.16 (1.08, 1.24) 7.6x10-5 0.61 Endometrioid 1,225 9,218 1.09 (0.97, 1.23) 0.16 Mucinous 567 9,218 1.08 (0.91, 1.28) 0.37 Clear Cell 578 9,218 1.03 (0.87, 1.22) 0.74

rs2084881 Serous 4,668 9,218 1.15 (1.08, 1.21) 1.6x10-6 0.48 Endometrioid 1,225 9,218 1.08 (0.98, 1.19) 0.11 Mucinous 567 9,218 1.08 (0.94, 1.23) 0.27 Clear Cell 578 9,218 1.07 (0.93, 1.22) 0.4

rs7219985 Serous 4,657 9,201 1.15 (1.08,1.21) 1.7x10-6 0.5 Endometrioid 1,221 9,201 1.08 (0.98,1.18) 0.12 Mucinous 565 9,201 1.08 (0.94,1.23) 0.26 Clear Cell 576 9,201 1.06 (0.93,1.22) 0.36

rs1533057 Serous 4,664 9,215 1.13 (1.06,1.20) 6.9x10-5 0.66 Endometrioid 1,224 9,215 1.15 (1.04,1.27) 4.6x10-3 Mucinous 567 9,215 1.05 (0.91,1.21) 0.54 Clear Cell 578 9,215 1.08 (0.94,1.25) 0.27

rs8072770 Serous 4,669 9,214 1.13 (1.06,1.20) 6.5x10-5 0.62 Endometrioid 1,225 9,214 1.15 (1.04,1.27) 4.7x10-3 Mucinous 567 9,214 1.04 (0.90,1.20) 0.57 Clear Cell 578 9,214 1.07 (0.93,1.24) 0.32

Heterogeneity p-value examined heterogeneity of risk across histologic subtypes excluding the ICE study; serous analysis adjusted for study; additional ICE data included for rs3920498, rs12469949, rs10181603, rs10249817, rs17138237, rs1516982, rs10098821, and rs12794435; bold indicates subtype p<10-7

and heterogeneity p<0.05.

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Supplementary Table 4: SNP Associations by Age

Locus SNP Age, years N Cases N Controls OR (95% CI) Interaction

p-value 1p36 rs7517829 < 40 280 468 1.05 (0.85, 1.31) 0.47

40 - 49 1,092 1,388 1.03 (0.92, 1.16) 50 - 59 1,885 2,072 1.14 (1.04, 1.24) > 60 2,992 2,931 1.04 (0.97, 1.12) rs2744721 < 40 280 469 1.01 (0.81, 1.26) 0.18 40 - 49 1,093 1,388 0.97 (0.86, 1.09) 50 - 59 1,887 2,075 0.87 (0.79, 0.95) > 60 2,993 2,931 0.98 (0.91, 1.06) rs7521902 < 40 280 469 1.14 (0.89, 1.45) 0.48 40 - 49 1,093 1,386 1.02 (0.89, 1.16) 50 - 59 1,886 2,074 1.16 (1.05, 1.29) > 60 2,991 2,931 1.10 (1.01, 1.20) rs3920498 < 40 339 1,162 1.17 (0.97, 1.41) 0.69 40 - 49 1,140 1,731 1.07 (0.94, 1.20) 50 - 59 1,990 2,413 1.13 (1.03, 1.25) > 60 3,003 3,267 1.07 (0.99, 1.16)

1p31 rs12730089 < 40 206 340 1.10 (0.88, 1.38) 0.93 40 - 49 814 994 1.05 (0.92, 1.19) 50 - 59 1,390 1,505 1.09 (0.98, 1.20) > 60 2,037 2,155 1.04 (0.96, 1.13) rs7512893 < 40 280 469 1.05 (0.77, 1.42) 0.86 40 - 49 1,092 1,388 1.02 (0.86, 1.20) 50 - 59 1,887 2,075 1.12 (0.98, 1.28) > 60 2,993 2,931 1.08 (0.97, 1.20) rs12131772 < 40 206 339 1.05 (0.77, 1.44) 0.86 40 - 49 810 986 1.04 (0.87, 1.24) 50 - 59 1,376 1,487 1.13 (0.98, 1.31) > 60 2,023 2,139 1.06 (0.94, 1.19)

2p22 rs4670981 < 40 411 1,291 0.91 (0.72, 1.15) 0.58 40 - 49 1,417 2,128 1.04 (0.90, 1.19) 50 - 59 2,492 2,992 1.09 (0.97, 1.22) > 60 3,957 4,049 1.02 (0.93, 1.12) rs12469949 < 40 413 1,292 0.95 (0.75, 1.20) 0.82 40 - 49 1,423 2,132 1.05 (0.91, 1.20) 50 - 59 2,497 3,000 1.07 (0.96, 1.21) > 60 3,969 4,058 1.03 (0.94, 1.13) rs10181603 < 40 340 1,163 0.95 (0.74, 1.22) 0.75

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Locus SNP Age, years N Cases N Controls OR (95% CI) Interaction

p-value 40 - 49 1,143 1,732 1.09 (0.93, 1.26) 50 - 59 1,988 2,418 1.07 (0.95, 1.21) > 60 3,009 3,280 1.02 (0.92, 1.12) rs17024636 < 40 207 340 1.01 (0.71, 1.44) 0.84 40 - 49 813 989 1.09 (0.91, 1.29) 50 - 59 1,381 1,495 1.09 (0.95, 1.26) > 60 2,036 2,160 1.01 (0.90, 1.14)

2q31 rs2301301 < 40 279 469 0.77 (0.61, 0.97) 0.53 40 - 49 1,092 1,388 0.93 (0.82, 1.06) 50 - 59 1,886 2,074 0.93 (0.84, 1.02) > 60 2,990 2,930 0.92 (0.85, 1.00) rs2072590 < 40 411 1,291 1.23 (1.04, 1.45) 0.43 40 - 49 1,421 2,134 1.23 (1.11, 1.36) 50 - 59 2,499 3,000 1.13 (1.04, 1.22) > 60 3,972 4,058 1.13 (1.06, 1.21)

3q25 rs2665390 < 40 409 1,289 1.48 (1.12, 1.97) 0.42 40 - 49 1,412 2,117 1.15 (0.96, 1.38) 50 - 59 2,485 2,983 1.24 (1.08, 1.43) > 60 3,940 4,037 1.16 (1.04, 1.31)

7p21 rs7793050 < 40 280 469 1.05 (0.81, 1.35) 0.79 40 - 49 1,093 1,388 1.04 (0.91, 1.19) 50 - 59 1,887 2,075 1.01 (0.91, 1.12) > 60 2,994 2,931 0.97 (0.89, 1.05) rs10249817 < 40 413 1,291 0.91 (0.78, 1.07) 0.66 40 - 49 1,421 2,132 0.96 (0.87, 1.05) 50 - 59 2,500 2,997 1.01 (0.93, 1.09) > 60 3,973 4,058 0.98 (0.92, 1.04) rs17138237 < 40 275 467 0.89 (0.72, 1.11) 0.69 40 - 49 1,084 1,373 0.97 (0.86, 1.09) 50 - 59 1,872 2,050 1.01 (0.92, 1.10) > 60 2,962 2,911 0.95 (0.88, 1.02)

8q24 rs1516982 < 40 413 1,293 0.99 (0.79, 1.24) 0.36 40 - 49 1,424 2,135 0.80 (0.70, 0.91) 50 - 59 2,500 3,002 0.89 (0.80, 1.00) > 60 3,973 4,057 0.85 (0.77, 0.93) rs10088218 < 40 413 1,292 0.95 (0.74, 1.22) 0.24 40 - 49 1,422 2,134 0.75 (0.64, 0.87) 50 - 59 2,495 2,997 0.89 (0.79, 1.00)

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Locus SNP Age, years N Cases N Controls OR (95% CI) Interaction

p-value > 60 3,969 4,058 0.83 (0.76, 0.92) rs10098821 < 40 411 1,293 0.98 (0.75, 1.28) 0.35 40 - 49 1,414 2,124 0.76 (0.65, 0.89) 50 - 59 2,486 2,991 0.87 (0.77, 0.99) > 60 3,955 4,045 0.83 (0.75, 0.93)

11p14 rs12791486 < 40 204 337 1.11 (0.78, 1.56) 0.81 40 - 49 804 981 1.21 (1.02, 1.45) 50 - 59 1,371 1,486 1.09 (0.94, 1.25) > 60 2,007 2,125 1.13 (1.00, 1.27) rs12800697 < 40 410 1,288 1.23 (0.96, 1.57) 0.38 40 - 49 1,417 2,126 1.24 (1.07, 1.45) 50 - 59 2,489 2,993 1.08 (0.95, 1.21) > 60 3,956 4,045 1.09 (0.98, 1.20) rs12794435 < 40 337 1,157 1.26 (0.98, 1.61) 0.25 40 - 49 1,140 1,731 1.29 (1.10, 1.52) 50 - 59 1,988 2,412 1.09 (0.96, 1.24) > 60 2,998 3,266 1.09 (0.98, 1.21) rs17241923 < 40 278 468 1.18 (0.84, 1.66) 0.53 40 - 49 1,093 1,385 1.28 (1.07, 1.53) 50 - 59 1,882 2,073 1.12 (0.97, 1.29) > 60 2,992 2,927 1.09 (0.97, 1.22)

17q21 rs17680229 < 40 206 339 1.17 (0.87, 1.58) 0.67 40 - 49 810 986 1.05 (0.89, 1.23) 50 - 59 1,376 1,487 1.15 (1.02, 1.31) > 60 2,022 2,139 1.06 (0.95, 1.17) rs2084881 < 40 280 469 1.22 (0.96, 1.53) 0.33 40 - 49 1,093 1,388 1.02 (0.90, 1.16) 50 - 59 1,887 2,075 1.16 (1.05, 1.28) > 60 2,993 2,931 1.08 (0.99, 1.17) rs7219985 < 40 278 467 1.20 (0.95, 1.52) 0.35 40 - 49 1,090 1,382 1.02 (0.90, 1.16) 50 - 59 1,882 2,070 1.16 (1.05, 1.29) > 60 2,983 2,927 1.08 (1.00, 1.17) rs9303542 < 40 335 1,145 1.10 (0.92, 1.31) 0.41 40 - 49 1,136 1,724 1.08 (0.97, 1.21) 50 - 59 1,977 2,392 1.17 (1.07, 1.27) > 60 2,984 3,236 1.06 (0.99, 1.14) rs1533057 < 40 280 469 1.27 (0.98, 1.64) 0.32

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Locus SNP Age, years N Cases N Controls OR (95% CI) Interaction

p-value 40 - 49 1,091 1,388 1.03 (0.90, 1.18) 50 - 59 1,886 2,074 1.15 (1.04, 1.28) > 60 2,991 2,929 1.06 (0.97, 1.15) rs8072770 < 40 280 469 1.27 (0.98, 1.64) 0.29 40 - 49 1,092 1,388 1.02 (0.89, 1.17) 50 - 59 1,887 2,073 1.15 (1.03, 1.28) > 60 2,993 2,929 1.06 (0.97, 1.15)

Analyses carried out for subjects with non-missing age values; interaction p-value assessed modification of SNP associations by age categories; adjusted for study-site; bold indicates p<0.05.

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Supplementary Table 5: SNP Associations by Family History

Locus SNP FH+ N Cases N Controls OR (95% CI) Interaction

p-value 1p36 rs7517829 no 3,706 4,882 1.09 (1.03, 1.16) 0.91

yes 232 140 1.12 (0.82, 1.52) rs2744721 no 3,707 4,883 0.94 (0.88, 1.00) 0.39 yes 232 140 1.08 (0.79, 1.48) rs7521902 no 3,706 4,882 1.13 (1.05, 1.21) 0.73 yes 232 140 1.20 (0.83, 1.74) rs3920498 no 3,226 4,505 1.11 (1.03, 1.19) 0.38 yes 219 123 1.32 (0.90, 1.92)

1p31 rs12730089 no 2,802 3,691 1.10 (1.03, 1.18) 0.01 yes 193 110 0.71 (0.50, 1.00) rs7512893 no 3,708 4,883 1.13 (1.03, 1.23) 4.3x10-3 yes 232 140 0.58 (0.38, 0.91) rs12131772 no 2,786 3,666 1.13 (1.03, 1.24) 0.01 yes 193 108 0.59 (0.38, 0.94)

2p22 rs4670981 no 4,134 5,711 1.10 (1.01, 1.19) 0.63 yes 257 155 0.98 (0.63, 1.53) rs12469949 no 4,144 5,722 1.10 (1.01, 1.20) 0.65 yes 258 155 0.99 (0.63, 1.55) rs10181603 no 3,230 4,516 1.09 (0.99, 1.19) 0.24 yes 219 123 0.81 (0.50, 1.31) rs17024636 no 2,795 3,684 1.08 (0.98, 1.19) 0.29 yes 193 108 0.82 (0.49, 1.36)

2q31 rs2301301 no 3,703 4,882 0.92 (0.86, 0.98) 0.42 yes 232 140 0.80 (0.58, 1.10) rs2072590 no 4,147 5,723 1.16 (1.10, 1.24) 0.70 yes 258 155 1.10 (0.82, 1.47)

3q25 rs2665390 no 4,133 5,706 1.26 (1.14, 1.40) 0.88 yes 258 154 1.22 (0.74, 2.01)

7p21 rs7793050 no 3,708 4,883 1.01 (0.94, 1.08) 1.00 yes 232 140 1.01 (0.72, 1.41) rs10249817 no 4,148 5,719 0.99 (0.94, 1.05) 0.55 yes 258 154 1.08 (0.82, 1.42) rs17138237 no 3,681 4,857 0.96 (0.90, 1.02) 0.93 yes 232 139 0.95 (0.70, 1.28)

8q24 rs1516982 no 4,149 5,723 0.82 (0.76, 0.89) 0.50 yes 258 154 0.94 (0.64, 1.39) rs10088218 no 4,144 5,718 0.81 (0.74, 0.89) 0.38

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Locus SNP FH+ N Cases N Controls OR (95% CI) Interaction

p-value yes 258 154 0.67 (0.45, 1.02) rs10098821 no 4,124 5,701 0.81 (0.73, 0.89) 0.85 yes 255 155 0.77 (0.50, 1.20)

11p14 rs12791486 no 2,765 3,652 1.09 (0.99, 1.20) 0.64 yes 192 108 1.23 (0.75, 2.04) rs12800697 no 4,144 5,717 1.08 (0.99, 1.18) 0.21 yes 258 155 1.48 (0.91, 2.41) rs12794435 no 3,224 4,506 1.08 (0.98, 1.19) 0.19 yes 219 123 1.53 (0.92, 2.55) rs17241923 no 3,703 4,878 1.07 (0.97, 1.18) 0.39 yes 232 139 1.35 (0.81, 2.24)

17q21 rs17680229 no 2,785 3,666 1.12 (1.03, 1.22) 0.38 yes 193 108 1.38 (0.87, 2.17) rs2084881 no 3,707 4,883 1.12 (1.05, 1.20) 0.78 yes 232 140 1.06 (0.74, 1.53) rs7219985 no 3,692 4,875 1.12 (1.05, 1.20) 0.78 yes 232 140 1.07 (0.74, 1.54) rs9303542 no 3,215 4,487 1.13 (1.06, 1.21) 0.94 yes 219 123 1.12 (0.79, 1.58) rs1533057 no 3,708 4,882 1.12 (1.05, 1.21) 0.44 yes 231 140 0.96 (0.65, 1.42) rs8072770 no 3,707 4,879 1.12 (1.05, 1.21) 0.43 yes 232 140 0.96 (0.65, 1.42)

Analyses carried out for subjects with non-missing family history values; interaction p-value assessed modification of SNP associations by family history categories; adjusted for study-site; FH+ represents first-degree OC family history; bold indicates p<0.05.

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Supplementary Table 6: Results of in silico SNP Analysis

Locus Genotyped SNP p-value N tagged

SNPs Tagged SNPs^

Nuc. position (build 36)

Gene location Location Possible function

(Pupasuite)

Conservation in mice

r2 between significant genotyped

SNPs

rs2072590 8.06x10-13 2 - 176,750,879 between HOXD3 and HOXD1 intergenic no predicted

function conserved

rs4972504 176,726,972 downstream of HOXD4 intergenic no predicted

function conserved 2q31.1

rs711830 176,745,557 within HOXD3 3′ UTR potential

exonic splice enhancer

conserved

rs2665390 8.72x10-7 1 - 157,880,443 within TiPARP intron 2 no predicted function not conserved

3q25.31 rs344008 157,889,093 within TiPARP intron 2 no predicted

function conserved

rs1516982 2.82x10-8 1 - 129,802,828 intergenic no predicted function conserved

r2=0.56 between rs10088218 & rs1516982

rs11774451 129,574,018

downstream MYC; upstream THEM75

intergenic no predicted function conserved

r2=0.46 between rs10098821 & rs1516982

rs10088218 1.33x10-9 10 - 129,613,131 downstream MYC; upstream THEM75 intergenic no predicted

function conserved

r2=0.80 between rs10088218 & rs10098821

rs10098821 7.64x10-9 8 - 129,628,410 intergenic no predicted function not conserved

rs1516973 129,614,439 intergenic no predicted function conserved

rs1516975 129,617,375 intergenic no predicted function not conserved

rs1516976 129,617,440 intergenic no predicted function conserved

rs2011527 129,624,714 intergenic no predicted function conserved

8q24.21

rs6470637 129,625,345

downstream MYC; upstream THEM75

intergenic no predicted conserved

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Locus Genotyped SNP p-value N tagged

SNPs Tagged SNPs^

Nuc. position (build 36)

Gene location Location Possible function

(Pupasuite)

Conservation in mice

r2 between significant genotyped

SNPs function

rs16903097 129,625,538 intergenic no predicted function conserved

rs6651252 129,636,363 intergenic no predicted function conserved

rs1516974 * 129,617,316 intergenic no predicted function conserved

rs938651 * 129,624,625

intergenic no predicted function conserved

rs9303542 1.2x10-7 16 - 43,766,499 intron 4 no predicted function conserved

rs4451990 43,755,652 intron 4 no predicted function conserved

rs7222452 43,764,990 intron 4 no predicted function conserved

rs7209855 43,743,802 intron 4 no predicted function conserved

rs9916227 43,744,911 intron 4 no predicted function not conserved

rs9894812 43,744,952 intron 4 no predicted function conserved

rs12452212 43,746,077 intron 4 no predicted function conserved

rs7213513 43,747,293 intron 4 no predicted function conserved

rs7219816 43,748,793 intron 4 no predicted function conserved

rs12450081 43,750,242 intron 4 no predicted function conserved

rs7221770 34,754,834 intron 4 no predicted function not conserved

rs8074443 34,772,812 intron 4 no predicted function not conserved

17q21.31

rs1553753 43,775,805

within SKAP1

intron 4 no predicted conserved

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Locus Genotyped SNP p-value N tagged

SNPs Tagged SNPs^

Nuc. position (build 36)

Gene location Location Possible function

(Pupasuite)

Conservation in mice

r2 between significant genotyped

SNPs function

rs9897162 43,779,788 intron 3 no predicted function conserved

rs9909002 43,781,467 intron 3 no predicted function conserved

rs12944592 43,785,404 intron 3 no predicted function conserved

rs9907699 43,789,137

intron 3 no predicted function not conserved

^ tagged SNPs r2>0.8 within 300kb either side of validated SNP; * Two SNPs tagged by rs10088218 but not rs10098821; Pupasuite predicts intronic

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Supplementary Table 7: Allele specific gene expression analysis for 48 normal ovarian epithelial cell lines from disease free subjects

Relative expression of Common hom vs Rare/hets normalised against beta actin

Relative expression of Common hom vs Rare/hets normalised against GAPDH

Median of relative expression

Median Absolute Deviation (MAD)

Median of Relative expression

Median Absolute Deviation (MAD) Gene SNP

common hom.

het/rare hom.

common hom.

het/rare hom.

Wilcoxon rank sum test (P value)

common hom.

het/rare hom.

common hom.

het/rare hom.

Wilcoxon rank sum test (P value)

BNC2 rs3184113 0.93 1.00 0.27 0.21 0.9745 0.03 0.03 0.01 0.01 0.5585

rs7350950 0.98 1.25 0.45 0.53 0.5109 0.92 1.03 0.65 0.19 0.4063 SKAP1

rs7211780 1.10 1.39 0.44 0.65 0.1142 0.91 0.88 0.58 0.51 0.4773

TiPARP rs2665390 0.94 1.37 0.27 0.14 0.0488 0.81 1.63 0.17 0.60 0.1138

rs10088218 0.95 0.97 0.15 0.20 0.7728 0.94 1.33 0.33 0.49 0.6280

rs10098821 0.96 0.90 0.17 0.04 0.2134 0.97 0.62 0.33 0.14 0.4309 MYC

rs1516982 0.94 0.98 0.15 0.16 0.6780 0.97 1.59 0.31 0.17 0.2411

HOXD1 rs2072590 1.05 1.49 0.55 0.76 0.0592 1.09 1.34 0.57 0.81 0.1215

Gene expression analysis was performed for six candidate genes in 48 normal primary ovarian epithelial (POE) cell lines; those gene listed above and HOXD3, which is not listed because gene expression was too low in POE cells to provide a reliable comparison. The data are given for the 8 SNPs associated with ovarian cancer risk at these loci. Gene expression values, established by real-time RT-PCR, relative to the expression for two endogenous controls (b-action and GAPDH) are given for common homozygotes and rare homozygotes/heterozygotes combined. Using Wilcoxon rank sum tests, we identified some evidence of allele-specific expression for TiPARP, but compared to only one of the two endogenous controls.

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Supplementary Table 8: Phenotypic analysis of an in vitro model of ovarian cancer initiation and progression established from normal, primary ovarian epithelial cells

Cell Line In vitro phenotypic transformation

assay iOE iOEcmyc iOEcmyc.kras

Anchorage-independent growth - +/++ ++

Invasiveness - - +

Oncogene expression - + ++

Transformed morphology - + +

MIB1 expression (in 3D culture) + ++ ++

WT1 expression (in 3D culture) - + +

Transformation Score 0.5 6.5 9

Phenotypic changes associated with the expression of CMYC/KRAS. ‘+’ and ‘++’ indicates progressively transformed characteristics. In concert with increased oncogenic signalling mediated by CMYC +/- KRASG12V, we observed increased anchorage-independent growth, invasion and a commitment to an epithelial morphology, all characteristics of ovarian cancer cell lines (data not shown). When cultured as organoid 3D spheroid cultures, we observed upregulated expression of a proliferation marker (MIB1) and an ovarian cancer marker (Wilms Tumour 1, WT1). The transformation score gives an overall measure of the extent of transformation of each cell line; the higher the number the greater the extent of transformation

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Supplementary Table 9: Examined Phase III SNPs and Control Minor Allele Frequencies per Site

Phase 1 Phase II

Locus SNP Chr Position Major Minor All AUS DOV POC MAL GR+HOP

SEA+UKO USC STA POL BAV

1p36 rs7517829 1 22,352,746 A G 0.39 0.41 0.41 0.43 0.42 0.40 0.42 0.39 0.40 0.42 0.40 rs2744721 1 22,359,623 C T 0.41 0.39 0.39 0.37 0.39 0.39 0.38 0.38 0.38 0.39 0.40 rs7521902 1 22,363,311 C A 0.22 0.23 0.23 0.26 0.25 0.22 0.26 0.23 0.20 0.26 0.22 rs3920498 1 22,365,474 G C 0.21 0.19 0.20 0.23 0.21 0.18 0.20 0.19 0.16 0.23 0.17 1p31 rs12730089 1 77,647,196 A G 0.24 0.24 0.25 0.28 0.27 0.27 0.23 0.29 0.25 0.28 0.30 rs7512893 1 77,652,756 C T 0.12 0.11 0.11 0.13 0.12 0.13 0.12 0.14 0.13 0.10 0.14 rs12131772 1 77,656,259 C G 0.09 0.11 0.11 0.13 0.12 0.13 0.12 0.14 0.13 0.10 0.14 2p22 rs4670981 2 39,972,564 G T 0.11 0.13 0.12 0.13 0.15 0.10 0.10 0.12 0.11 0.13 0.14 rs12469949 2 39,974,839 G A 0.11 0.13 0.12 0.12 0.15 0.10 0.10 0.12 0.11 0.13 0.14 rs10181603 2 40,012,769 C T 0.09 0.11 0.10 0.10 0.12 0.08 0.08 0.10 0.11 0.11 0.12 rs17024636 2 40,019,635 C T 0.09 0.10 0.10 0.10 0.12 0.08 0.08 0.10 0.11 0.12 0.12 2q31 rs2301301 2 176,740,513 T C 0.33 0.32 0.33 0.25 0.29 0.30 0.34 0.28 0.32 0.28 0.28 rs2072590 2 176,750,879 G T 0.32 0.31 0.32 0.33 0.32 0.32 0.31 0.35 0.33 0.36 0.36 3q25 rs2665390 3 157,880,443 T C 0.08 0.09 0.09 0.09 0.09 0.08 0.08 0.08 0.06 0.09 0.10 7p21 rs7793050 7 7,811,480 C T 0.24 0.23 0.25 0.22 0.22 0.26 0.23 0.22 0.22 0.24 0.21 rs10249817 7 7,817,832 C T 0.50 0.49 0.51 0.47 0.48 0.49 0.47 0.50 0.47 0.47 0.49 rs17138237 7 7,819,298 C A 0.39 0.39 0.39 0.36 0.36 0.40 0.37 0.39 0.35 0.36 0.36 8q24 rs1516982 8 129,602,828 A G 0.16 0.17 0.16 0.12 0.15 0.15 0.16 0.17 0.16 0.12 0.13 rs10088218 8 129,613,131 G A 0.13 0.13 0.13 0.10 0.12 0.13 0.13 0.15 0.13 0.10 0.09 rs10098821 8 129,628,410 C T 0.11 0.10 0.11 0.08 0.11 0.11 0.11 0.12 0.10 0.09 0.09 11p14 rs12791486 11 25,131,774 A G 0.10 0.10 0.10 0.10 0.10 0.10 0.08 0.12 0.11 0.13 0.12 rs12800697 11 25,156,499 G A 0.10 0.10 0.11 0.09 0.10 0.10 0.09 0.11 0.11 0.13 0.12 rs12794435 11 25,164,280 G A 0.08 0.10 0.11 0.09 0.10 0.10 0.08 0.11 0.11 0.13 0.12 rs17241923 11 25,193,526 C A 0.10 0.10 0.11 0.09 0.10 0.10 0.09 0.11 0.11 0.13 0.12 17q21 rs17680229 17 43,484,761 G A 0.16 0.15 0.15 0.13 0.13 0.13 0.15 0.15 0.13 0.13 0.12

rs2084881 17 43,712,119 G A 0.27 0.26 0.28 0.24 0.25 0.24 0.28 0.29 0.26 0.23 0.22 rs7219985 17 43,733,704 C T 0.27 0.26 0.28 0.25 0.25 0.24 0.28 0.29 0.26 0.23 0.22 rs9303542 17 43,766,499 A G 0.26 0.26 0.28 0.26 0.25 0.25 0.28 0.29 0.27 0.24 0.23 rs1533057 17 43,874,104 G T 0.22 0.21 0.22 0.21 0.21 0.19 0.21 0.22 0.19 0.21 0.17 rs8072770 17 43,888,885 C T 0.22 0.21 0.22 0.21 0.21 0.20 0.22 0.22 0.19 0.21 0.17

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Phase III

Locus SNP TOR NCO MAY OVA NTH HJO HOC SOC+UKO BEL GER HMO TBO NCI UCI HAW ICE

1p36 rs7517829 0.40 0.43 0.37 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.41 0.43 n.g. n.g. n.g. rs2744721 0.40 0.39 0.41 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.41 0.39 n.g. n.g. n.g. rs7521902 0.22 0.21 0.23 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.18 0.20 n.g. n.g. n.g. rs3920498 0.20 0.19 0.20 0.20 0.21 0.21 0.20 0.20 0.18 0.17 0.20 0.17 0.19 0.18 0.19 0.23 1p31 rs12730089 0.24 0.25 0.25 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.28 0.25 n.g. n.g. n.g. rs7512893 0.12 0.11 0.11 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.13 0.13 n.g. n.g. n.g. rs12131772 0.09 0.10 0.09 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.10 0.12 n.g. n.g. n.g. 2p22 rs4670981 0.13 0.13 0.12 0.11 0.13 0.11 0.16 0.10 0.11 0.11 0.11 0.14 0.14 0.13 0.11 n.g. rs12469949 0.13 0.13 0.12 0.11 0.14 0.12 0.17 0.11 0.11 0.12 0.12 0.15 0.14 0.14 0.12 0.13 rs10181603 0.11 0.11 0.11 0.10 0.11 0.09 0.15 0.10 0.09 0.11 0.11 0.11 0.12 0.12 0.09 0.12 rs17024636 0.11 0.11 0.11 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.11 0.12 n.g. n.g. n.g. 2q31 rs2301301 0.30 0.32 0.30 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.33 0.32 n.g. n.g. n.g. rs2072590 0.32 0.31 0.30 0.30 0.32 0.33 0.27 0.33 0.33 0.33 0.32 0.30 0.35 0.32 0.27 0.34 3q25 rs2665390 0.09 0.08 0.09 0.03 0.04 0.04 0.07 0.03 0.03 0.05 0.04 0.07 0.08 0.03 0.03 0.12 7p21 rs7793050 0.23 0.23 0.24 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.21 0.23 n.g. n.g. n.g. rs10249817 0.50 0.48 0.49 0.47 0.51 0.48 0.54 0.49 0.49 0.46 0.50 0.49 0.48 0.46 0.51 0.53 rs17138237 0.38 0.36 0.40 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.34 0.37 n.g. n.g. 0.41 8q24 rs1516982 0.17 0.17 0.16 0.18 0.15 0.17 0.14 0.15 0.15 0.15 0.14 0.17 0.17 0.17 0.16 0.17 rs10088218 0.14 0.16 0.12 0.15 0.14 0.13 0.12 0.13 0.13 0.13 0.10 0.15 0.15 0.15 0.14 0.14 rs10098821 0.12 0.13 0.10 0.12 0.11 0.11 0.10 0.12 0.12 0.11 0.09 0.13 0.13 0.14 0.11 0.11 11p14 rs12791486 0.12 0.10 0.11 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.10 0.12 n.g. n.g. n.g. rs12800697 0.12 0.10 0.10 0.11 0.12 0.10 0.10 0.10 0.09 0.12 0.12 0.08 0.13 0.10 0.12 n.g. rs12794435 0.09 0.08 0.08 0.10 0.12 0.10 0.09 0.10 0.09 0.11 0.12 0.06 0.12 0.10 0.12 0.11 rs17241923 0.11 0.10 0.10 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.08 0.13 n.g. n.g. n.g. 17q21 rs17680229 0.16 0.18 0.16 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.15 0.17 n.g. n.g. n.g.

rs2084881 0.29 0.29 0.27 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.26 0.27 n.g. n.g. n.g. rs7219985 0.29 0.29 0.27 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.26 0.27 n.g. n.g. n.g. rs9303542 0.27 0.27 0.26 0.29 0.28 0.27 0.27 0.27 0.24 0.28 0.24 0.24 0.28 0.27 0.28 n.g. rs1533057 0.22 0.23 0.23 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.20 0.23 n.g. n.g. n.g. rs8072770 0.23 0.24 0.23 n.g. n.g. n.g. n.g. n.g. n.g. n.g. n.g. 0.19 0.23 n.g. n.g. n.g.

Chromosome position from build 36.3; n.g. indicates not genotyped; studies are sorted by decreasing total sample size within each phase.

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Supplementary Table 10: Genotype quality control by study for each SNP analysed

Hardy Weinberg Equilibrium

region SNP # studies MAY NCO TBO TOR NCI UCI BEL GOC HJO HMO HAW HEL NTH OVA SOC

1p36 rs7517829 5 0.43 0.07 0.38 0.68 0.27

rs2744721 5 0.66 0.54 0.57 0.23 0.34

rs7521902 5 0.91 0.53 0.33 0.09 0.58

rs3920498 15 Imputed Imputed Imputed Imputed Imputed 0.30 0.63 0.19 0.39 0.56 0.05 0.34 0.59 0.28 0.06

1p31 rs12730089 5 Imputed Imputed Imputed Imputed Imputed

rs7512893 5 0.93 0.19 0.54 0.27 0.66

rs12131772 5 Imputed Imputed Imputed Imputed Imputed

2p22 rs4670981 15 0.94 0.63 0.71 0.57 0.82 0.48 0.63 0.40 0.04 0.90 0.24 0.11 0.89 0.94 0.71

rs12469949 15 0.88 0.82 0.60 0.34 0.82 0.72 0.53 0.28 0.10 0.60 0.36 0.30 0.56 0.46 0.76

rs10181603 15 Imputed Imputed Imputed Imputed Imputed 0.38 0.35 0.46 0.01 0.52 0.02 0.36 0.91 0.14 0.92

rs17024636 5 Imputed Imputed Imputed Imputed Imputed

2q31 rs2301301 5 0.97 0.25 0.53 0.91 0.47

2q31 rs2072590 15 0.63 0.78 0.88 0.02 0.18 0.07 0.33 0.78 0.90 0.52 0.81 0.64 0.85 0.87 0.04

3q25 rs2665390 15 0.12 0.91 0.20 0.11 0.27 0.30 0.35 0.87 0.84 0.99 0.74 0.44 0.96 0.54 0.72

7p21 rs7793050 5 0.15 0.55 0.66 0.52 0.29

rs10249817 15 0.62 0.27 0.61 0.42 0.41 0.19 0.49 0.26 0.25 0.78 0.02 0.79 0.55 0.43 0.23

rs17138237 5 0.95 0.16 0.50 0.57 0.32

8q24 rs1516982 15 0.84 0.19 0.60 0.31 0.10 0.16 0.85 0.43 0.13 0.03 0.61 0.88 0.26 0.38 0.85

8q24 rs10088218 15 0.31 0.50 0.26 0.74 0.46 0.90 0.78 0.29 0.85 0.92 0.38 0.97 0.74 0.82 0.30

rs10098821 15 0.63 0.78 0.49 0.40 0.76 0.79 0.07 0.43 0.35 0.84 0.92 0.92 0.90 0.82 0.75

11p14 rs12791486 5 Imputed Imputed Imputed Imputed Imputed

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rs12800697 15 0.82 0.11 0.00 0.49 0.69 0.23 0.34 0.24 0.85 0.06 0.37 0.55 0.07 0.60 0.51

rs12794435 15 Imputed Imputed Imputed Imputed Imputed 0.33 0.41 0.13 0.17 0.06 0.34 0.58 0.13 0.46 0.57

rs17241923 5 0.79 0.04 0.24 0.73 0.76

17q21 rs17680229 5 Imputed Imputed Imputed Imputed Imputed

rs2084881 5 0.32 0.26 0.64 0.97 0.90

rs7219985 5 0.32 0.26 0.69 0.97 0.90

17q21 rs9303542 15 Imputed Imputed Imputed Imputed Imputed 0.976 0.582 0.408 0.265 0.687 0.331 0.928 0.890 0.094

rs1533057 5 0.65 0.09 0.65 0.72 0.09

rs8072770 5 0.52 0.09 0.71 0.73 0.09

Genotype Call Rate

region SNP # studies MAY NCO TBO TOR NCI UCI BEL GOC HAN HAW HEL NTH OVA SOC Coriell

1p36 rs7517829 5 100 100 100 100 100

rs2744721 5 100 100 100 100 100

rs7521902 5 100 100 99 100 100

rs3920498 15 Imputed Imputed Imputed Imputed Imputed 100 100 99 100 100 100 100 100 100 100

1p31 rs12730089 5 Imputed Imputed Imputed Imputed Imputed

rs7512893 5 100 100 100 100 100

rs12131772 5 Imputed Imputed Imputed Imputed Imputed

2p22 rs4670981 15 99 99 98 98 100 100 100 100 100 99 100 100 100 100 94

rs12469949 15 100 100 100 100 100 100 100 99 100 99 100 100 99 100 99

rs10181603 15 Imputed Imputed Imputed Imputed Imputed 100 100 99 100 99 100 100 100 100 98

rs17024636 5 Imputed Imputed Imputed Imputed Imputed

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2q31 rs2301301 5 99 100 100 100 100

2q31 rs2072590 15 100 100 100 100 100 100 100 100 99 99 99 100 99 100 100

3q25 rs2665390 15 99 98 97 95 100 98 100 99 100 100 100 100 99 99 97

7p21 rs7793050 5 100 100 100 100 100

rs10249817 15 100 100 100 100 100 100 100 99 100 100 99 100 100 100 97

rs17138237 5 97 99 98 96 100

8q24 rs1516982 15 100 100 100 100 100 100 100 100 100 100 100 100 100 100 98

8q24 rs10088218 15 100 100 99 100 100 100 100 100 100 100 100 100 100 100 99

rs10098821 15 99 99 100 99 100 100 100 100 100 100 100 100 100 100 99

11p14 rs12791486 5 Imputed Imputed Imputed Imputed Imputed

rs12800697 15 100 100 99 98 100 98 100 99 99 99 100 100 99 97 99

rs12794435 15 Imputed Imputed Imputed Imputed Imputed 100 100 100 99 99 100 100 100 100 99

rs17241923 5 99 100 99 100 100

17q21 rs17680229 5 Imputed Imputed Imputed Imputed Imputed

rs2084881 5 100 100 100 100 100

rs7219985 5 100 100 100 100 100

17q21 rs9303542 15 Imputed Imputed Imputed Imputed Imputed 98 99 99 98 97 98 99 99 98 100

rs1533057 5 100 100 100 100 100

rs8072770 5 100 100 100 100 100

Genotyping concordance between duplicate samples

region SNP # studies MAY NCO TBO TOR NCI UCI BEL GOC HAN HAW HEL NTH OVA SOC Coriell

1p36 rs7517829 5 100 100 100 100 100

rs2744721 5 100 100 100 100 100

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rs7521902 5 100 100 100 100 100

rs3920498 15 Imputed Imputed Imputed Imputed Imputed 100 100 100 99 100 98 101 100 100 100

1p31 rs12730089 5 Imputed Imputed Imputed Imputed Imputed

rs7512893 5 100 100 100 100 100

rs12131772 5 Imputed Imputed Imputed Imputed Imputed

2p22 rs4670981 15 100 100 100 100 100 100 100 100 100 100 100 99 100 100 100

rs12469949 15 100 100 100 100 100 100 100 100 100 100 100 99 100 100 100

rs10181603 15 Imputed Imputed Imputed Imputed Imputed 100 100 100 100 100 98 100 100 100 100

rs17024636 5 Imputed Imputed Imputed Imputed Imputed

2q31 rs2301301 5 100 100 100 100 100

2q31 rs2072590 15 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100

3q25 rs2665390 15 100 100 100 100 100 100 100 100 99 100 98 100 100 100 100

7p21 rs7793050 5 100 100 100 100 100

rs10249817 15 100 100 100 100 100 100 100 100 99 100 100 100 100 100 100

rs17138237 5 100 100 100 100 100

8q24 rs1516982 15 100 100 100 100 100 100 100 100 99 100 98 99 100 100 100

8q24 rs10088218 15 100 100 100 100 100 100 100 100 99 100 98 99 100 100 100

rs10098821 15 100 100 100 100 100 100 100 100 99 100 98 99 100 100 100

11p14 rs12791486 5 Imputed Imputed Imputed Imputed Imputed

rs12800697 15 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100

rs12794435 15 Imputed Imputed Imputed Imputed Imputed 100 100 100 100 100 100 100 100 100 100

rs17241923 5 100 100 100 100 100

17q21 rs17680229 5 Imputed Imputed Imputed Imputed Imputed

rs2084881 5 100 100 100 100 100

rs7219985 5 100 100 100 100 100

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17q21 rs9303542 15 Imputed Imputed Imputed Imputed Imputed 100 100 100 100 100 100 100 99 100 100

rs1533057 5 100 100 100 100 100

rs8072770 5 100 100 100 100 100

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Supplementary Table 11: Ovarian cancer cell lines, their clinical characteristics and culture conditions used as part of candidate gene expression studies

Cell Line Name

Clinical description of primary ovarian tumour

Tissue culture medium

1847 Epithelial ‘like’ RPMI 1640 +10% FBS + L-Glu

TOV 112D Endometrioid M199:MCDB105 + 15% FBS+ L-Glu

1847 AD None given RPMI 1640 +10% FBS + L-Glu

TOV 21G Clear cell M199:MCDB105 + 15% FBS+ L-Glu

CaOv3 Adenocarcinoma DMEM + 10% FBS + NEAA/glucose

Cov318 Serous DMEM +10% FCS+Lglu+Lasparagine

Cov 644 Mucinous DMEM +10% FCS+Lglu+Lasparagine

EFO 27 Mucinous papilary adenocarcinoma RPMI 1640 + 20% FBS + L-Glu + NEAA + Na Pyr

Hey A8 Moderately differentiated papillary cystadenocarcinoma RPMI 1640 +10% FBS

Hoc 7 Well differentiated serous from ascites DMEM + 10%FBS

Igrov 1 Untreated adenocarcinoma DMEM + 10%FBS

Intov-2 Adenocarcinoma RPMI 1640+ 10% FCS+ LGlu+ 50uL β ME +1% Na Pyr

Jama-2 None given RPMI 1640 +10% FBS + L-Glu

LK1 Teratocarcinoma from ascites RPMI 1640 +10% FBS + L-Glu

LK2 None given RPMI 1640 +10% FBS + L-Glu

MPSC1 Low-grade serous carcinoma RPMI 1640 +10% FBS

OAW 42 Serous cystadenocarcinoma DMEM + 10% FBS + Na Pyr + 20ug/ml Insulin + L-Glu

OC 316 Serous adenocarcinoma from ascites, with metastasis RPMI 1640 +10% FBS

Ovca 433 Serous papillary cystadenocarcinoma MEM EAGLE + 10% FBS

Ovcar-10 Adenocarcinoma RPMI 1640 +10% FBS

Ovcar-3 Adenocarcinoma, from ascites RPMI 1640 +10% FBS

Ovcar 5 Adenocarcinoma RPMI 1640 +10% FBS + L-Glu

Ovcar 8 Adenocarcinoma RPMI 1640 +10% FBS + L-Glu

Scov3 IP Moderately well differentiated adenocarcinoma from ascites, from xenograft RPMI 1640 +10% FBS

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Supplementary Figure 1: Odds ratios (ORs) and 95% confidence intervals (95% CI) by study site and study phase for SNPs in four novel OC susceptibility loci. Phase I and Phase II adjusted for study site and first principal component, Phase III adjusted for study site, and combined analyses adjusted for study site.

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Supplementary Figure 2: Gene expression analysis normalised to GAPDH for five candidate genes, comparing expression in normal primary ovarian epithelial cell lines with ovarian cancer cell lines (see also Figure 2 in the manuscript)

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Supplementary Figure 3: Expression analysis of 5 candidate genes in 216 serous ovarian cancers from The Cancer Geneome Atlas pilot project

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Nature Genetics: doi: 10.1038/ng.668