@article{3033319, title = "Identification of Recessively Inherited Genetic Variants Potentially Linked to Pancreatic Cancer Risk", author = "Lu, Ye and Gentiluomo, Manuel and Macauda, Angelica and Gioffreda, and Domenica and Gazouli, Maria and Petrone, Maria C. and Kelemen, Dezso and and Ginocchi, Laura and Morelli, Luca and Papiris, Konstantinos and and Greenhalf, William and Izbicki, Jakob R. and Kiudelis, Vytautas and and Mohelnikova-Duchonova, Beatrice and Bueno-de-Mesquita, Bas and Vodicka, and Pavel and Brenner, Hermann and Diener, Markus K. and Pezzilli, Raffaele and and Ivanauskas, Audrius and Salvia, Roberto and Szentesi, Andrea and and Aoki, Mateus Nobrega and Nemeth, Balazs C. and Sperti, Cosimo and and Jamroziak, Krzysztof and Chammas, Roger and Oliverius, Martin and and Archibugi, Livia and Ermini, Stefano and Novak, Janos and Kupcinskas, and Juozas and Strouhal, Ondrej and Soucek, Pavel and Cavestro, Giulia M. and and Milanetto, Anna C. and Vanella, Giuseppe and Neoptolemos, John P. and and Theodoropoulos, George E. and van Laarhoven, Hanneke W. M. and and Mambrini, Andrea and Moz, Stefania and Kala, Zdenek and Lovecek, Martin and and Basso, Daniela and Uzunoglu, Faik G. and Hackert, Thilo and Testoni, and Sabrina G. G. and Hlavac, Viktor and Andriulli, Angelo and Lucchesi, and Maurizio and Tavano, Francesca and Carrara, Silvia and Hegyi, Peter and and Arcidiacono, Paolo G. and Busch, Olivier R. and Lawlor, Rita T. and and Puzzono, Marta and Boggi, Ugo and Guo, Feng and Malecka-Panas, Ewa and and Capurso, Gabriele and Landi, Stefano and Talar-Wojnarowska, Renata and and Strobel, Oliver and Gao, Xin and Vashist, Yogesh and Campa, Daniele and and Canzian, Federico", journal = "Frontiers in Oncology", year = "2021", volume = "11", publisher = "Frontiers Media SA", doi = "10.3389/fonc.2021.771312", keywords = "pancreatic cancer; susceptibility; genome-wide association study; recessive model; genetic polymorphisms", abstract = "Although 21 pancreatic cancer susceptibility loci have been identified in individuals of European ancestry through genome-wide association studies (GWASs), much of the heritability of pancreatic cancer risk remains unidentified. A recessive genetic model could be a powerful tool for identifying additional risk variants. To discover recessively inherited pancreatic cancer risk loci, we performed a re-analysis of the largest pancreatic cancer GWAS, the Pancreatic Cancer Cohort Consortium (PanScan) and the Pancreatic Cancer Case-Control Consortium (PanC4), including 8,769 cases and 7,055 controls of European ancestry. Six single nucleotide polymorphisms (SNPs) showed associations with pancreatic cancer risk according to a recessive model of inheritance. We replicated these variants in 3,212 cases and 3,470 controls collected from the PANcreatic Disease ReseArch (PANDoRA) consortium. The results of the meta-analyses confirmed that rs4626538 (7q32.2), rs7008921 (8p23.2) and rs147904962 (17q21.31) showed specific recessive effects (p<10(-5)) compared with the additive effects (p>10(-3)), although none of the six SNPs reached the conventional threshold for genome-wide significance (p < 5x10(-8)). Additional bioinformatic analysis explored the functional annotations of the SNPs and indicated a possible relationship between rs36018702 and expression of the BCL2L11 and BUB1 genes, which are known to be involved in pancreatic biology. Our findings, while not conclusive, indicate the importance of considering non-additive genetic models when performing GWAS analysis. The SNPs associated with pancreatic cancer in this study could be used for further meta-analysis for recessive association of SNPs and pancreatic cancer risk and might be a useful addiction to improve the performance of polygenic risk scores." }