TY - JOUR TI - Identification of Recessively Inherited Genetic Variants Potentially Linked to Pancreatic Cancer Risk AU - Lu, Ye AU - Gentiluomo, Manuel AU - Macauda, Angelica AU - Gioffreda, AU - Domenica AU - Gazouli, Maria AU - Petrone, Maria C. AU - Kelemen, Dezso and AU - Ginocchi, Laura AU - Morelli, Luca AU - Papiris, Konstantinos and AU - Greenhalf, William AU - Izbicki, Jakob R. AU - Kiudelis, Vytautas and AU - Mohelnikova-Duchonova, Beatrice AU - Bueno-de-Mesquita, Bas AU - Vodicka, AU - Pavel AU - Brenner, Hermann AU - Diener, Markus K. AU - Pezzilli, Raffaele AU - and Ivanauskas, Audrius AU - Salvia, Roberto AU - Szentesi, Andrea and AU - Aoki, Mateus Nobrega AU - Nemeth, Balazs C. AU - Sperti, Cosimo and AU - Jamroziak, Krzysztof AU - Chammas, Roger AU - Oliverius, Martin and AU - Archibugi, Livia AU - Ermini, Stefano AU - Novak, Janos AU - Kupcinskas, AU - Juozas AU - Strouhal, Ondrej AU - Soucek, Pavel AU - Cavestro, Giulia M. AU - and Milanetto, Anna C. AU - Vanella, Giuseppe AU - Neoptolemos, John P. AU - and Theodoropoulos, George E. AU - van Laarhoven, Hanneke W. M. and AU - Mambrini, Andrea AU - Moz, Stefania AU - Kala, Zdenek AU - Lovecek, Martin AU - and Basso, Daniela AU - Uzunoglu, Faik G. AU - Hackert, Thilo AU - Testoni, AU - Sabrina G. G. AU - Hlavac, Viktor AU - Andriulli, Angelo AU - Lucchesi, AU - Maurizio AU - Tavano, Francesca AU - Carrara, Silvia AU - Hegyi, Peter and AU - Arcidiacono, Paolo G. AU - Busch, Olivier R. AU - Lawlor, Rita T. and AU - Puzzono, Marta AU - Boggi, Ugo AU - Guo, Feng AU - Malecka-Panas, Ewa and AU - Capurso, Gabriele AU - Landi, Stefano AU - Talar-Wojnarowska, Renata and AU - Strobel, Oliver AU - Gao, Xin AU - Vashist, Yogesh AU - Campa, Daniele and AU - Canzian, Federico JO - Frontiers in Oncology PY - 2021 VL - 11 TODO - null SP - null PB - Frontiers Media SA SN - null TODO - 10.3389/fonc.2021.771312 TODO - pancreatic cancer; susceptibility; genome-wide association study; recessive model; genetic polymorphisms TODO - 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. ER -