TY - JOUR TI - Genome-wide gene⇓diabetes and gene⇓obesity interaction scan in 8,255 cases and 11,900 controls from panscan and PanC4 consortia AU - Tang, H. AU - Jiang, L. AU - Stolzenberg-Solomon, R.Z. AU - Arslan, A.A. AU - Beane Freeman, L.E. AU - Bracci, P.M. AU - Brennan, P. AU - Canzian, F. AU - Du, M. AU - Gallinger, S. AU - Giles, G.G. AU - Goodman, P.J. AU - Kooperberg, C. AU - Le Marchand, L. AU - Neale, R.E. AU - Shu, X.-O. AU - Visvanathan, K. AU - White, E. AU - Zheng, W. AU - Albanes, D. AU - Andreotti, G. AU - Babic, A. AU - Bamlet, W.R. AU - Berndt, S.I. AU - Blackford, A. AU - Bueno-De-Mesquita, B. AU - Buring, J.E. AU - Campa, D. AU - Chanock, S.J. AU - Childs, E. AU - Duell, E.J. AU - Fuchs, C. AU - Michael Gaziano, J. AU - Goggins, M. AU - Hartge, P. AU - Hassam, M.H. AU - Holly, E.A. AU - Hoover, R.N. AU - Hung, R.J. AU - Kurtz, R.C. AU - Lee, I.-M. AU - Malats, N. AU - Milne, R.L. AU - Ng, K. AU - Oberg, A.L. AU - Orlow, I. AU - Peters, U. AU - Porta, M. AU - Rabe, K.G. AU - Rothman, N. AU - Scelo, G. AU - Sesso, H.D. AU - Silverman, D.T. AU - Thompson, I.M. AU - Tjønneland, A. AU - Trichopoulou, A. AU - Wactawski-Wende, J. AU - Wentzensen, N. AU - Wilkens, L.R. AU - Yu, H. AU - Zeleniuch-Jacquotte, A. AU - Amundadottir, L.T. AU - Jacobs, E.J. AU - Petersen, G.M. AU - Wolpin, B.M. AU - Risch, H.A. AU - Chatterjee, N. AU - Klein, A.P. AU - Li, D. AU - Kraft, P. AU - Wei, P. JO - Cancer Epidemiology Biomarkers and Prevention PY - 2020 VL - 29 TODO - 9 SP - 1784-1791 PB - American Association for Cancer Research Inc. SN - null TODO - 10.1158/1055-9965.EPI-20-0275 TODO - Article; cohort analysis; controlled study; diabetes mellitus; female; gene frequency; gene linkage disequilibrium; genome-wide association study; genotype; genotype environment interaction; human; major clinical study; male; obesity; pancreas cancer; priority journal; single nucleotide polymorphism; case control study; diabetes mellitus; genetics; genome-wide association study; obesity; procedures; risk factor, Case-Control Studies; Diabetes Mellitus; Female; Genome-Wide Association Study; Humans; Male; Obesity; Risk Factors TODO - Background: Obesity and diabetes are major modifiable risk factors for pancreatic cancer. Interactions between genetic variants and diabetes/obesity have not previously been comprehensively investigated in pancreatic cancer at the genome-wide level. Methods: We conducted a gene–environment interaction (GxE) analysis including 8,255 cases and 11,900 controls from four pancreatic cancer genome-wide association study (GWAS) datasets (Pancreatic Cancer Cohort Consortium I–III and Pancreatic Cancer Case Control Consortium). Obesity (body mass index ≥30 kg/m2) and diabetes (duration ≥3 years) were the environmental variables of interest. Approximately 870,000 SNPs (minor allele frequency ≥0.005, genotyped in at least one dataset) were analyzed. Case–control (CC), case-only (CO), and joint-effect test methods were used for SNP-level GxE analysis. As a complementary approach, gene-based GxE analysis was also performed. Age, sex, study site, and principal components accounting for population substructure were included as covariates. Meta-analysis was applied to combine individual GWAS summary statistics. Results: No genome-wide significant interactions (departures from a log-additive odds model) with diabetes or obesity were detected at the SNP level by the CC or CO approaches. The joint-effect test detected numerous genome-wide significant GxE signals in the GWAS main effects top hit regions, but the significance diminished after adjusting for the GWAS top hits. In the gene-based analysis, a significant interaction of diabetes with variants in the FAM63A (family with sequence similarity 63 member A) gene (significance threshold P < 1.25 106) was observed in the meta-analysis (PGxE ¼ 1.2 106, PJoint ¼ 4.2 107). Conclusions: This analysis did not find significant GxE interactions at the SNP level but found one significant interaction with diabetes at the gene level. A larger sample size might unveil additional genetic factors via GxE scans. Impact: This study may contribute to discovering the mechanism of diabetes-associated pancreatic cancer. © 2020 American Association for Cancer Research. ER -