Περίληψη:
Pancreatic ductal adenocarcinoma (PDAC) is a very aggressive tumor with a five-year survival of less than 6%. Chronic pancreatitis (CP), an inflammatory process in of the pancreas, is a strong risk factor for PDAC. Several genetic polymorphisms have been discovered as susceptibility loci for both CP and PDAC. Since CP and PDAC share a consistent number of epidemiologic risk factors, the aim of this study was to investigate whether specific CP risk loci also contribute to PDAC susceptibility. We selected five common SNPs (rs11988997, rs379742, rs10273639, rs2995271 and rs12688220) that were identified as susceptibility markers for CP and analyzed them in 2,914 PDAC cases, 356 CP cases and 5,596 controls retrospectively collected in the context of the international PANDoRA consortium. We found a weak association between the minor allele of the PRSS1-PRSS2-rs10273639 and an increased risk of developing PDAC (ORhomozygous = 1.19, 95% CI 1.02–1.38, p = 0.023). Additionally all the SNPs confirmed statistically significant associations with risk of developing CP, the strongest being PRSS1-PRSS2-rs10273639 (ORheterozygous = 0.51, 95% CI 0.39–0.67, p = 1.10 × 10−6) and MORC4-rs 12837024 (ORhomozygous = 2.07 (1.55–2.77, ptrend = 0.7 × 10−11). Taken together, the results from our study do not support variants rs11988997, rs379742, rs10273639, rs2995271 and rs12688220 as strong predictors of PDAC risk, but further support the role of these SNPs in CP susceptibility. Our study suggests that CP and PDAC probably do not share genetic susceptibility, at least in terms of high frequency variants. © 2017 UICC
Συγγραφείς:
Campa, D.
Pastore, M.
Capurso, G.
Hackert, T.
Di Leo, M.
Izbicki, J.R.
Khaw, K.-T.
Gioffreda, D.
Kupcinskas, J.
Pasquali, C.
Macinga, P.
Kaaks, R.
Stigliano, S.
Peeters, P.H.
Key, T.J.
Talar-Wojnarowska, R.
Vodicka, P.
Valente, R.
Vashist, Y.K.
Salvia, R.
Papaconstantinou, I.
Shimizu, Y.
Valsuani, C.
Zambon, C.F.
Gazouli, M.
Valantiene, I.
Niesen, W.
Mohelnikova-Duchonova, B.
Hara, K.
Soucek, P.
Malecka-Panas, E.
Bueno-de-Mesquita, H.B.
Johnson, T.
Brenner, H.
Tavano, F.
Fogar, P.
Ito, H.
Sperti, C.
Butterbach, K.
Latiano, A.
Andriulli, A.
Cavestro, G.M.
Busch, O.R.C.
Dijk, F.
Greenhalf, W.
Matsuo, K.
Lombardo, C.
Strobel, O.
König, A.-K.
Cuk, K.
Strothmann, H.
Katzke, V.
Cantore, M.
Mambrini, A.
Oliverius, M.
Pezzilli, R.
Landi, S.
Canzian, F.
Λέξεις-κλειδιά:
adult; Article; cancer susceptibility; chronic pancreatitis; controlled study; female; gene; gene frequency; gene locus; genetic association; genetic marker; genetic risk; human; major clinical study; male; pancreas adenocarcinoma; priority journal; PRSS1 gene; PRSS2 gene; retrospective study; risk factor; single nucleotide polymorphism; adenocarcinoma; aged; case control study; chronic pancreatitis; follow up; genetics; middle aged; pancreas carcinoma; pancreas tumor; pathology; prognosis; risk factor; single nucleotide polymorphism, MORC4 protein, human; nuclear protein; PRSS1 protein, human; PRSS2 protein, human; trypsin; trypsinogen; tumor marker, Adenocarcinoma; Adult; Aged; Biomarkers, Tumor; Carcinoma, Pancreatic Ductal; Case-Control Studies; Female; Follow-Up Studies; Humans; Male; Middle Aged; Nuclear Proteins; Pancreatic Neoplasms; Pancreatitis, Chronic; Polymorphism, Single Nucleotide; Prognosis; Retrospective Studies; Risk Factors; Trypsin; Trypsinogen
