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TERT gene harbors multiple variants associated with pancreatic cancer susceptibility

D. Campa, C. Rizzato, R. Stolzenberg-Solomon, P. Pacetti, P. Vodicka, SP. Cleary, G. Capurso, HB. Bueno-de-Mesquita, J. Werner, M. Gazouli, K. Butterbach, A. Ivanauskas, N. Giese, GM. Petersen, P. Fogar, Z. Wang, C. Bassi, M. Ryska, GE....

. 2015 ; 137 (9) : 2175-83. [pub] 20150619

Language English Country United States

Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't

A small number of common susceptibility loci have been identified for pancreatic cancer, one of which is marked by rs401681 in the TERT-CLPTM1L gene region on chromosome 5p15.33. Because this region is characterized by low linkage disequilibrium, we sought to identify whether additional single nucleotide polymorphisms (SNPs) could be related to pancreatic cancer risk, independently of rs401681. We performed an in-depth analysis of genetic variability of the telomerase reverse transcriptase (TERT) and the telomerase RNA component (TERC) genes, in 5,550 subjects with pancreatic cancer and 7,585 controls from the PANcreatic Disease ReseArch (PANDoRA) and the PanScan consortia. We identified a significant association between a variant in TERT and pancreatic cancer risk (rs2853677, odds ratio = 0.85; 95% confidence interval = 0.80-0.90, p = 8.3 × 10(-8)). Additional analysis adjusting rs2853677 for rs401681 indicated that the two SNPs are independently associated with pancreatic cancer risk, as suggested by the low linkage disequilibrium between them (r(2) = 0.07, D' = 0.28). Three additional SNPs in TERT reached statistical significance after correction for multiple testing: rs2736100 (p = 3.0 × 10(-5) ), rs4583925 (p = 4.0 × 10(-5) ) and rs2735948 (p = 5.0 × 10(-5) ). In conclusion, we confirmed that the TERT locus is associated with pancreatic cancer risk, possibly through several independent variants.

1st Department of Propaedeutic Surgery School of Medicine University of Athens Athens Greece

ARC NET Centre for Applied Research on Cancer University and Hospital Trust of Verona Verona Italy

Blood Transfusion Service Azienda Ospedaliero Universitaria Meyer Florence Italy

Cancer Epidemiology Unit Nuffield Department of Population Health University of Oxford Oxford United Kingdom

Department of Basic Medical Science Laboratory of Biology School of Medicine University of Athens Athens Greece

Department of Biology University of Pisa Pisa Italy

Department of Determinants of Chronic Diseases Bilthoven The Netherlands Department of Gastroenterology and Hepatology University Medical Centre Utrecht The Netherlands Department of Epidemiology and Biostatistics School of Public Health Imperial College London London United Kingdom Department of Social and Preventive Medicine Faculty of Medicine University of Malaya Kuala Lumpur Malaysia

Department of Digestive Tract Diseases Medical University of Łodz Łodz Poland

Department of Epidemiology and Biostatistics Memorial Sloan Kettering Cancer Center New York NY

Department of Epidemiology and Biostatistics University of California San Francisco San Francisco CA

Department of Epidemiology and Public Health Yale School of Public Health New Haven CT

Department of Epidemiology Harvard School of Public Health Boston MA

Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD

Department of Epidemiology University of Washington Seattle WA

Department of Gastroenterology Lithuanian University of Health Sciences Kaunas Lithuania

Department of Gastrointestinal Medical Oncology University of Texas M D Anderson Cancer Center Houston TX

Department of General Surgery University Hospital Heidelberg Heidelberg Germany

Department of Health Sciences Research Mayo Clinic College of Medicine Rochester MN

Department of Hematology Institute of Hematology and Transfusion Medicine Warsaw Poland

Department of Laboratory Medicine University Hospital of Padua Padua Italy

Department of Medical Oncology Dana Farber Cancer Institute Boston MA

Department of Medicine and Vanderbilt Ingram Cancer Center Vanderbilt University Medical Center Nashville TN

Department of Medicine DIMED University of Padua Padua Italy

Department of Molecular Biology of Cancer Institute of Experimental Medicine Academy of Science of Czech Republic Prague Czech Republic

Department of Oncology Palacky University Medical School and Teaching Hospital in Olomouc Olomouc Czech Republic

Department of Oncology The Johns Hopkins University School of Medicine Baltimore MD

Department of Surgery 2nd Faculty of Medicine Charles University Prague and Central Military Hospital Prague Czech Republic

Department of Surgery Gastroenterology and Oncology University of Padua Padua Italy

Department of Surgery Unit of Experimental Surgical Pathology University Hospital of Pisa Pisa Italy

Department of Surgery University Health Network University of Toronto Toronto ON Canada

Department of Toxicogenomics National Institute of Public Health Prague Czech Republic

Digestive and Liver Disease Unit S Andrea Hospital 'Sapienza' University of Rome Rome Italy

Division of Cancer Epidemiology and Genetics National Cancer Institute National Institutes of Health Bethesda MD

Division of Cancer Epidemiology German Cancer Research Center Heidelberg Germany

Division of Clinical Epidemiology and Aging Research German Cancer Research Center Heidelberg Germany

Division of Epidemiology Departments of Obstetrics and Gynecology Environmental Medicine and Population Health New York University School of Medicine New York NY

Division of Gastroenterology and Research Laboratory IRCCS Scientific Institute and Regional General Hospital Casa Sollievo Della Sofferenza San Giovanni Rotondo Italy

Division of Public Health Sciences Fred Hutchinson Cancer Research Center Seattle WA

Divisions of Preventive Medicine and Aging Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston MA

Divisions of Preventive Medicine and Aging Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston MA Department of Epidemiology Harvard School of Public Health Boston MA

Epidemiology Research Program American Cancer Society Atlanta GA

Genomic Epidemiology Group German Cancer Research Center Heidelberg Germany

Institute of Hygiene and Epidemiology 1st Faculty of Medicine Charles University Prague Prague Czech Republic

MRC Epidemiology Unit Institute of Metabolic Science University of Cambridge Cambridge United Kingdom

National Institute for Health Research Liverpool Pancreas Biomedical Research Unit University of Liverpool Liverpool United Kingdom

Oncology Department ASL1 Massa Carrara Massa Carrara Italy

Pancreas Unit Department of Digestive Diseases and Internal Medicine Sant'Orsola Malpighi Hospital Bologna Italy

Surgical and Oncological Department Pancreas Institute University and Hospital Trust of Verona Verona Italy

Surgical Clinic 4 University of Padua Padua Italy

References provided by Crossref.org

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$a Campa, Daniele $u Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
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$a TERT gene harbors multiple variants associated with pancreatic cancer susceptibility / $c D. Campa, C. Rizzato, R. Stolzenberg-Solomon, P. Pacetti, P. Vodicka, SP. Cleary, G. Capurso, HB. Bueno-de-Mesquita, J. Werner, M. Gazouli, K. Butterbach, A. Ivanauskas, N. Giese, GM. Petersen, P. Fogar, Z. Wang, C. Bassi, M. Ryska, GE. Theodoropoulos, C. Kooperberg, D. Li, W. Greenhalf, C. Pasquali, T. Hackert, CS. Fuchs, B. Mohelnikova-Duchonova, C. Sperti, N. Funel, AK. Dieffenbach, NJ. Wareham, J. Buring, I. Holcátová, E. Costello, CF. Zambon, J. Kupcinskas, HA. Risch, P. Kraft, PM. Bracci, R. Pezzilli, SH. Olson, HD. Sesso, P. Hartge, O. Strobel, E. Małecka-Panas, K. Visvanathan, AA. Arslan, S. Pedrazzoli, P. Souček, D. Gioffreda, TJ. Key, R. Talar-Wojnarowska, A. Scarpa, A. Mambrini, EJ. Jacobs, K. Jamroziak, A. Klein, F. Tavano, F. Bambi, S. Landi, MA. Austin, L. Vodickova, H. Brenner, SJ. Chanock, G. Delle Fave, A. Piepoli, M. Cantore, W. Zheng, BM. Wolpin, LT. Amundadottir, F. Canzian,
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$a A small number of common susceptibility loci have been identified for pancreatic cancer, one of which is marked by rs401681 in the TERT-CLPTM1L gene region on chromosome 5p15.33. Because this region is characterized by low linkage disequilibrium, we sought to identify whether additional single nucleotide polymorphisms (SNPs) could be related to pancreatic cancer risk, independently of rs401681. We performed an in-depth analysis of genetic variability of the telomerase reverse transcriptase (TERT) and the telomerase RNA component (TERC) genes, in 5,550 subjects with pancreatic cancer and 7,585 controls from the PANcreatic Disease ReseArch (PANDoRA) and the PanScan consortia. We identified a significant association between a variant in TERT and pancreatic cancer risk (rs2853677, odds ratio = 0.85; 95% confidence interval = 0.80-0.90, p = 8.3 × 10(-8)). Additional analysis adjusting rs2853677 for rs401681 indicated that the two SNPs are independently associated with pancreatic cancer risk, as suggested by the low linkage disequilibrium between them (r(2) = 0.07, D' = 0.28). Three additional SNPs in TERT reached statistical significance after correction for multiple testing: rs2736100 (p = 3.0 × 10(-5) ), rs4583925 (p = 4.0 × 10(-5) ) and rs2735948 (p = 5.0 × 10(-5) ). In conclusion, we confirmed that the TERT locus is associated with pancreatic cancer risk, possibly through several independent variants.
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