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Genetic determinants of telomere length and risk of pancreatic cancer: A PANDoRA study

D. Campa, M. Matarazzi, W. Greenhalf, M. Bijlsma, KU. Saum, C. Pasquali, H. van Laarhoven, A. Szentesi, F. Federici, P. Vodicka, N. Funel, R. Pezzilli, HB. Bueno-de-Mesquita, L. Vodickova, D. Basso, O. Obazee, T. Hackert, P. Soucek, K. Cuk, J....

. 2019 ; 144 (6) : 1275-1283. [pub] 20181112

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc19028149

Grantová podpora
G1000143 Medical Research Council - United Kingdom
14136 Cancer Research UK - United Kingdom
G0401527 Medical Research Council - United Kingdom
NV16-28375A MZ0 CEP - Centrální evidence projektů

Telomere deregulation is a hallmark of cancer. Telomere length measured in lymphocytes (LTL) has been shown to be a risk marker for several cancers. For pancreatic ductal adenocarcinoma (PDAC) consensus is lacking whether risk is associated with long or short telomeres. Mendelian randomization approaches have shown that a score built from SNPs associated with LTL could be used as a robust risk marker. We explored this approach in a large scale study within the PANcreatic Disease ReseArch (PANDoRA) consortium. We analyzed 10 SNPs (ZNF676-rs409627, TERT-rs2736100, CTC1-rs3027234, DHX35-rs6028466, PXK-rs6772228, NAF1-rs7675998, ZNF208-rs8105767, OBFC1-rs9420907, ACYP2-rs11125529 and TERC-rs10936599) alone and combined in a LTL genetic score ("teloscore", which explains 2.2% of the telomere variability) in relation to PDAC risk in 2,374 cases and 4,326 controls. We identified several associations with PDAC risk, among which the strongest were with the TERT-rs2736100 SNP (OR = 1.54; 95%CI 1.35-1.76; p = 1.54 × 10-10 ) and a novel one with the NAF1-rs7675998 SNP (OR = 0.80; 95%CI 0.73-0.88; p = 1.87 × 10-6 , ptrend = 3.27 × 10-7 ). The association of short LTL, measured by the teloscore, with PDAC risk reached genome-wide significance (p = 2.98 × 10-9 for highest vs. lowest quintile; p = 1.82 × 10-10 as a continuous variable). In conclusion, we present a novel genome-wide candidate SNP for PDAC risk (TERT-rs2736100), a completely new signal (NAF1-rs7675998) approaching genome-wide significance and we report a strong association between the teloscore and risk of pancreatic cancer, suggesting that telomeres are a potential risk factor for pancreatic cancer.

3rd Surgical Clinic Department of Surgery Oncology and Gastroenterology University of Padova Padova Italy

ARC NET University and Hospital Trust of Verona Verona Italy

Biomedical Center Faculty of Medicine in Pilsen Charles University Pilsen Czech Republic

Blood Transfusion Service Azienda Ospedaliero Universitaria Meyer Florence Italy

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

Department for Determinants of Chronic Diseases Bilthoven The Netherlands Department of Gastroenterology and Hepatology University Medical Centre Utrecht The Netherlands Department of Epidemiology and Biostatistics The 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 Biology University of Pisa Pisa Italy

Department of Biology University of Pisa Pisa Italy Genomic Epidemiology Group German Cancer Research Center Heidelberg Germany

Department of Digestive Tract Diseases Medical University of Lodz Lodz Poland

Department of Gastroenterology Lithuanian University of Health Sciences Kaunas Lithuania

Department of General Visceral and Thoracic Surgery University Medical Center Hamburg Eppendorf Hamburg Germany

Department of General Visceral and Transplantation Surgery University Hospital Heidelberg Heidelberg Germany

Department of Laboratory Medicine University Hospital of Padova Padua Italy

Department of Molecular Biology of Cancer Institute of Experimental Medicine Academy of Science of Czech Republic Prague Czech Republic Institute of Biology and Medical Genetics 1st Medical Faculty Charles University Prague Czech Republic Biomedical Center Faculty of Medicine in Pilsen Charles University Pilsen Czech Republic

Department of Oncology Institute of Molecular and Translational Medicine Faculty of Medicine and Dentistry Palacky University Olomouc Czech Republic

Department of Surgery 1 Faculty of Medicine and Dentistry Palacky University Olomouc and University Hospital Olomouc Olomouc Czech Republic

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

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

Digestive and Liver Disease Unit S Andrea Hospital 'Sapienza' University Rome Italy PancreatoBiliary Endoscopy and EUS Division Pancreas Translational and Clinical Research Center IRCCS San Raffaele Scientific Institute Vita Salute San Raffaele University Milan Italy

Division of Abdominal Surgery IRCCS Ospedale Casa Sollievo Sofferenza San Giovanni Rotondo Italy

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 Gastroenterology and Molecular Biology Lab IRCCS Ospedale Casa Sollievo Sofferenza San Giovanni Rotondo Italy

Gastroenterology and Gastrointestinal Endoscopy Unit Vita Salute San Raffaele University San Raffaele Scientific Institute Milan Italy

Genomic Epidemiology Group German Cancer Research Center Heidelberg Germany

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

Institute for Translational Medicine University of Pécs Pécs Hungary 1st Department of Medicine University of Szeged Szeged Hungary

Institute for Translational Medicine University of Pécs Pécs Hungary 1st Department of Medicine University of Szeged Szeged Hungary MTA SZTE Momentum Translational Gastroenterology Research Group Szeged Hungary

Institute of Hematology and Transfusion Medicine Warsaw Poland

Medical Oncology Academic Medical Centre Amsterdam The Netherlands

Oncological Department Azienda USL Toscana Nord Ovest Oncological Unit of Massa Carrara Carrara Italy

Pancreas Unit Department of Digestive System Sant'Orsola Malpighi Hospital Bologna Italy

Pancreatic and Digestive Endocrine Surgery Department of Surgery Oncology and Gastroenterology University of Padova Padova Italy

University of Cambridge School of Clinical Medicine Clinical Gerontology Unit Addenbrooke's Hospital Cambridge United Kingdom

Citace poskytuje Crossref.org

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