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Genetic and non-genetic risk factors for early-onset pancreatic cancer

Y. Nodari, M. Gentiluomo, B. Mohelnikova-Duchonova, E. Kreivenaite, AC. Milanetto, J. Skieceviciene, S. Landi, RT. Lawlor, MC. Petrone, PG. Arcidiacono, M. Lovecek, M. Gazouli, MF. Bijlsma, L. Morelli, V. Kiudelis, M. Tacelli, DL. Zanette, P....

. 2023 ; 55 (10) : 1417-1425. [pub] 20230325

Jazyk angličtina Země Nizozemsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc24001190

BACKGROUND: Early-onset pancreatic cancer (EOPC) represents 5-10% of all pancreatic ductal adenocarcinoma (PDAC) cases, and the etiology of this form is poorly understood. It is not clear if established PDAC risk factors have the same relevance for younger patients. This study aims to identify genetic and non-genetic risk factors specific to EOPC. METHODS: A genome-wide association study was performed, analysing 912 EOPC cases and 10 222 controls, divided into discovery and replication phases. Furthermore, the associations between a polygenic risk score (PRS), smoking, alcohol consumption, type 2 diabetes and PDAC risk were also assessed. RESULTS: Six novel SNPs were associated with EOPC risk in the discovery phase, but not in the replication phase. The PRS, smoking, and diabetes affected EOPC risk. The OR comparing current smokers to never-smokers was 2.92 (95% CI 1.69-5.04, P = 1.44 × 10-4). For diabetes, the corresponding OR was 14.95 (95% CI 3.41-65.50, P = 3.58 × 10-4). CONCLUSION: In conclusion, we did not identify novel genetic variants associated specifically with EOPC, and we found that established PDAC risk variants do not have a strong age-dependent effect. Furthermore, we add to the evidence pointing to the role of smoking and diabetes in EOPC.

1st Department of Propaedeutic Surgery Hippokration General Hospital of Athens School of Medicine National and Kapodistrian University of Athens Athens Greece

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

Blood Transfusion Service Children's Hospital Azienda Ospedaliero Universitaria Meyer Florence Italy

Carol Davila University of Medicine and Pharmacy Bucharest Romania

Center for Experimental and Molecular Medicine Laboratory for Experimental Oncology and Radiobiology Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands

Center for Translational Medicine Semmelweis University Budapest Hungary

Centre for Translational Medicine Department of Medicine University of Szeged Szeged Hungary

Country Medical Association of Potenza Potenza Italy

Department of Biology University of Pisa Pisa Italy

Department of Biomedical Sciences Humanitas University Milan Italy

Department of Diagnostics and Public Health and ARC Net Research Centre University of Verona Verona Italy

Department of Digestive Tract Diseases Medical University of Lodz Lodz Poland

Department of General Surgery University Hospital Kralovske Vinohrady 3rd Faculty of Medicine Charles University Prague Czech Republic

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 Hematology Transplantation and Internal Medicine University Clinical Center of the Medical University of Warsaw Warsaw Poland

Department of Medical Oncology Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands

Department of Medicine DIMED Laboratory Medicine University of Padova Padova Italy

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

Department of Oncology Faculty of Medicine and Dentistry Palacký University Olomouc Czech Republic

Department of Surgery 1 University Hospital Olomouc Olomouc Czech Republic

Department of Surgery Erasmus MC University Medical Center Rotterdam the Netherlands

Dept of Surgery Oncology and Gastroenterology University of Padova Chirurgia Generale 3 Padova Italy

Deptartment of Surgery Oncology and Gastroenterology University of Padova Chirurgia Generale 1 Padova Italy

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

Division of Cancer Epidemiology German Cancer Research Center Heidelberg Germany

Division of Gastroenterology Fondazione IRCCS Casa Sollievo della Sofferenza Hospital San Giovanni Rotondo Italy

Division of Pancreatic Diseases Heart and Vascular Center Semmelweis University Budapest Hungary

Divisione di Chirurgia Generale e dei Trapianti Università di Pisa Pisa Italy

Endoscopic Unit Department of Gastroenterology IRCCS Humanitas Research Hospital Rozzano Italy

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

Gastroenterology Department and Institute for Digestive Research Lithuanian University of Health Sciences Kaunas Lithuania

General Surgery Unit Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa Italy

Genomic Epidemiology Group German Cancer Research Center Heidelberg Germany

Imaging and Biomarkers Cancer Center Amsterdam Amsterdam The Netherlands

Institute for Translational Medicine Medical School University of Pécs Pécs Hungary

Institute of Biology and Medical Genetics 1st Faculty of Medicine Charles University Prague Czech Republic

János Szentágothai Research Center University of Pécs Pécs Hungary

Laboratory for Applied Science and Technology in Health Carlos Chagas Institute Oswaldo Cruz Foundation Curitiba Brazil

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

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

Molecular and Clinical Cancer Medicine The University of Liverpool Liverpool United Kingdom

Oncological Department Massa Carrara Azienda USL Toscana Nord Ovest Carrara Italy

Pancreatic Unit IRCCS Humanitas Research Hospital Rozzano Italy

Pancreato Biliary Endoscopy and Endosonography Division IRCCS San Raffaele Scientific Institute Pancreas Translational and Clinical Research Center Vita Salute San Raffaele University Milan Italy

PancreatoBiliary Endoscopy and Endosonography Division Pancreas Translational and Clinical Research Center Vita Salute San Raffaele University San Raffaele Scientific Institute Milan Italy

Citace poskytuje Crossref.org

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$a Nodari, Ylenia $u Department of Biology, University of Pisa, Pisa, Italy
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$a Genetic and non-genetic risk factors for early-onset pancreatic cancer / $c Y. Nodari, M. Gentiluomo, B. Mohelnikova-Duchonova, E. Kreivenaite, AC. Milanetto, J. Skieceviciene, S. Landi, RT. Lawlor, MC. Petrone, PG. Arcidiacono, M. Lovecek, M. Gazouli, MF. Bijlsma, L. Morelli, V. Kiudelis, M. Tacelli, DL. Zanette, P. Soucek, F. Uzunoglu, R. Kaaks, J. Izbicki, U. Boggi, R. Pezzilli, A. Mambrini, C. Pasquali, HW. van Laarhoven, V. Katzke, GM. Cavestro, C. Sperti, M. Loos, A. Latiano, B. Erőss, M. Oliverius, T. Johnson, D. Basso, JP. Neoptolemos, MN. Aoki, W. Greenhalf, P. Vodicka, L. Archibugi, G. Vanella, M. Lucchesi, R. Talar-Wojnarowska, K. Jamroziak, MA. Saeedi, CHJ. van Eijck, J. Kupcinskas, T. Hussein, M. Puzzono, S. Bunduc, M. Götz, S. Carrara, A. Szentesi, F. Tavano, S. Moz, P. Hegyi, C. Luchini, G. Capurso, F. Perri, S. Ermini, G. Theodoropoulos, G. Capretti, O. Palmieri, L. Ginocchi, N. Furbetta, F. Canzian, D. Campa
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$a BACKGROUND: Early-onset pancreatic cancer (EOPC) represents 5-10% of all pancreatic ductal adenocarcinoma (PDAC) cases, and the etiology of this form is poorly understood. It is not clear if established PDAC risk factors have the same relevance for younger patients. This study aims to identify genetic and non-genetic risk factors specific to EOPC. METHODS: A genome-wide association study was performed, analysing 912 EOPC cases and 10 222 controls, divided into discovery and replication phases. Furthermore, the associations between a polygenic risk score (PRS), smoking, alcohol consumption, type 2 diabetes and PDAC risk were also assessed. RESULTS: Six novel SNPs were associated with EOPC risk in the discovery phase, but not in the replication phase. The PRS, smoking, and diabetes affected EOPC risk. The OR comparing current smokers to never-smokers was 2.92 (95% CI 1.69-5.04, P = 1.44 × 10-4). For diabetes, the corresponding OR was 14.95 (95% CI 3.41-65.50, P = 3.58 × 10-4). CONCLUSION: In conclusion, we did not identify novel genetic variants associated specifically with EOPC, and we found that established PDAC risk variants do not have a strong age-dependent effect. Furthermore, we add to the evidence pointing to the role of smoking and diabetes in EOPC.
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$a Gentiluomo, Manuel $u Department of Biology, University of Pisa, Pisa, Italy
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$a Kreivenaite, Edita $u Gastroenterology Department and Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania
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$a Milanetto, Anna Caterina $u Dept. of Surgery, Oncology and Gastroenterology, University of Padova Chirurgia Generale 3, Padova, Italy
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$a Skieceviciene, Jurgita $u Gastroenterology Department and Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania
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$a Landi, Stefano $u Department of Biology, University of Pisa, Pisa, Italy
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$a Lovecek, Martin $u Department of Surgery I, University Hospital Olomouc, Olomouc, Czech Republic
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$a Gazouli, Maria $u Laboratory of Biology, Department of Basic Medical Science, School of Medicine, National Kapodistrian University of Athens, Athens, Greece
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$a Bijlsma, Maarten F $u Center for Experimental and Molecular Medicine, Laboratory for Experimental Oncology and Radiobiology, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands; Imaging and Biomarkers, Cancer Center Amsterdam, Amsterdam, The Netherlands
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$a Morelli, Luca $u General Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
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$a Zanette, Dalila Lucíola $u Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba, Brazil
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$a Uzunoglu, Faik $u Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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$a Kaaks, Rudolf $u Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
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$a Izbicki, Jakob $u Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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$a Boggi, Ugo $u Divisione di Chirurgia Generale e dei Trapianti, Università di Pisa, Pisa, Italy
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$a Pezzilli, Raffaele $u Country Medical Association of Potenza, Potenza, Italy
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$a Mambrini, Andrea $u Oncological Department, Massa Carrara Azienda USL Toscana Nord Ovest, Carrara, Italy
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$a Pasquali, Claudio $u Dept. of Surgery, Oncology and Gastroenterology, University of Padova Chirurgia Generale 3, Padova, Italy
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$a van Laarhoven, Hanneke W $u Department of Medical Oncology, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands; Imaging and Biomarkers, Cancer Center Amsterdam, Amsterdam, The Netherlands
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$a Katzke, Verena $u Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
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$a Cavestro, Giulia Martina $u Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
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$a Sperti, Cosimo $u Deptartment of Surgery, Oncology and Gastroenterology, University of Padova Chirurgia Generale 1, Padova, Italy
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$a Loos, Martin $u Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany
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$a Latiano, Anna $u Division of Gastroenterology, Fondazione IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy
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$a Erőss, Bálint $u Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary; Center for Translational Medicine, Semmelweis University, Budapest, Hungary; Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary
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$a Oliverius, Martin $u Department of General Surgery, University Hospital Kralovske Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic
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$a Johnson, Theron $u Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
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$a Basso, Daniela $u Department of Medicine-DIMED, Laboratory Medicine-University of Padova, Padova, Italy
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$a Neoptolemos, John P $u Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany
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$a Aoki, Mateus Nóbrega $u Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba, Brazil
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$a Greenhalf, William $u Molecular and Clinical Cancer Medicine, The University of Liverpool, Liverpool, United Kingdom
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$a Vodicka, Pavel $u Department of Molecular Biology of Cancer, Institute of Experimental Medicine of the Czech Academy of Sciences, Prague, Czech Republic; Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic; Institute of Biology and Medical Genetics, First Faculty of Medicine, Charles University, Prague, Czech Republic
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$a Archibugi, Livia $u Digestive and Liver Disease Unit, S. Andrea Hospital, "Sapienza" University of Rome, Rome, Italy; Pancreato-Biliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Pancreas Translational and Clinical Research Center, Vita-Salute San Raffaele University, Milan, Italy
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$a Vanella, Giuseppe $u Digestive and Liver Disease Unit, S. Andrea Hospital, "Sapienza" University of Rome, Rome, Italy; Pancreato-Biliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Pancreas Translational and Clinical Research Center, Vita-Salute San Raffaele University, Milan, Italy
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$a Lucchesi, Maurizio $u Oncological Department, Massa Carrara Azienda USL Toscana Nord Ovest, Carrara, Italy
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$a Talar-Wojnarowska, Renata $u Department of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland
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$a Jamroziak, Krzysztof $u Department of Hematology, Transplantation and Internal Medicine, University Clinical Center of the Medical University of Warsaw, Warsaw, Poland
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$a Saeedi, Mohammed Al $u Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany
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$a van Eijck, Casper H J $u Department of Surgery, Erasmus MC University Medical Center, Rotterdam, the Netherlands
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$a Kupcinskas, Juozas $u Gastroenterology Department and Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania
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$a Hussein, Tamás $u Center for Translational Medicine, Semmelweis University, Budapest, Hungary; Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary
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$a Puzzono, Marta $u Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
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$a Bunduc, Stefania $u Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Center for Translational Medicine, Semmelweis University, Budapest, Hungary; Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary
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$a Götz, Mara $u Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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$a Carrara, Silvia $u Endoscopic Unit, Department of Gastroenterology, IRCCS Humanitas Research Hospital, Rozzano, Italy
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$a Szentesi, Andrea $u Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary; Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary; János Szentágothai Research Center, University of Pécs, Pécs, Hungary
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$a Tavano, Francesca $u Division of Gastroenterology, Fondazione IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy
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$a Moz, Stefania $u Department of Medicine-DIMED, Laboratory Medicine-University of Padova, Padova, Italy
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$a Hegyi, Péter $u Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary; Center for Translational Medicine, Semmelweis University, Budapest, Hungary; Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary; János Szentágothai Research Center, University of Pécs, Pécs, Hungary
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$a Luchini, Claudio $u Department of Diagnostics and Public Health, and ARC-Net Research Centre, University of Verona, Verona, Italy
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$a Capurso, Gabriele $u Digestive and Liver Disease Unit, S. Andrea Hospital, "Sapienza" University of Rome, Rome, Italy; Pancreato-Biliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Pancreas Translational and Clinical Research Center, Vita-Salute San Raffaele University, Milan, Italy
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$a Perri, Francesco $u Division of Gastroenterology, Fondazione IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy
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$a Ermini, Stefano $u Blood Transfusion Service, Children's Hospital, Azienda Ospedaliero-Universitaria Meyer, Florence, Italy
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$a Theodoropoulos, George $u First Department of Propaedeutic Surgery, Hippokration General Hospital of Athens, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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$a Capretti, Giovanni $u Pancreatic Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy; Department of Biomedical Sciences, Humanitas University, Milan, Italy
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$a Palmieri, Orazio $u Division of Gastroenterology, Fondazione IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy
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$a Ginocchi, Laura $u Oncological Department, Massa Carrara Azienda USL Toscana Nord Ovest, Carrara, Italy
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$a Furbetta, Niccolò $u General Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
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$a Canzian, Federico $u Genomic Epidemiology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany
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$a Campa, Daniele $u Department of Biology, University of Pisa, Pisa, Italy. Electronic address: daniele.campa@unipi.it
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