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Polymorphic variants involved in methylation regulation: a strategy to discover risk loci for pancreatic ductal adenocarcinoma

. 2023 Oct ; 60 (10) : 980-986. [epub] 20230502

Language English Country England, Great Britain Media print-electronic

Document type Meta-Analysis, Journal Article, Research Support, Non-U.S. Gov't

INTRODUCTION: Only a small number of risk factors for pancreatic ductal adenocarcinoma (PDAC) has been established. Several studies identified a role of epigenetics and of deregulation of DNA methylation. DNA methylation is variable across a lifetime and in different tissues; nevertheless, its levels can be regulated by genetic variants like methylation quantitative trait loci (mQTLs), which can be used as a surrogate. MATERIALS AND METHODS: We scanned the whole genome for mQTLs and performed an association study in 14 705 PDAC cases and 246 921 controls. The methylation data were obtained from whole blood and pancreatic cancer tissue through online databases. We used the Pancreatic Cancer Cohort Consortium and the Pancreatic Cancer Case-Control Consortium genome-wide association study (GWAS) data as discovery phase and the Pancreatic Disease Research consortium, the FinnGen project and the Japan Pancreatic Cancer Research consortium GWAS as replication phase. RESULTS: The C allele of 15q26.1-rs12905855 showed an association with a decreased risk of PDAC (OR=0.90, 95% CI 0.87 to 0.94, p=4.93×10-8 in the overall meta-analysis), reaching genome-level statistical significance. 15q26.1-rs12905855 decreases the methylation of a 'C-phosphate-G' (CpG) site located in the promoter region of the RCCD1 antisense (RCCD1-AS1) gene which, when expressed, decreases the expression of the RCC1 domain-containing (RCCD1) gene (part of a histone demethylase complex). Thus, it is possible that the rs12905855 C-allele has a protective role in PDAC development through an increase of RCCD1 gene expression, made possible by the inactivity of RCCD1-AS1. CONCLUSION: We identified a novel PDAC risk locus which modulates cancer risk by controlling gene expression through DNA methylation.

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

1st Propaedeutic University Surgery Clinic Hippocratio General Hospital Medical School National and Kapodistrian University of Athens Athens Greece

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

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

Biomedical Centre and Department of Surgery Faculty of Medicine in Pilsen Charles University Pilsen Czech Republic

Blood Transfusion Service Azienda Ospedaliero Universitaria Meyer Firenze Italy

Carol Davila University of Medicine and Pharmacy Bucarest Romania

Center for Traslational Medicine Semmelweis University Budapest Hungary

County Medical Association of Potenza Potenza Italy

Department of Biology University of Pisa Pisa Italy

Department of Biomedical Sciences Humanitas University Milan Italy

Department of Digestive Tract Diseases Medical University of Lodz Lodz Poland

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

Department of General Surgery University of Heidelberg Heidelberg Germany

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

Department of Medicine DIMED Padua University Hospital Padova Italy

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

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

Department of Pathology Amsterdam UMC University of Amsterdam Cancer Center Amsterdam Amsterdam Netherlands

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

Department of Surgery Amsterdam UMC University of Amsterdam Cancer Center Amsterdam Amsterdam Netherlands

Department of Surgery DiSCOG Padua University Hospital Padova Italy

Department of Surgery Erasmus Medical Center Erasmus University Rotterdam Netherlands

Department of Translational Research and new Technologies in Medicine and Surgery University of Pisa Pisa Italy

Digestive and Liver Disease Unit Sant'Andrea Hospital Roma Italy

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

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

Division of Experimental Oncology Gastroenterology and Gastrointestinal Endoscopy Unit Vita Salute San Raffaele University IRCCS San Raffaele Scientific Institute Milano Italy

Division of Gastroenterology and Research Laboratory IRCCS Ospedale Casa Sollievo della Sofferenza San Giovanni Rotondo Italy

Division of General and Transplant Surgery Pisa University Hospital Pisa Italy

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

Endoscopic Unit Department of Gastroenterology IRCCS Humanitas Research Hospital Rozzano Italy

General Surgery Department of Translational Research and New Technologies in Medicine and Surgery Università di Pisa Pisa Italy

Genomic Epidemiology Group German Cancer Research Center Heidelberg Germany

German Cancer Consortium Heidelberg Germany

Institute for Translational Medicine Medical School University of Pécs Pecs Hungary

Janos Szentagothai Research Center University of Pecs Pecs Hungary

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

Laboratory of Biology Medical School National and Kapodistrian University of Athens Athens Greece

Network Aging Research Heidelberg University Heidelberg Germany

Oncology of Massa Carrara Oncological Department Azienda USL Toscana Nord Ovest Pisa Italy

Pancreatic Unit IRCCS Humanitas Research Hospital Rozzano Italy

Pancreato Biliary Endoscopy and Endoscopic Ultrasound Pancreas Translational and Clinical Research Center IRSSC San Raffaele Scientific Institute Milan Italy

University of Utrect Utrecht Netherlands

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