Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut.
Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, Maryland.
Cancer Epidemiol Biomarkers Prev. 2017 Oct;26(10):1540-1548. doi: 10.1158/1055-9965.EPI-17-0262. Epub 2017 Jul 28.
The higher risk of pancreatic cancer in Ashkenazi Jews compared with non-Jews is only partially explained by the increased frequency of and mutations in Ashkenazi Jews. We evaluated the impact of 16 established pancreatic cancer susceptibility loci in a case-control sample of American Jews, largely Ashkenazi, including 406 full-Jewish pancreatic cancer patients and 2,332 full-Jewish controls, genotyped as part of the Pancreatic Cancer Cohort and Case-Control Consortium I/II (PanScan I/II), Pancreatic Cancer Case-Control Consortium (PanC4), and Resource for Genetic Epidemiology Research on Adult Health and Aging (GERA) datasets. We compared risk in full-Jewish subjects with risk in part-Jewish; non-Jewish Southern European; and in the combined non-Jewish Eastern, Northern, Southern, and Western European (non-Jewish white European) subjects from the same datasets. Jewish ancestries were genetically identified using seeded Fast principal component analysis. Data were analyzed by unconditional logistic regression, and adjusted for age, sex, and principal components. One SNP on chromosome 13q22.1 (rs9543325; OR, 1.36; 95% confidence interval, 1.16-1.58; = 10) was significant in full-Jews. Individual ORs and minor allele frequencies were similar between Jewish and non-Jewish white European subjects. The average ORs across the 16 pancreatic cancer susceptibility loci for full-Jewish, full- plus part-Jewish, non-Jewish Southern European, and non-Jewish white European subjects were 1.25, 1.30, 1.31, and 1.26, respectively. The 16 pancreatic cancer susceptibility loci similarly impact Jewish and non-Jewish white European subjects, both individually and as summary odds. These 16 pancreatic cancer susceptibility loci likely do not explain the higher risk seen in Ashkenazi Jews. .
与非犹太人相比,阿什肯纳兹犹太人患胰腺癌的风险更高,这种风险仅部分可以用阿什肯纳兹犹太人中 和 突变的频率增加来解释。我们在一个以美国犹太人为研究对象的病例对照样本中评估了 16 个已确定的胰腺癌易感基因座的影响,这些犹太人主要是阿什肯纳兹犹太人,包括 406 名全犹太裔胰腺癌患者和 2332 名全犹太裔对照者,他们是作为胰腺癌症队列和病例对照联盟 I/II(PanScan I/II)、胰腺癌病例对照联盟(PanC4)和遗传流行病学研究资源用于成人健康和老龄化(GERA)数据集的一部分进行基因分型的。我们将全犹太裔受试者的风险与半犹太裔受试者、非犹太裔南欧裔受试者以及来自相同数据集的非犹太裔东欧、北欧、南欧和西欧(非犹太白种欧洲)受试者的风险进行了比较。犹太人的祖先通过有种子的快速主成分分析进行基因识别。数据分析采用非条件逻辑回归,并根据年龄、性别和主成分进行调整。13q22.1 染色体上的一个 SNP(rs9543325;OR,1.36;95%置信区间,1.16-1.58; = 10)在全犹太人中具有统计学意义。犹太人与非犹太白种欧洲人之间的个体 OR 和次要等位基因频率相似。在全犹太裔、全犹太裔加半犹太裔、非犹太裔南欧裔和非犹太白种欧洲裔受试者中,16 个胰腺癌易感基因座的平均 OR 分别为 1.25、1.30、1.31 和 1.26。16 个胰腺癌易感基因座对全犹太裔、全犹太裔加半犹太裔、非犹太裔南欧裔和非犹太白种欧洲裔受试者的影响相似,无论是个体还是作为汇总优势比。这些 16 个胰腺癌易感基因座可能并不能解释阿什肯纳兹犹太人中观察到的更高风险。