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CDKN2B-AS1/ANRIL 基因多态性与胰腺癌风险的关联。

Association between a polymorphic variant in the CDKN2B-AS1/ANRIL gene and pancreatic cancer risk.

机构信息

Department of Biology, University of Pisa, Pisa, Italy.

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

出版信息

Int J Cancer. 2023 Jul 15;153(2):373-379. doi: 10.1002/ijc.34383. Epub 2022 Dec 14.

Abstract

Genes carrying high-penetrance germline mutations may also be associated with cancer susceptibility through common low-penetrance genetic variants. To increase the knowledge on genetic pancreatic ductal adenocarcinoma (PDAC) aetiology, the common genetic variability of PDAC familial genes was analysed in our study. We conducted a multiphase study analysing 7745 single nucleotide polymorphisms (SNPs) from 29 genes reported to harbour a high-penetrance PDAC-associated mutation in at least one published study. To assess the effect of the SNPs on PDAC risk, a total of 14 666 PDAC cases and 221 897 controls across five different studies were analysed. The T allele of the rs1412832 polymorphism, that is situated in the CDKN2B-AS1/ANRIL, showed a genome-wide significant association with increased risk of developing PDAC (OR = 1.11, 95% CI = 1.07-1.15, P = 5.25 × 10 ). CDKN2B-AS1/ANRIL is a long noncoding RNA, situated in 9p21.3, and regulates many target genes, among which CDKN2A (p16) that frequently shows deleterious somatic and germline mutations and deregulation in PDAC. Our results strongly support the role of the genetic variability of the 9p21.3 region in PDAC aetiopathogenesis and highlight the importance of secondary analysis as a tool for discovering new risk loci in complex human diseases.

摘要

携带高外显率种系突变的基因也可能通过常见的低外显率遗传变异与癌症易感性相关。为了增加对遗传胰腺导管腺癌 (PDAC) 病因学的了解,我们在研究中分析了 PDAC 家族基因的常见遗传变异。我们进行了一项多阶段研究,分析了 29 个基因中的 7745 个单核苷酸多态性 (SNP),这些基因在至少一项已发表的研究中报告携带高外显率 PDAC 相关突变。为了评估 SNP 对 PDAC 风险的影响,我们在五个不同的研究中分析了总共 14666 例 PDAC 病例和 221897 例对照。位于 CDKN2B-AS1/ANRIL 中的 rs1412832 多态性的 T 等位基因与 PDAC 发病风险增加呈全基因组显著相关 (OR=1.11, 95%CI=1.07-1.15, P=5.25×10-8)。CDKN2B-AS1/ANRIL 是位于 9p21.3 的长非编码 RNA,可调节许多靶基因,其中包括 CDKN2A (p16),其在 PDAC 中经常显示有害的体细胞和种系突变和失调。我们的结果强烈支持 9p21.3 区域遗传变异在 PDAC 发病机制中的作用,并强调了二次分析作为发现复杂人类疾病新风险基因座的工具的重要性。

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