Genome-Wide Gene-Diabetes and Gene-Obesity Interaction Scan in 8,255 Cases and 11,900 Controls from PanScan and PanC4 Consortia.
- Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
- Division of Cancer Epidemiology and Genetics, NCI, NIH, Bethesda, Maryland.
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, New York.
- Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
- International Agency for Research on Cancer, Lyon, France.
- Genomic Epidemiology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
- Lunenfeld-Tanenbaum Research Institute, Sinai Health System and University of Toronto, Toronto, Ontario, Canada.
- Division of Cancer Epidemiology, Cancer Council Victoria, Melbourne, Victoria, Australia.
- SWOG Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.
- Cancer Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii.
- Population Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee.
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
- Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington.
- Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
- Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, Minnesota.
- Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, Maryland.
- Department for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
- Department of Biology, University of Pisa, Pisa, Italy.
- Oncology Data Analytics Program, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
- Yale Cancer Center, New Haven, Connecticut.
- Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
- Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins School of Medicine, Baltimore, Maryland.
- Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York.
- Genetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre, Madrid, Spain.
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
- CHRISTUS Santa Rosa Hospital - Medical Center, San Antonio, Texas.
- Department of Public Health, University of Copenhagen and Danish Cancer Society Research Center Diet, Genes and Environment, Copenhagen, Denmark.
- Hellenic Health Foundation, World Health Organization Collaborating Center of Nutrition, Medical School, University of Athens, Athens, Greece.
- Department of Epidemiology and Environmental Health, University of Buffalo, Buffalo, New York.
- Department of Population Health, New York University School of Medicine, New York, New York.
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut.
- Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
- Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. pwei2@mdanderson.org pkraft@hsph.harvard.edu dli@mdanderson.org.
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. pwei2@mdanderson.org pkraft@hsph.harvard.edu dli@mdanderson.org.
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas. pwei2@mdanderson.org pkraft@hsph.harvard.edu dli@mdanderson.org.
BACKGROUND: Obesity and diabetes are major modifiable risk factors for pancreatic cancer. Interactions between genetic variants and diabetes/obesity have not previously been comprehensively investigated in pancreatic cancer at the genome-wide level.
METHODS: We conducted a gene-environment interaction (GxE) analysis including 8,255 cases and 11,900 controls from four pancreatic cancer GWAS datasets (PanScan I-III and PanC4). Obesity (BMI=30 kg/m2) and diabetes (duration = 3 years) were the environmental variables of interest. Approximately 870,000 SNPs were analyzed. Case-control (CC), case-only (CO), and joint-effect test methods were used for SNP-level GxE analysis. As a complementary approach, gene-based GxE analysis was also performed. Age, sex, study site and principal components accounting for population substructure were included as covariates. Meta-analysis was applied to combine individual-GWAS summary statistics.
RESULTS: No genome-wide significant interactions with diabetes or obesity were detected at the SNP level by the CC or CO approaches. The joint-effect test detected numerous genome-wide significant GxE signals in the GWAS main effects top hit regions but the significance diminished after adjusting for the GWAS top hits. In the gene-based analysis, a significant interaction of diabetes with variants in the FAM63A (family with sequence similarity 63 member A) gene (significance threshold P<1.25E-6) was observed in the meta-analysis (PGxE= 1.2E-6, PJoint= 4.2E-7).
CONCLUSIONS: Our current analyses did not find significant GxE interactions at the SNP level but found one significant interaction with diabetes at the gene level. A larger sample size might unveil additional genetic factors via GxE scans.
IMPACT: This study may contribute to discovering the mechanism of diabetes-associated pancreatic cancer.
- 2006-0306: Whole Genome Scan of Incident Pancreatic Cancer in the Cohort Consortium (PanScan) (Rachael Stolzenberg-Solomon - 2006)