Genome-wide association meta-analysis identifies novel GP2 gene risk variants for pancreatic cancer in the Japanese population
Yingsong LiniD, Masahiro NakatochiiD, Yasuyuki Hosono, Hidemi M. ItoiD, Yoichiro KamataniiD, Akihito InokoiD, Hiromi Sakamoto, Fumie KinoshitaiD, Yumiko KobayashiiD, Hiroshi IshiiiD, Masato OzakaiD, Takashi SasakiiD, Masato MatsuyamaiD, Naoki SasahiraiD, Manabu MorimotoiD, Satoshi KobayashiiD, Taito FukushimaiD, Makoto UenoiD, Shinichi Ohkawa, Naoto Egawa, Sawako KurumaiD, Mitsuru MoriiD, Haruhisa NakaoiD, Yasushi AdachiiD, Masumi OkudaiD, , Keitaro MatsuoiD
Abstract
The etiology of pancreatic cancer remains largely unknown. Here, we report the results of a meta-analysis of three genome-wide association studies (GWASs) comprising 2,039 pancreatic cancer cases and 32,592 controls, the largest sample size in the Japanese population. We identified 3 (13q12.2, 13q22.1, and 16p12.3) genome-wide significant loci (P<5.0x10-8) and 4 suggestive loci (P<1.0x10-6) for pancreatic cancer. Of these risk loci, 16p12.3 is novel; the lead SNP maps to rs78193826 (odds ratio (OR)=1.46, 95% CI=1.29-1.66, P=4.28x10-9), an Asian-specific, nonsynonymous glycoprotein 2 (GP2) gene variant predicted to be highly deleterious. Additionally, the gene-based GWAS identified a novel gene, KRT8, which is linked to exocrine pancreatic and liver diseases. The identified GP2 gene variants were pleiotropic for multiple traits, including type 2 diabetes, hemoglobin A1c (HbA1c) levels, and pancreatic cancer. Mendelian randomization analyses corroborated causality between HbA1c and pancreatic cancer. These findings suggest that GP2 gene variants are associated with pancreatic cancer susceptibility in the Japanese population, prompting further functional characterization of this locus.
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