PMID- 34258619 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20240324 IS - 1938-3207 (Electronic) IS - 0002-9165 (Print) IS - 0002-9165 (Linking) VI - 114 IP - 4 DP - 2021 Oct 4 TI - Hepcidin-regulating iron metabolism genes and pancreatic ductal adenocarcinoma: a pathway analysis of genome-wide association studies. PG - 1408-1417 LID - 10.1093/ajcn/nqab217 [doi] AB - BACKGROUND: Epidemiological studies have suggested positive associations for iron and red meat intake with risk of pancreatic ductal adenocarcinoma (PDAC). Inherited pathogenic variants in genes involved in the hepcidin-regulating iron metabolism pathway are known to cause iron overload and hemochromatosis. OBJECTIVES: The objective of this study was to determine whether common genetic variation in the hepcidin-regulating iron metabolism pathway is associated with PDAC. METHODS: We conducted a pathway analysis of the hepcidin-regulating genes using single nucleotide polymorphism (SNP) summary statistics generated from 4 genome-wide association studies in 2 large consortium studies using the summary data-based adaptive rank truncated product method. Our population consisted of 9253 PDAC cases and 12,525 controls of European descent. Our analysis included 11 hepcidin-regulating genes [bone morphogenetic protein 2 (BMP2), bone morphogenetic protein 6 (BMP6), ferritin heavy chain 1 (FTH1), ferritin light chain (FTL), hepcidin (HAMP), homeostatic iron regulator (HFE), hemojuvelin (HJV), nuclear factor erythroid 2-related factor 2 (NRF2), ferroportin 1 (SLC40A1), transferrin receptor 1 (TFR1), and transferrin receptor 2 (TFR2)] and their surrounding genomic regions (+/-20 kb) for a total of 412 SNPs. RESULTS: The hepcidin-regulating gene pathway was significantly associated with PDAC (P = 0.002), with the HJV, TFR2, TFR1, BMP6, and HAMP genes contributing the most to the association. CONCLUSIONS: Our results support that genetic susceptibility related to the hepcidin-regulating gene pathway is associated with PDAC risk and suggest a potential role of iron metabolism in pancreatic carcinogenesis. Further studies are needed to evaluate effect modification by intake of iron-rich foods on this association. CI - Published by Oxford University Press on behalf of the American Society for Nutrition 2021. FAU - Julian-Serrano, Sachelly AU - Julian-Serrano S AUID- ORCID: 0000-0002-8912-8232 AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Yuan, Fangcheng AU - Yuan F AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Wheeler, William AU - Wheeler W AD - Information Management Services, Silver Spring, MD, USA. FAU - Benyamin, Beben AU - Benyamin B AD - Australian Centre for Precision Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. AD - South Australian Health and Medical Research Institute, Adelaide, Australia. FAU - Machiela, Mitchell J AU - Machiela MJ AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Arslan, Alan A AU - Arslan AA AD - Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA. FAU - Beane-Freeman, Laura E AU - Beane-Freeman LE AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Bracci, Paige M AU - Bracci PM AD - Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA. FAU - Duell, Eric J AU - Duell EJ AD - Unit of Biomarkers and Susceptibility, Oncology Data Analytics Program, Catalan Institute of Oncology, L'Hospitalet de Llobregat, Barcelona, Spain. AD - Colorectal Cancer Group, ONCOBELL Program, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain. AD - Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain. FAU - Du, Mengmeng AU - Du M AD - Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Gallinger, Steven AU - Gallinger S AD - Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada. FAU - Giles, Graham G AU - Giles GG AUID- ORCID: 0000-0003-4946-9099 AD - Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia. AD - Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia. AD - Precision Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia. FAU - Goodman, Phyllis J AU - Goodman PJ AD - SWOG Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. FAU - Kooperberg, Charles AU - Kooperberg C AD - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. FAU - Marchand, Loic Le AU - Marchand LL AD - Department of Epidemiology, University of Hawaii Cancer Center, Honolulu, HI, USA. FAU - Neale, Rachel E AU - Neale RE AUID- ORCID: 0000-0001-7162-0854 AD - Population Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia. FAU - Shu, Xiao-Ou AU - Shu XO AD - Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, USA. FAU - Van Den Eeden, Stephen K AU - Van Den Eeden SK AUID- ORCID: 0000-0002-5599-8387 AD - Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA. FAU - Visvanathan, Kala AU - Visvanathan K AUID- ORCID: 0000-0002-0582-8005 AD - Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. FAU - Zheng, Wei AU - Zheng W AD - Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, USA. FAU - Albanes, Demetrius AU - Albanes D AUID- ORCID: 0000-0001-8330-4293 AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Andreotti, Gabriella AU - Andreotti G AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Ardanaz, Eva AU - Ardanaz E AD - Navarra Public Health Institute, Pamplona, Spain. AD - IdiSNA, Navarra Institute for Health Research, Pamplona, Spain. AD - CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona, Spain. FAU - Babic, Ana AU - Babic A AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. FAU - Berndt, Sonja I AU - Berndt SI AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Brais, Lauren K AU - Brais LK AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. FAU - Brennan, Paul AU - Brennan P AD - International Agency for Research on Cancer (IARC), Lyon, France. FAU - Bueno-de-Mesquita, Bas AU - Bueno-de-Mesquita B AUID- ORCID: 0000-0002-1834-1829 AD - Department for Determinants of Chronic Diseases, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands. FAU - Buring, Julie E AU - Buring JE AD - Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Chanock, Stephen J AU - Chanock SJ AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Childs, Erica J AU - Childs EJ AD - Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA. FAU - Chung, Charles C AU - Chung CC AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Fabianova, Eleonora AU - Fabianova E AD - Specialized Institute of Hygiene and Epidemiology, Banska Bystrica, Slovakia. FAU - Foretova, Lenka AU - Foretova L AD - Department of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic. FAU - Fuchs, Charles S AU - Fuchs CS AUID- ORCID: 0000-0003-1582-9842 AD - Yale Cancer Center and Smilow Cancer Hospital, New Haven, CT, USA. FAU - Gaziano, J Michael AU - Gaziano JM AD - Division of Aging, Brigham and Women's Hospital, Boston, MA, USA. FAU - Gentiluomo, Manuel AU - Gentiluomo M AD - Department of Biology, University of Pisa, Italy. AD - Genomic Epidemiology Group, German Cancer Research Center, (DKFZ), Heidelberg, Germany. FAU - Giovannucci, Edward L AU - Giovannucci EL AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. FAU - Goggins, Michael G AU - Goggins MG AD - Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Hackert, Thilo AU - Hackert T AUID- ORCID: 0000-0002-7012-1196 AD - Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Hartge, Patricia AU - Hartge P AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Hassan, Manal M AU - Hassan MM AD - Department of Epidemiology, University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Holcatova, Ivana AU - Holcatova I AD - Institute of Public Health and Preventive Medicine, Second Faculty of Medicine, Charles University, Prague, Czech Republic. FAU - Holly, Elizabeth A AU - Holly EA AD - Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA. FAU - Hung, Rayjean I AU - Hung RI AD - Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Canada. FAU - Janout, Vladimir AU - Janout V AD - Faculty of Health Sciences, University of Olomouc, Olomouc, Czech Republic. FAU - Kurtz, Robert C AU - Kurtz RC AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Lee, I-Min AU - Lee IM AD - Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA. FAU - Malats, Nuria AU - Malats N AD - Genetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain. FAU - McKean, David AU - McKean D AD - Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA. FAU - Milne, Roger L AU - Milne RL AD - Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia. AD - Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia. AD - Precision Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia. FAU - Newton, Christina C AU - Newton CC AD - Department of Population Science, American Cancer Society, Atlanta, GA, USA. FAU - Oberg, Ann L AU - Oberg AL AUID- ORCID: 0000-0003-2539-9807 AD - Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, MN, USA. FAU - Perdomo, Sandra AU - Perdomo S AD - International Agency for Research on Cancer (IARC), Lyon, France. FAU - Peters, Ulrike AU - Peters U AD - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. FAU - Porta, Miquel AU - Porta M AUID- ORCID: 0000-0003-1684-7428 AD - Hospital del Mar Institute of Medical Research (IMIM), Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Rothman, Nathaniel AU - Rothman N AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Schulze, Matthias B AU - Schulze MB AD - Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany. AD - Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany. FAU - Sesso, Howard D AU - Sesso HD AD - Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Silverman, Debra T AU - Silverman DT AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Thompson, Ian M AU - Thompson IM AD - CHRISTUS Santa Rosa Hospital-Medical Center, San Antonio, TX, USA. FAU - Wactawski-Wende, Jean AU - Wactawski-Wende J AUID- ORCID: 0000-0003-3096-9595 AD - Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY, USA. FAU - Weiderpass, Elisabete AU - Weiderpass E AUID- ORCID: 0000-0003-2237-0128 AD - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. FAU - Wenstzensen, Nicolas AU - Wenstzensen N AUID- ORCID: 0000-0003-1251-0836 AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - White, Emily AU - White E AD - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. FAU - Wilkens, Lynne R AU - Wilkens LR AD - Department of Epidemiology, University of Hawaii Cancer Center, Honolulu, HI, USA. FAU - Yu, Herbert AU - Yu H AD - Department of Epidemiology, University of Hawaii Cancer Center, Honolulu, HI, USA. FAU - Zeleniuch-Jacquotte, Anne AU - Zeleniuch-Jacquotte A AD - Department of Population Health and Perlmutter Cancer Center, New York University School of Medicine, New York, NY, USA. FAU - Zhong, Jun AU - Zhong J AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Kraft, Peter AU - Kraft P AUID- ORCID: 0000-0002-4472-8103 AD - Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA. AD - Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA. FAU - Li, Dounghui AU - Li D AUID- ORCID: 0000-0002-7542-0662 AD - Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Campbell, Peter T AU - Campbell PT AD - Department of Population Science, American Cancer Society, Atlanta, GA, USA. FAU - Petersen, Gloria M AU - Petersen GM AD - Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, MN, USA. FAU - Wolpin, Brian M AU - Wolpin BM AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. FAU - Risch, Harvey A AU - Risch HA AUID- ORCID: 0000-0001-5337-3941 AD - Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA. FAU - Amundadottir, Laufey T AU - Amundadottir LT AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Klein, Alison P AU - Klein AP AUID- ORCID: 0000-0003-2737-8399 AD - Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA. AD - Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Yu, Kai AU - Yu K AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. FAU - Stolzenberg-Solomon, Rachael Z AU - Stolzenberg-Solomon RZ AUID- ORCID: 0000-0003-3698-7006 AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA. LA - eng GR - U01 CA182883/CA/NCI NIH HHS/United States GR - P50 CA062924/CA/NCI NIH HHS/United States GR - R01 HL034595/HL/NHLBI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - HHSN268201600018C/HL/NHLBI NIH HHS/United States GR - UM1 CA182883/CA/NCI NIH HHS/United States GR - U01 CA247283/CA/NCI NIH HHS/United States GR - HHSN268201600001C/HL/NHLBI NIH HHS/United States GR - RO1CA154823/NH/NIH HHS/United States GR - HHSN268201600003C/HL/NHLBI NIH HHS/United States GR - R01 CA102765/CA/NCI NIH HHS/United States GR - U01 CA182934/CA/NCI NIH HHS/United States GR - UG1 CA189974/CA/NCI NIH HHS/United States GR - HHSN268201600002C/HL/NHLBI NIH HHS/United States GR - P50 CA102701/CA/NCI NIH HHS/United States GR - P30 CA015083/CA/NCI NIH HHS/United States GR - HHSN268201600004C/HL/NHLBI NIH HHS/United States GR - U01CA164973/BC/NCI NIH HHS/United States GR - R01 CA154823/CA/NCI NIH HHS/United States GR - R01 CA049449/CA/NCI NIH HHS/United States GR - U01 CA182913/CA/NCI NIH HHS/United States GR - 001/WHO_/World Health Organization/International GR - R01 CA098380/CA/NCI NIH HHS/United States GR - R03 CA123546/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Am J Clin Nutr JT - The American journal of clinical nutrition JID - 0376027 RN - 0 (Hepcidins) RN - E1UOL152H7 (Iron) SB - IM MH - Adenocarcinoma/*metabolism MH - Aged MH - Case-Control Studies MH - Female MH - Gene Expression Regulation, Neoplastic/*physiology MH - Genotype MH - Hepcidins/genetics/*metabolism MH - Humans MH - Iron/*metabolism MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Pancreatic Neoplasms/*metabolism MH - Polymorphism, Single Nucleotide PMC - PMC8488877 OTO - NOTNLM OT - epidemiology OT - genetic susceptibility OT - hepcidin OT - iron metabolism pathway OT - pancreatic cancer EDAT- 2021/07/15 06:00 MHDA- 2021/10/26 06:00 PMCR- 2022/07/13 CRDT- 2021/07/14 07:14 PHST- 2021/01/14 00:00 [received] PHST- 2021/06/08 00:00 [accepted] PHST- 2021/07/15 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/07/14 07:14 [entrez] PHST- 2022/07/13 00:00 [pmc-release] AID - S0002-9165(22)00469-5 [pii] AID - nqab217 [pii] AID - 10.1093/ajcn/nqab217 [doi] PST - ppublish SO - Am J Clin Nutr. 2021 Oct 4;114(4):1408-1417. doi: 10.1093/ajcn/nqab217.