TY - JOUR AU - Giaccherini, M AU - Rende, M AU - Gentiluomo, M AU - Corradi, C AU - Archibugi, L AU - Ermini, S AU - Maiello, E AU - Morelli, L AU - van Eijck, C H J AU - Cavestro, G M AU - Schneider, M AU - Mickevicius, A AU - Adamonis, K AU - Basso, D AU - Hlavac, V AU - Gioffreda, D AU - Talar-Wojnarowska, R AU - Schöttker, B AU - Lovecek, M AU - Vanella, G AU - Gazouli, M AU - Uno, M AU - Malecka-Wojciesko, E AU - Vodicka, P AU - Goetz, M AU - Bijlsma, M F AU - Petrone, M C AU - Bazzocchi, F AU - Kiudelis, M AU - Szentesi, Andrea Ildikó AU - Carrara, S AU - Nappo, G AU - Brenner, H AU - Milanetto, A C AU - Soucek, P AU - Katzke, V AU - Peduzzi, G AU - Rizzato, C AU - Pasquali, C AU - Chen, X AU - Capurso, G AU - Hackert, T AU - Bueno-de-Mesquita, B AU - Uzunoglu, F G G AU - Hegyi, Péter AU - Greenhalf, W AU - Theodoropoulos, G E E AU - Sperti, C AU - Perri, F AU - Oliverius, M AU - Mambrini, A AU - Tavano, F AU - Farinella, R AU - Arcidiacono, P G AU - Lucchesi, M AU - Bunduc, Stefania AU - Kupcinskas, J AU - Di Franco, G AU - Stocker, S AU - Neoptolemos, J P AU - Bambi, F AU - Jamroziak, K AU - Testoni, S G G AU - Aoki, M N AU - Mohelnikova-Duchonova, B AU - Izbicki, J R AU - Pezzilli, R AU - Lawlor, R T AU - Kauffmann, E F AU - López de Maturana, E AU - Malats, N AU - Canzian, F AU - Campa, D TI - A pleiotropy scan to discover new susceptibility loci for pancreatic ductal adenocarcinoma JF - MUTAGENESIS J2 - MUTAGENESIS PY - 2024 SN - 0267-8357 DO - 10.1093/mutage/geae012 UR - https://m2.mtmt.hu/api/publication/34797929 ID - 34797929 AB - Pleiotropic variants (i.e., genetic polymorphisms influencing more than one phenotype) are often associated with cancer risk. A scan of pleiotropic variants was successfully conducted ten years ago in relation to pancreatic ductal adenocarcinoma susceptibility. However, in the last decade, genetic association studies performed on several human traits have greatly increased the number of known pleiotropic variants. Based on the hypothesis that variants already associated with a least one trait have a higher probability of association with other traits, 61,052 variants reported to be associated by at least one genome wide association study (GWAS) with at least one human trait were tested in the present study consisting of two phases (discovery and validation), comprising a total of 16,055 pancreatic ductal adenocarcinoma (PDAC) cases and 212,149 controls. The meta-analysis of the two phases showed two loci (10q21.1-rs4948550 (P=6.52×10-5) and 7q36.3-rs288762 (P=3.03×10-5) potentially associated with PDAC risk. 10q21.1-rs4948550 shows a high degree of pleiotropy and it is also associated with colorectal cancer risk while 7q36.3-rs288762 is situated 28,558 base pairs upstream of the Sonic Hedgehog (SHH) gene, which is involved in the cell differentiation process and PDAC etiopathogenesis. In conclusion, none of the single nucleotide polymorphisms (SNPs) showed a formally statistically significant association after correction for multiple testing. However, given their pleiotropic nature and association with various human traits including colorectal cancer, the two SNPs showing the best associations with PDAC risk merit further investigation through fine mapping and ad hoc functional studies. LA - English DB - MTMT ER - TY - JOUR AU - Ünal, Pelin AU - Lu, Ye AU - Bueno-de-Mesquita, Bas AU - van Eijck, Casper H J AU - Talar-Wojnarowska, Renata AU - Szentesi, Andrea Ildikó AU - Gazouli, Maria AU - Kreivenaite, Edita AU - Tavano, Francesca AU - Małecka-Wojciesko, Ewa AU - Erőss, Bálint Mihály AU - Oliverius, Martin AU - Bunduc, Stefania AU - Nóbrega Aoki, Mateus AU - Vodickova, Ludmila AU - Boggi, Ugo AU - Giaccherini, Matteo AU - Kondrackiene, Jurate AU - Chammas, Roger AU - Palmieri, Orazio AU - Theodoropoulos, George E AU - Bijlsma, Maarten F AU - Basso, Daniela AU - Mohelnikova-Duchonova, Beatrice AU - Soucek, Pavel AU - Izbicki, Jakob R AU - Kiudelis, Vytautas AU - Vanella, Giuseppe AU - Arcidiacono, Paolo Giorgio AU - Włodarczyk, Barbara AU - Hackert, Thilo AU - Schöttker, Ben AU - Uzunoglu, Faik G AU - Bambi, Franco AU - Goetz, Mara AU - Hlavac, Viktor AU - Brenner, Hermann AU - Perri, Francesco AU - Carrara, Silvia AU - Landi, Stefano AU - Hegyi, Péter AU - Dijk, Frederike AU - Maiello, Evaristo AU - Capretti, Giovanni AU - Testoni, Sabrina Gloria Giulia AU - Petrone, Maria Chiara AU - Stocker, Hannah AU - Ermini, Stefano AU - Archibugi, Livia AU - Gentiluomo, Manuel AU - Cavestro, Giulia Martina AU - Pezzilli, Raffaele AU - Di Franco, Gregorio AU - Milanetto, Anna Caterina AU - Sperti, Cosimo AU - Neoptolemos, John P AU - Morelli, Luca AU - Vokacova, Klara AU - Pasquali, Claudio AU - Lawlor, Rita T AU - Bazzocchi, Francesca AU - Kupcinskas, Juozas AU - Capurso, Gabriele AU - Campa, Daniele AU - Canzian, Federico TI - Polymorphisms in transcription factor binding sites and enhancer regions and pancreatic ductal adenocarcinoma risk JF - HUMAN GENOMICS J2 - HUM GENOMICS VL - 18 PY - 2024 IS - 1 PG - 12 SN - 1473-9542 DO - 10.1186/s40246-024-00576-x UR - https://m2.mtmt.hu/api/publication/34561485 ID - 34561485 N1 - Genomic Epidemiology Group, German Cancer Research Center, In Neuenheimer Feld 280, Heidelberg, 69120, Germany Department for Determinants of Chronic Diseases, National Institute for Public Health and the Environment, Bilthoven, Netherlands Department of Surgery, Erasmus MC University Medical Center, Rotterdam, Netherlands Department of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary János Szentágothai Research Center, University of Pécs, Pécs, Hungary Laboratory of Biology, Medical School, National and Kapodistrian University of Athens, Athens, Greece Gastroenterology Department and Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania Division of Gastroenterology and Research Laboratory, Fondazione IRCCS “Casa Sollievo della Sofferenza” Hospital, FG, San Giovanni Rotondo, Italy Center for Translational Medicine, Semmelweis University, Budapest, Hungary Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary Department of Surgery, University Hospital Kralovske Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic Carol Davila University of Medicine and Pharmacy, Bucharest, Romania Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, PR, Curitiba, Brazil Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Plzeň, Czech Republic Department of Molecular Biology of Cancer, Institute of Experimental Medicine of the Czech Academy of Sciences, Prague, Czech Republic Institute of Biology and Medical Genetics, Institute of Physiology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy Department of Biology, University of Pisa, Pisa, Italy Department of Radiology and Oncology, Institute of Cancer of São Paulo, São Paulo, Brazil First Propaedeutic University Surgery Clinic, Hippocratio General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece Laboratory for Experimental Oncology and Radiobiology, Center of Experimental Molecular Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, Netherlands Department of Medicine, Laboratory Medicine, University of Padova, Padua, Italy Department of Oncology, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic Department of General Visceral and Thoracic Surgery, University of Hamburg Medical Institutions, Hamburg, Germany PancreatoBiliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, Milan, Italy Digestive and Liver Disease Unit, S. Andrea Hospital, Rome, Italy Department of General, Visceral and Transplant Surgery, Heidelberg University Hospital, Heidelberg, Germany Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany Network Aging Research (NAR), Heidelberg University, Heidelberg, Germany Blood Transfusion Service, Meyer Children’s Hospital, Florence, Italy Division of Preventive Oncology, German Cancer Research Center and National Center for Tumor Diseases, Heidelberg, Germany German Cancer Consortium (DKTK), German Cancer Research Center, Heidelberg, Germany Endoscopic Unit, Department of Gastroenterology, IRCCS Humanitas Research Hospital, Milan, Italy Department of Pathology, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands Department of Oncology, Fondazione IRCCS “Casa Sollievo della Sofferenza” Hospital, FG, San Giovanni Rotondo, Italy Pancreatic Unit, IRCCS Humanitas Research Hospital, Milan, Italy Department of Biomedical Sciences, Humanitas University, Milan, Italy Gastroenterology and Gastrointestinal Endoscopy Unit, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy Department of Gastroenterology, San Carlo Hospital, Potenza, Italy General Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy Department of Surgery, Oncology and Gastroenterology, University of Padova, Padua, Italy Department of Diagnostics and Public Health, ARC-Net Centre for Applied Research on Cancer, University of Verona, Verona, Italy Department of Surgery, Fondazione IRCCS “Casa Sollievo della Sofferenza” Hospital, FG, San Giovanni Rotondo, Italy Export Date: 19 February 2024 Correspondence Address: Canzian, F.; Genomic Epidemiology Group, In Neuenheimer Feld 280, Germany; email: f.canzian@dkfz.de AB - Genome-wide association studies (GWAS) are a powerful tool for detecting variants associated with complex traits and can help risk stratification and prevention strategies against pancreatic ductal adenocarcinoma (PDAC). However, the strict significance threshold commonly used makes it likely that many true risk loci are missed. Functional annotation of GWAS polymorphisms is a proven strategy to identify additional risk loci. We aimed to investigate single-nucleotide polymorphisms (SNP) in regulatory regions [transcription factor binding sites (TFBSs) and enhancers] that could change the expression profile of multiple genes they act upon and thereby modify PDAC risk. We analyzed a total of 12,636 PDAC cases and 43,443 controls from PanScan/PanC4 and the East Asian GWAS (discovery populations), and the PANDoRA consortium (replication population). We identified four associations that reached study-wide statistical significance in the overall meta-analysis: rs2472632(A) (enhancer variant, OR 1.10, 95%CI 1.06,1.13, p = 5.5 × 10-8), rs17358295(G) (enhancer variant, OR 1.16, 95%CI 1.10,1.22, p = 6.1 × 10-7), rs2232079(T) (TFBS variant, OR 0.88, 95%CI 0.83,0.93, p = 6.4 × 10-6) and rs10025845(A) (TFBS variant, OR 1.88, 95%CI 1.50,1.12, p = 1.32 × 10-5). The SNP with the most significant association, rs2472632, is located in an enhancer predicted to target the coiled-coil domain containing 34 oncogene. Our results provide new insights into genetic risk factors for PDAC by a focused analysis of polymorphisms in regulatory regions and demonstrating the usefulness of functional prioritization to identify loci associated with PDAC risk. LA - English DB - MTMT ER - TY - JOUR AU - Nagy, Rita AU - Ocskay, Klementina AU - Sipos, Zoltán AU - Szentesi, Andrea Ildikó AU - Vincze, Áron AU - Czakó, László AU - Izbéki, Ferenc AU - Shirinskaya, Natalia V AU - Poluektov, Vladimir L AU - Zolotov, Alexandr N AU - Zhu, Yin AU - Xia, Liang AU - He, Wenhua AU - Sutton, Robert AU - Szatmary, Peter AU - Mukherjee, Rajarshi AU - Burridge, Isobel Saffron AU - Wauchope, Emma AU - Francisco, Elsa AU - Aparicio, David AU - Pinto, Bruno AU - Gomes, António AU - Nunes, Vitor AU - Tantau, Vasile Marcel AU - Sagau, Emanuela Denisa AU - Tantau, Alina Ioana AU - Suceveanu, Andra Iulia AU - Tocia, Cristina AU - Dumitru, Andrei AU - Pando, Elizabeth AU - Alberti, Piero AU - Cirera, Arturo AU - Molero, Xavier AU - Lee, Hong Sik AU - Jung, Min Kyu AU - Kim, Eui Joo AU - Lee, Sanghyub AU - Rebollo, María Lourdes Ruiz AU - Nistal, Reyes Busta AU - Santervas, Sandra Izquierdo AU - Lesko, Dusan AU - Soltes, Marek AU - Radonak, Jozef AU - Zatorski, Hubert AU - Małecka-Panas, Ewa AU - Fabisiak, Adam AU - Yaroslav, M Susak AU - Mykhailo, V Maksymenko AU - Olekcandr, A Tkachenko AU - Barauskas, Giedrius AU - Simanaitis, Vytautas AU - Ignatavicius, Povilas AU - Jinga, Mariana AU - Balaban, Vasile-Daniel AU - Patoni, Cristina AU - Gong, Liang AU - Song, Kai AU - Li, Yunlong AU - Gonçalves, T Cúrdia AU - Freitas, Marta AU - Macedo, Vítor AU - Vornhuelz, Marlies AU - Klauss, Sarah AU - Beyer, Georg AU - Koksal, Aydin Seref AU - Tozlu, Mukaddes AU - Eminler, Ahmet Tarik AU - Monclús, Nuria Torres AU - Comas, Eva Pijoan AU - Oballe, Juan Armando Rodriguez AU - Nawacki, Łukasz AU - Głuszek, Stanisław AU - Rama-Fernández, Alberto AU - Galego, Marco AU - de la Iglesia, Daniel AU - Aykut, Umut Emre AU - Duman, Deniz Güney AU - Aslan, Rahmi AU - Gherbon, Adriana AU - Deng, Lihui AU - Huang, Wei AU - Xia, Qing AU - Poropat, Goran AU - Radovan, Anja AU - Vranić, Luka AU - Ricci, Claudio AU - Ingaldi, Carlo AU - Casadei, Riccardo AU - Negoi, Ionut AU - Ciubotaru, Cezar AU - Iordache, Florin Mihail AU - Constantinescu, Gabriel AU - Sandru, Vasile AU - Altintas, Engin AU - Balci, Hatice Rizaoglu AU - Constantino, Júlio AU - Aveiro, Débora AU - Pereira, Jorge AU - Gunay, Suleyman AU - Misirlioglu Sucan, Seda AU - Dronov, Oleksiy AU - Kovalska, Inna AU - Bush, Nikhil AU - Rana, Surinder Singh AU - Chooklin, Serge AU - Chuklin, Serhii AU - Saizu, Ionut Adrian AU - Gheorghe, Cristian AU - Göltl, Philipp AU - Hirth, Michael AU - Mateescu, Radu Bogdan AU - Papuc, Geanina AU - Minkov, Georgi Angelov AU - Enchev, Emil Tihomirov AU - Mastrangelo, Laura AU - Jovine, Elio AU - Chen, Weiwei AU - Zhu, Quping AU - Gąsiorowska, Anita AU - Fabisiak, Natalia AU - Bezmarevic, Mihailo AU - Litvin, Andrey AU - Mottes, Martina Cattani AU - Choi, Eun Kwang AU - Bánovčin, Peter AU - Nosáková, Lenka AU - Kovacheva-Slavova, Mila Dimitrova AU - Kchaou, Ali AU - Tlili, Ahmed AU - Marino, Marco V AU - Kusnierz, Katarzyna AU - Mickevicius, Artautas AU - Hollenbach, Marcus AU - Molcan, Pavol AU - Ioannidis, Orestis AU - Tokarev, Mark Valerievich AU - Ince, Ali Tüzün AU - Semenenko, Ivan Albertovich AU - Galeev, Shamil AU - Ramírez-Maldonado, Elena AU - Sallinen, Ville AU - Pencik, Petr AU - Bajor, Judit AU - Sarlós, Patrícia AU - Hágendorn, Roland AU - Gódi, Szilárd AU - Szabó, Imre AU - Czimmer, József AU - Pár, Gabriella AU - Illés, Anita AU - Faluhelyi, Nándor AU - Kanizsai, Péter László AU - Nagy, Tamás AU - Mikó, Alexandra AU - Németh, Balázs AU - Hamvas, József AU - Bod, Barnabás AU - Varga, Márta AU - Török, Imola AU - Novák, János AU - Patai, Árpád AU - Sümegi, János AU - Góg, Csaba AU - Papp, Mária AU - Erőss, Bálint Mihály AU - Váncsa, Szilárd AU - Teutsch, Brigitta AU - Márta, Katalin AU - Hegyi, Péter Jenő AU - Tornai, Tamás AU - Lázár, Balázs AU - Hussein, Tamás AU - Tarján, Dorottya AU - Lipp, Mónika Bernadett AU - Kovács, Beáta AU - Urbán, Orsolya AU - Fürst, Emese Rita AU - Tari, Edina AU - Kocsis, Ibolya AU - Maurovich-Horvat, Pál AU - Tihanyi, Balázs AU - Eperjesi, Orsolya AU - Kormos, Zita AU - Deák, Pál Ákos AU - Párniczky, Andrea AU - Hegyi, Péter TI - Discharge protocol in acute pancreatitis: an international survey and cohort analysis JF - SCIENTIFIC REPORTS J2 - SCI REP VL - 13 PY - 2023 IS - 1 PG - 10 SN - 2045-2322 DO - 10.1038/s41598-023-48480-z UR - https://m2.mtmt.hu/api/publication/34434496 ID - 34434496 AB - There are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members of the International Association of Pancreatology (IAP) to understand the characteristics of international discharge protocols. (2) We investigated the safety and effectiveness of the HPSG-discharge protocol. According to our international survey, 87.5% (49/56) of the centres had no discharge protocol. Patients discharged based on protocols have a significantly shorter median length of hospitalization (LOH) (7 (5;10) days vs. 8 (5;12) days) p < 0.001), and a lower rate of readmission due to recurrent AP episodes (p = 0.005). There was no difference in median discharge CRP level among the international cohorts (p = 0.586). HPSG-protocol resulted in the shortest LOH (6 (5;9) days) and highest median CRP (35.40 (13.78; 68.40) mg/l). Safety was confirmed by the low rate of readmittance (n = 35; 5%). Discharge protocol is necessary in AP. The discharge protocol used in this study is the first clinically proven protocol. Developing and testifying further protocols are needed to better standardize patients' care. LA - English DB - MTMT ER - TY - JOUR AU - Martonosi, Ágnes Rita AU - Németh, Balázs Csaba AU - Párniczky, Andrea AU - Vincze, Áron AU - Szentesi, Andrea Ildikó AU - Erőss, Bálint Mihály AU - Sahin-Tóth, Miklós AU - Hegyi, Péter AU - Hegyi, Eszter TI - CFTR p.F508del Mutation Carrier Status Is Not Associated With Biliary Acute Pancreatitis JF - PANCREAS J2 - PANCREAS VL - 52 PY - 2023 IS - 4 SP - e256 EP - e257 SN - 0885-3177 DO - 10.1097/MPA.0000000000002241 UR - https://m2.mtmt.hu/api/publication/34196830 ID - 34196830 LA - English DB - MTMT ER - TY - JOUR AU - Giaccherini, Matteo AU - Gori, Leonardo AU - Gentiluomo, Manuel AU - Farinella, Riccardo AU - Cervena, Klara AU - Skieceviciene, Jurgita AU - Dijk, Frederike AU - Capurso, Gabriele AU - Vezakis, Antonis AU - Archibugi, Livia AU - Chammas, Roger AU - Hussein, Tamás AU - Tavano, Francesca AU - Hegyi, Péter AU - Lovecek, Martin AU - Izbicki, Jakob AU - Brenner, Hermann AU - Mohelnikova-Duchonova, Beatrice AU - Dell'Anna, Giuseppe AU - Kupcinskas, Juozas AU - Ermini, Stefano AU - Aoki, Mateus Nóbrega AU - Neoptolemos, John P AU - Gazouli, Maria AU - Pasquali, Claudio AU - Pezzilli, Raffaele AU - Talar-Wojnarowska, Renata AU - Oliverius, Martin AU - Al-Saeedi, Mohammed AU - Lucchesi, Maurizio AU - Furbetta, Niccolò AU - Carrara, Silvia AU - van Eijck, Casper H J AU - Maleckas, Almantas AU - Milanetto, Anna Caterina AU - Lawlor, Rita T AU - Schöttker, Ben AU - Boggi, Ugo AU - Morelli, Luca AU - Ginocchi, Laura AU - Ponz de Leon, Ruggero AU - Sperti, Cosimo AU - Zerbi, Alessandro AU - Arcidiacono, Paolo Giorgio AU - Uzunoglu, Faik G AU - Bunduc, Stefania AU - Holleczek, Bernd AU - Gioffreda, Domenica AU - Małecka-Wojciesko, Ewa AU - Kiudelis, Mindaugas AU - Szentesi, Andrea Ildikó AU - van Laarhoven, Hanneke W M AU - Soucek, Pavel AU - Götz, Mara AU - Erőss, Bálint Mihály AU - Cavestro, Giulia Martina AU - Basso, Daniela AU - Perri, Francesco AU - Landi, Stefano AU - Canzian, Federico AU - Campa, Daniele TI - A scan of all coding region variants of the human genome, identifies 13q12.2-rs9579139 and 15q24.1-rs2277598 as novel risk loci for pancreatic ductal adenocarcinoma JF - CARCINOGENESIS J2 - CARCINOGENESIS VL - 44 PY - 2023 IS - 8-9 SP - 642 EP - 649 PG - 8 SN - 0143-3334 DO - 10.1093/carcin/bgad056 UR - https://m2.mtmt.hu/api/publication/34133723 ID - 34133723 N1 - Department of Biology, University of Pisa, Pisa, Italy Department of Molecular Biology of Cancer, Institute of Experimental Medicine, the Czech Academy of Sciences, Prague, Czech Republic First Faculty of Medicine, Institute of Biology and Medical Genetics, Charles University, Prague, Czech Republic Department of Gastroenterology, Institute for Digestive Research, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania Department of Pathology, Cancer Center Amsterdam, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands Digestive and Liver Disease Unit, S. Andrea Hospital, “Sapienza” University of Rome, Rome, Italy Pancreato-Biliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Pancreas Translational and Clinical Research Center, Vita-Salute San Raffaele University, Milan, Italy Department of Surgery, Aretaieio Hospital, Medical School, National and Kapodistrian University of Athens, Athens, 11528, Greece Departamento de Radiologia e Oncologia, Instituto Do Câncer Do Estado de São Paulo (ICESP), Center for Translational Research in Oncology (LIM24), Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil Center for Translational Medicine, Semmelweis University, Budapest, Hungary Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary Division of Gastroenterology and Research Laboratory, Fondazione IRCCS “Casa Sollievo della Sofferenza” Hospital, San Giovanni Rotondo, Foggia, Italy Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Department of Surgery I, University Hospital Olomouc, Olomouc, Czech Republic Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany Division of Preventive Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany Department of Oncology, Institute of Molecular and Translational Medicine, Faculty of Medicine and Dentistry, Palacky University, University Hospital, Olomouc, Czech Republic Pancreatico/Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, Milan, Italy Blood Transfusion Service, Azienda Ospedaliero-Universitaria Meyer, Children’s Hospital, Florence, Italy Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba, Brazil Department of General Surgery, University of Heidelberg, Heidelberg, Germany Department of Basic Medical Sciences, Laboratory of Biology, Medical School, National and Kapodistrian University of Athens, Athens, Greece Department of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padua, Italy Potenza County Medical Association, Potenza, Italy Department of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland Department of Surgery, University Hospital Kralovske Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic Department of Medical Oncology, Oncology of Massa Carrara, Azienda USL Toscana Nord Ovest, Carrara, Italy General Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy Endoscopic Unit, Department of Gastroenterology, IRCCS Humanitas Research, Milan, Italy Department of Surgery, Erasmus MC University Medical Center, Rotterdam, Netherlands Department of Surgery, Institute for Digestive Research, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania ARC-Net Centre for Applied Research on Cancer, Department of Diagnostics and Public Health, University of Verona, Verona, Italy Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy Pancreatic Unit, IRCCS Humanitas Research Hospital, Milan, Italy Department of Biomedical Sciences, Humanitas University, Milan, Italy Carol Davila University of Medicine and Pharmacy, Bucharest, Romania Center for Gastroenterology, Hepatology and Liver Transplant, Fundeni Clinical Institute, Bucharest, Romania Saarland Cancer Registry, Saarbrücken, Germany Department of Medicine, Centre for Translational Medicine, University of Szeged, Szeged, Hungary Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic Gastroenterology and Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy Genomic Epidemiology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany Export Date: 3 January 2024 CODEN: CRNGD Correspondence Address: Campa, D.; Department of Biology, Via Derna 1 (PI), Italy; email: daniele.campa@unipi.it AB - Coding sequence variants comprise a small fraction of the germline genetic variability of the human genome. However, they often cause deleterious change in protein function and are therefore associated with pathogenic phenotypes. To identify novel pancreatic ductal adenocarcinoma (PDAC) risk loci, we carried out a complete scan of all common missense and synonymous SNPs and analysed them in a case control study comprising four different populations, for a total of 14,538 PDAC cases and 190,657 controls. We observed a statistically significant association between 13q12.2-rs9581957-T and PDAC risk (P=2.46x10 -9), that is in linkage disequilibrium (LD) with a deleterious missense variant (rs9579139) of the URAD gene. Recent findings suggest that this gene is active in peroxisomes. Considering that peroxisomes have a key role as molecular scavengers, especially in eliminating reactive oxygen species, a malfunctioning URAD protein might expose the cell to a higher load of potentially DNA damaging molecules and therefore increase PDAC risk. The association was observed in individuals of European and Asian ethnicity. We also observed the association of the missense variant 15q24.1-rs2277598-T, that belongs to BBS4 gene, with increased PDAC risk (P=1.53x10 -6). rs2277598 is associated with body mass index and is in LD with diabetes susceptibility loci. In conclusion, we identified two missense variants associated with the risk of developing PDAC independently from the ethnicity highlighting the importance of conducting reanalysis of GWAS studies in light of functional data. LA - English DB - MTMT ER - TY - JOUR AU - Piccardi, Margherita AU - Gentiluomo, Manuel AU - Bertoncini, Stefania AU - Pezzilli, Raffaele AU - Erőss, Bálint Mihály AU - Bunduc, Stefania AU - Uzunoglu, Faik G AU - Talar-Wojnarowska, Renata AU - Vanagas, Tomas AU - Sperti, Cosimo AU - Oliverius, Martin AU - Aoki, Mateus Nóbrega AU - Ermini, Stefano AU - Hussein, Tamás AU - Boggi, Ugo AU - Jamroziak, Krzysztof AU - Maiello, Evaristo AU - Morelli, Luca AU - Vodickova, Ludmila AU - Di Franco, Gregorio AU - Landi, Stefano AU - Szentesi, Andrea Ildikó AU - Lovecek, Martin AU - Puzzono, Marta AU - Tavano, Francesca AU - van Laarhoven, Hanneke W M AU - Zerbi, Alessandro AU - Mohelnikova-Duchonova, Beatrice AU - Stocker, Hannah AU - Costello, Eithne AU - Capurso, Gabriele AU - Ginocchi, Laura AU - Lawlor, Rita T AU - Vanella, Giuseppe AU - Bazzocchi, Francesca AU - Izbicki, Jakob R AU - Latiano, Anna AU - Bueno-de-Mesquita, Bas AU - Ponz de Leon Pisani, Ruggero AU - Schöttker, Ben AU - Soucek, Pavel AU - Hegyi, Péter AU - Gazouli, Maria AU - Hackert, Thilo AU - Kupcinskas, Juozas AU - Poskiene, Lina AU - Tacelli, Matteo AU - Roth, Susanne AU - Carrara, Silvia AU - Perri, Francesco AU - Hlavac, Viktor AU - Theodoropoulos, George E AU - Busch, Olivier R AU - Mambrini, Andrea AU - van Eijck, Casper H J AU - Arcidiacono, Paolo AU - Scarpa, Aldo AU - Pasquali, Claudio AU - Basso, Daniela AU - Lucchesi, Maurizio AU - Milanetto, Anna Caterina AU - Neoptolemos, John P AU - Cavestro, Giulia Martina AU - Janciauskas, Dainius AU - Chen, Xuechen AU - Chammas, Roger AU - Goetz, Mara AU - Brenner, Hermann AU - Archibugi, Livia AU - Dannemann, Michael AU - Canzian, Federico AU - Tofanelli, Sergio AU - Campa, Daniele TI - Exploring the Neandertal legacy of pancreatic ductal adenocarcinoma risk in Eurasians JF - BIOLOGICAL RESEARCH J2 - BIOL RES VL - 56 PY - 2023 IS - 1 PG - 9 SN - 0716-9760 DO - 10.1186/s40659-023-00457-y UR - https://m2.mtmt.hu/api/publication/34103680 ID - 34103680 N1 - * Megosztott szerzőség AB - The genomes of present-day non-Africans are composed of 1-3% of Neandertal-derived DNA as a consequence of admixture events between Neandertals and anatomically modern humans about 50-60 thousand years ago. Neandertal-introgressed single nucleotide polymorphisms (aSNPs) have been associated with modern human disease-related traits, which are risk factors for pancreatic ductal adenocarcinoma (PDAC), such as obesity, type 2 diabetes, and inflammation. In this study, we aimed at investigating the role of aSNPs in PDAC in three Eurasian populations.The high-coverage Vindija Neandertal genome was used to select aSNPs in non-African populations from 1000 Genomes project phase 3 data. Then, the association between aSNPs and PDAC risk was tested independently in Europeans and East Asians, using existing GWAS data on more than 200 000 individuals. We did not find any significant associations between aSNPs and PDAC in samples of European descent, whereas, in East Asians, we observed that the Chr10p12.1-rs117585753-T allele (MAF = 10%) increased the risk to develop PDAC (OR = 1.35, 95%CI 1.19-1.54, P = 3.59 × 10-6), with a P-value close to a threshold that takes into account multiple testing.Our results show only a minimal contribution of Neandertal SNPs to PDAC risk. LA - English DB - MTMT ER - TY - JOUR AU - Juhász, Márk Félix AU - Tóháti, Rebeka AU - Jászai, Viktória Adrienn AU - Molnár, Regina AU - Borbásné Farkas, Kornélia AU - Czakó, László AU - Vincze, Áron AU - Erőss, Bálint Mihály AU - Szentesi, Andrea Ildikó AU - Izbéki, Ferenc AU - Papp, Mária AU - Hegyi, Péter AU - Párniczky, Andrea ED - Váncsa, Szilárd / Collaborator ED - Márta, Katalin / Collaborator ED - Földi, Mária / Collaborator ED - Nagy, Rita / Collaborator ED - Hegyi, Péter Jenő / Collaborator ED - Ocskay, Klementina / Collaborator ED - Imrei, Marcell / Collaborator ED - Mikó, Alexandra / Collaborator ED - Gódi, Szilárd / Collaborator ED - Bajor, Judit / Collaborator ED - Hágendorn, Roland / Collaborator ED - Sarlós, Patrícia / Collaborator ED - Szabó, Imre / Collaborator ED - Czimmer, József / Collaborator ED - Faluhelyi, Nándor / Collaborator ED - Kanizsai, Péter / Collaborator ED - Nagy, Tamás / Collaborator ED - Gajdán, László / Collaborator ED - Kui, Balázs / Collaborator ED - Illés, Dóra / Collaborator ED - Takács, Tamás / Collaborator ED - Vitális, Zsuzsanna / Collaborator ED - Hamvas, József / Collaborator ED - Varga, Márta / Collaborator ED - Bod, Barnabás / Collaborator ED - Novák, János / Collaborator ED - Maurovich-Horvat, Pál / Collaborator ED - Doros, Attila / Collaborator ED - Deák, Pál Ákos / Collaborator ED - Varga, Csaba / Collaborator ED - Gaál, Szabolcs / Collaborator ED - Zubek, László / Collaborator ED - Gál, János / Collaborator ED - Lázár, Balázs / Collaborator ED - Hussein, Tamás / Collaborator ED - Kovács, Bea / Collaborator ED - Tarján, Dorottya / Collaborator ED - Lipp, Mónika Bernadett / Collaborator ED - Urbán, Orsolya / Collaborator ED - Tornai, Tamás / Collaborator TI - Invalidity of Tokyo guidelines in acute biliary pancreatitis : A multicenter cohort analysis of 944 pancreatitis cases JF - UNITED EUROPEAN GASTROENTEROLOGY JOURNAL J2 - UEG JOURNAL VL - 11 PY - 2023 IS - 8 SP - 767 EP - 774 PG - 8 SN - 2050-6406 DO - 10.1002/ueg2.12402 UR - https://m2.mtmt.hu/api/publication/34072590 ID - 34072590 N1 - * Megosztott szerzőség AB - There is a noteworthy overlap between the clinical picture of biliary acute pancreatitis (AP) and the 2018 Tokyo guidelines currently used for the diagnosis of cholangitis (AC) and cholecystitis (CC). This can lead to significant antibiotic and endoscopic retrograde cholangiopancreatography (ERCP) overuse.We aimed to assess the on-admission prevalence of AC/CC according to the 2018 Tokyo guidelines (TG18) in a cohort of biliary AP patients, and its association with antibiotic use, ERCP and clinically relevant endpoints.We conducted a secondary analysis of the Hungarian Pancreatic Study Group's prospective multicenter registry of 2195 AP cases. We grouped and compared biliary cases (n = 944) based on the on-admission fulfillment of definite AC/CC according to TG18. Aside from antibiotic use, we evaluated mortality, AC/CC/AP severity, ERCP performance and length of hospitalization. We also conducted a literature review discussing each criteria of the TG18 in the context of AP.27.8% of biliary AP cases fulfilled TG18 for both AC and CC, 22.5% for CC only and 20.8% for AC only. Antibiotic use was high (77.4%). About 2/3 of the AC/CC cases were mild, around 10% severe. Mortality was below 1% in mild and moderate AC/CC patients, but considerably higher in severe cases (12.8% and 21.2% in AC and CC). ERCP was performed in 89.3% of AC cases, common bile duct stones were found in 41.1%.Around 70% of biliary AP patients fulfilled the TG18 for AC/CC, associated with a high rate of antibiotic use. Mortality in presumed mild or moderate AC/CC is low. Each of the laboratory and clinical criteria are commonly fulfilled in biliary AP, single imaging findings are also unspecific-AP specific diagnostic criteria are needed, as the prevalence of AC/CC are likely greatly overestimated. Randomized trials testing antibiotic use are also warranted. LA - English DB - MTMT ER - TY - JOUR AU - Berke, Gergő AU - Beer, Sebastian AU - Gede, Noémi AU - Takáts, Amanda AU - Szentesi, Andrea Ildikó AU - Hegyi, Péter AU - Rosendahl, Jonas AU - Sahin-Tóth, Miklós AU - Németh, Balázs AU - Hegyi, Eszter TI - Risk of chronic pancreatitis in carriers of the c.180C>T (p.Gly60=) CTRC variant: Case-control studies and meta-analysis JF - PANCREATOLOGY J2 - PANCREATOLOGY VL - 23 PY - 2023 IS - 5 SP - 481 EP - 490 PG - 10 SN - 1424-3903 DO - 10.1016/j.pan.2023.05.013 UR - https://m2.mtmt.hu/api/publication/34011872 ID - 34011872 N1 - * Megosztott szerzőség LA - English DB - MTMT ER - TY - JOUR AU - Turcsiné Czapári, Dóra AU - Váradi, Alex AU - Borbásné Farkas, Kornélia AU - Nyári, Gergely Róbert AU - Márta, Katalin AU - Váncsa, Szilárd AU - Nagy, Rita AU - Teutsch, Brigitta AU - Bunduc, Stefania AU - Erőss, Bálint Mihály AU - Czakó, László AU - Vincze, Áron AU - Izbéki, Ferenc AU - Papp, Mária AU - Merkely, Béla Péter AU - Szentesi, Andrea Ildikó AU - Hegyi, Péter ED - Péter, Jenő Hegyi / Collaborator ED - Andrea, Párniczky / Collaborator ED - Mária, Földi / Collaborator ED - Klementina, Ocskay / Collaborator ED - Márk, Félix Juhász / Collaborator ED - Imrei, Marcell / Collaborator ED - Szabolcs, Kiss / Collaborator ED - Alexandra, Mikó / Collaborator ED - Szilárd, Gódi / Collaborator ED - Judit, Bajor / Collaborator ED - Roland, Hágendorn / Collaborator ED - Patrícia, Sarlós / Collaborator ED - Imre, Szabó / Collaborator ED - József, Czimmer / Collaborator ED - Nándor, Faluhelyi / Collaborator ED - Péter, Kanizsai / Collaborator ED - Attila, Miseta / Collaborator ED - Tamás, Nagy / Collaborator ED - László, Gajdán / Collaborator ED - Adrienn, Halász / Collaborator ED - Németh, Balázs / Collaborator ED - Kui, Balázs / Collaborator ED - Illés, Dóra / Collaborator ED - Takács, Tamás / Collaborator ED - Tiszlavicz, László / Collaborator ED - Oláh, Orsolya / Collaborator ED - Radics, Bence / Collaborator ED - Vitális, Zsuzsanna / Collaborator ED - József, Hamvas / Collaborator ED - Márta, Varga / Collaborator ED - Barnabás, Bod / Collaborator ED - János, Novák / Collaborator ED - Pál, Maurovich-Horváth / Collaborator ED - Doros, Attila / Collaborator ED - Pál, Ákos Deák / Collaborator ED - Varga, Csaba / Collaborator ED - Szabolcs, Gaál / Collaborator ED - László, Zubek / Collaborator ED - János, Gál / Collaborator ED - Zsolt, Molnár / Collaborator ED - Tamás, Tornai / Collaborator ED - Balázs, Lázár / Collaborator ED - Tamás, Hussein / Collaborator ED - Beáta, Kovács / Collaborator ED - Anna, Németh / Collaborator ED - Tarján, Dorottya / Collaborator ED - Lipp, Mónika Bernadett / Collaborator ED - Orsolya, Urbán / Collaborator ED - Simon, Tóth / Collaborator ED - Dániel, Söti / Collaborator ED - Dávid, Becker / Collaborator TI - Detailed characteristics of post-discharge mortality in acute pancreatitis JF - GASTROENTEROLOGY J2 - GASTROENTEROLOGY VL - 165 PY - 2023 IS - 3 SP - 682 EP - 695 PG - 14 SN - 0016-5085 DO - 10.1053/j.gastro.2023.05.028 UR - https://m2.mtmt.hu/api/publication/33864451 ID - 33864451 N1 - * Megosztott szerzőség AB - The in-hospital survival of patients suffering from acute pancreatitis (AP) is 95-98%. However, there is growing evidence that patients discharged after AP may be at risk of serious morbidity and mortality. Here, we aimed to investigate the risk, causes, and predictors of the most severe consequence of the post-AP period: mortality.2,613, well-characterized patients from twenty-five centers were collected and followed by the Hungarian Pancreatic Study Group between 2012 and 2021. A general and a hospital-based population was used as the control group.After an AP episode patients have an approximately three-fold higher incidence rate of mortality than the general population (0.0404vs.0.0130 person-years). First-year mortality after discharge was almost double than in-hospital mortality (5.5%vs.3.5%), with 3.0% occurring in the first 90-day period. Age, comorbidities, and severity were the most significant independent risk factors for death following AP. Furthermore, multivariate analysis identified creatinine, glucose, and pleural fluid on admission as independent risk factors associated with post-discharge mortality. In the first 90-day period, cardiac failure and AP-related sepsis were among the main causes of death following discharge, while cancer-related cachexia and non-AP-related infection were the key causes in the later phase.Almost as many patients in our cohort die in the first 90-day period after discharge as during their hospital stay. Evaluation of cardiovascular status, follow-up of local complications, and cachexia-preventing oncological care should be an essential part of post-AP patient care. Future study protocols in AP must include at least a 90-day follow-up period after discharge. LA - English DB - MTMT ER - TY - JOUR AU - Campa, Daniele AU - Gentiluomo, Manuel AU - Stein, Angelika AU - Aoki, Mateus Nóbrega AU - Oliverius, Martin AU - Vodičková, Ludmila AU - Jamroziak, Krzysztof AU - Theodoropoulos, George AU - Pasquali, Claudio AU - Greenhalf, William AU - Arcidiacono, Paolo Giorgio AU - Uzunoglu, Faik AU - Pezzilli, Raffaele AU - Luchini, Claudio AU - Puzzono, Marta AU - Loos, Martin AU - Giaccherini, Matteo AU - Katzke, Verena AU - Mambrini, Andrea AU - Kiudeliene, Edita AU - Federico, Kauffmann Emanuele AU - Johansen, Julia AU - Hussein, Tamás AU - Mohelnikova-Duchonova, Beatrice AU - van Eijck, Casper H J AU - Brenner, Hermann AU - Farinella, Riccardo AU - Pérez, Juan Sainz AU - Lovecek, Martin AU - Büchler, Markus W AU - Hlavac, Viktor AU - Izbicki, Jakob R AU - Hackert, Thilo AU - Chammas, Roger AU - Zerbi, Alessandro AU - Lawlor, Rita AU - Felici, Alessio AU - Götz, Mara AU - Capurso, Gabriele AU - Ginocchi, Laura AU - Gazouli, Maria AU - Kupcinskas, Juozas AU - Cavestro, Giulia Martina AU - Vodicka, Pavel AU - Moz, Stefania AU - Neoptolemos, John P AU - Kunovsky, Lumir AU - Bojesen, Stig E AU - Carrara, Silvia AU - Gioffreda, Domenica AU - Morkunas, Egidijus AU - Abian, Olga AU - Bunduc, Stefania AU - Basso, Daniela AU - Boggi, Ugo AU - Wlodarczyk, Barbara AU - Szentesi, Andrea Ildikó AU - Vanella, Giuseppe AU - Chen, Inna AU - Bijlsma, Maarten F AU - Kiudelis, Vytautas AU - Landi, Stefano AU - Schöttker, Ben AU - Corradi, Chiara AU - Giese, Nathalia AU - Kaaks, Rudolf AU - Peduzzi, Giulia AU - Hegyi, Péter AU - Morelli, Luca AU - Furbetta, Niccolò AU - Soucek, Pavel AU - Latiano, Anna AU - Talar-Wojnarowska, Renata AU - Lindgaard, Sidsel C AU - Dijk, Frederike AU - Milanetto, Anna Caterina AU - Tavano, Francesca AU - Cervena, Klara AU - Erőss, Bálint Mihály AU - Testoni, Sabrina G AU - Verhagen-Oldenampsen, Judith H E AU - Małecka-Wojciesko, Ewa AU - Costello, Eithne AU - Salvia, Roberto AU - Maiello, Evaristo AU - Ermini, Stefano AU - Sperti, Cosimo AU - Holleczek, Bernd AU - Perri, Francesco AU - Skieceviciene, Jurgita AU - Archibugi, Livia AU - Lucchesi, Maurizio AU - Rizzato, Cosmeri AU - Canzian, Federico TI - The PANcreatic Disease ReseArch (PANDoRA) consortium : ten years' experience of association studies to understand the genetic architecture of pancreatic cancer JF - CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY J2 - CRIT REV ONCOL HEMAT VL - 186 PY - 2023 PG - 13 SN - 1040-8428 DO - 10.1016/j.critrevonc.2023.104020 UR - https://m2.mtmt.hu/api/publication/33813736 ID - 33813736 N1 - Funding Agency and Grant Number: Associazione Italiana per la Ricerca sul Cancro (AIRC); AZV, The Czech Ministry of Health [23672]; Italian Minister of Health, Ricerca Corrente program; Cancer Research UK [CA21116]; Pancreatic Cancer UK; AMC Foundation; COST (European Cooperation in Science and Technology); Programme EXCELES; [NU21-07-00247]; [C7690/A26881]; [C18616/A25153]; [26201]; [LX22NPO5102] Funding text: The research leading to these results has received funding from Associazione Italiana per la Ricerca sul Cancro (AIRC) under IG 2019-ID. 23672 project-P.I. Campa Daniele and IG 2021 ID - 26201 project P.I. Gabriele Capurso. PV, LV and KC acknowledge the support from the AZV, The Czech Ministry of Health, NU21-07-00247 and from Programme EXCELES, ID Project No. LX22NPO5102. Fondazione IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo (FG) , Italy has received funding by the Italian Minister of Health, Ricerca Corrente program 2022-2024, and by the and by the "5 x 1000?voluntary contribution. Costello, E and Greenhalf, W are supported bygrants from, Cancer Research UK (C7690/A26881, C18616/A25153) and Pancreatic Cancer UK. Sample accrual at the Amsterdam UMC was supported by the AMC Foundation. This article is based upon work from COST Action TRANSPAN, CA21116, supported by COST (European Cooperation in Science and Technology) . AB - Pancreatic cancer has an incidence that almost matches its mortality. Only a small number of risk factors and 33 susceptibility loci have been identified. so Moreover, the relative rarity of pancreatic cancer poses significant hurdles for research aimed at increasing our knowledge of the genetic mechanisms contributing to the disease. Additionally, the inability to adequately power research questions prevents small monocentric studies from being successful. Several consortia have been established to pursue a better understanding of the genetic architecture of pancreatic cancers. The Pancreatic disease research (PANDoRA) consortium is the largest in Europe. PANDoRA is spread across 12 European countries, Brazil and Japan, bringing together 29 basic and clinical research groups. In the last ten years, PANDoRA has contributed to the discovery of 25 susceptibility loci, a feat that will be instrumental in stratifying the population by risk and optimizing preventive strategies. LA - English DB - MTMT ER -