Genetic susceptibility in pancreatic ductal adenocarcinoma

Author:

Lochan R1,Daly A K2,Reeves H L3,Charnley R M1

Affiliation:

1. Hepato-Pancreato-Biliary Unit, Department of Surgery, Freeman Hospital, Newcastle upon Tyne, UK

2. School of Clinical and Laboratory Sciences, Newcastle upon Tyne, UK

3. Northern Institute of Cancer Research, Newcastle University, Newcastle upon Tyne, UK

Abstract

AbstractBackgroundThe strongest risk factors for pancreatic adenocarcinoma are tobacco smoking and increasing age. However, only a few smokers or elderly individuals develop the disease and genetic factors are also likely to be important.MethodsThe literature on genetic factors modifying susceptibility to cancer was reviewed, with particular regard to the interindividual variation that exists in the development of pancreatic adenocarcinoma.ResultsTobacco-derived carcinogen-metabolizing enzyme gene variants have been the main area of study in stratifying the risk of sporadic pancreatic cancer. Inconsistent results have emerged from the few molecular epidemiological studies performed.ConclusionThere is great scope for further investigation of critical pathways and unidentified genetic influences may be revealed. This may eventually allow the identification of individuals at high risk who might be targeted for screening.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference94 articles.

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2. Nationwide questionnaire survey of the contemporary surgical management of pancreatic cancer in the United Kingdom & Ireland;Goonetilleke;Int J Surg,2007

3. Adenocarcinoma of the pancreas. General characteristics;Andre;Presse Med,1998

4. Value of CT criteria in predicting survival in patients with potentially resectable pancreatic head carcinoma;Phoa;J Surg Oncol,2005

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