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Gallbladder Cancer Risk and Indigenous South American Mapuche Ancestry: Instrumental Variable Analysis Using Ancestry-Informative Markers.


ABSTRACT: A strong association between the proportion of indigenous South American Mapuche ancestry and the risk of gallbladder cancer (GBC) has been reported in observational studies. Chileans show the highest incidence of GBC worldwide, and the Mapuche are the largest indigenous people in Chile. We set out to assess the confounding-free effect of the individual proportion of Mapuche ancestry on GBC risk and to investigate the mediating effects of gallstone disease and body mass index (BMI) on this association. Genetic markers of Mapuche ancestry were selected based on the informativeness for assignment measure, and then used as instrumental variables in two-sample Mendelian randomization analyses and complementary sensitivity analyses. Results suggested a putatively causal effect of Mapuche ancestry on GBC risk (inverse variance-weighted (IVW) risk increase of 0.8% per 1% increase in Mapuche ancestry proportion, 95% CI 0.4% to 1.2%, p = 6.7 × 10-5) and also on gallstone disease (3.6% IVW risk increase, 95% CI 3.1% to 4.0%), pointing to a mediating effect of gallstones on the association between Mapuche ancestry and GBC. In contrast, the proportion of Mapuche ancestry showed a negative effect on BMI (IVW estimate -0.006 kg/m2, 95% CI -0.009 to -0.003). The results presented here may have significant implications for GBC prevention and are important for future admixture mapping studies. Given that the association between the individual proportion of Mapuche ancestry and GBC risk previously noted in observational studies appears to be free of confounding, primary and secondary prevention strategies that consider genetic ancestry could be particularly efficient.

SUBMITTER: Zollner L 

PROVIDER: S-EPMC10452561 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Gallbladder Cancer Risk and Indigenous South American Mapuche Ancestry: Instrumental Variable Analysis Using Ancestry-Informative Markers.

Zollner Linda L   Boekstegers Felix F   Barahona Ponce Carol C   Scherer Dominique D   Marcelain Katherine K   Gárate-Calderón Valentina V   Waldenberger Melanie M   Morales Erik E   Rojas Armando A   Munoz César C   Retamales Javier J   De Toro Gonzalo G   Kortmann Allan Vera AV   Barajas Olga O   Rivera María Teresa MT   Cortés Analía A   Loader Denisse D   Saavedra Javiera J   Gutiérrez Lorena L   Ortega Alejandro A   Bertrán Maria Enriqueta ME   Bartolotti Leonardo L   Gabler Fernando F   Campos Mónica M   Alvarado Juan J   Moisán Fabricio F   Spencer Loreto L   Nervi Bruno B   Carvajal Daniel D   Losada Héctor H   Almau Mauricio M   Fernández Plinio P   Olloquequi Jordi J   Carter Alice R AR   Miquel Poblete Juan Francisco JF   Bustos Bernabe Ignacio BI   Fuentes Guajardo Macarena M   Gonzalez-Jose Rolando R   Bortolini Maria Cátira MC   Acuña-Alonzo Victor V   Gallo Carla C   Ruiz Linares Andres A   Rothhammer Francisco F   Lorenzo Bermejo Justo J  

Cancers 20230809 16


A strong association between the proportion of indigenous South American Mapuche ancestry and the risk of gallbladder cancer (GBC) has been reported in observational studies. Chileans show the highest incidence of GBC worldwide, and the Mapuche are the largest indigenous people in Chile. We set out to assess the confounding-free effect of the individual proportion of Mapuche ancestry on GBC risk and to investigate the mediating effects of gallstone disease and body mass index (BMI) on this assoc  ...[more]

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