Table 4. Germline Sequence Variations in Patients With Non-PDAC Diseases in the Nanjing Cohort.
Case ID | Sex | Age, y | Disease | Gene | Chromosome position | Amino acid change | Nucleotide change | Function | ClinVara | History of other disease | Family history of cancer |
---|---|---|---|---|---|---|---|---|---|---|---|
P1864 | Female | 67 | IPMNb | ATM | chr11:108151896 | Splice | c.3576 + 1G>A | Noncoding | Likely pathogenic | Negative | Negative |
P1056 | Male | 70 | IPMN | RECQL4 | chr8:145738229 | Splice | c.2755 + 1G>A | Noncoding | Pathogenic | Rectal cancer | Father with liver cancer |
P1067 | Male | 48 | IPMN | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2558 | Male | 27 | IPMN | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P0871 | Male | 64 | AP | ATM | chr11:108202643 | p.Phe2558fs | c.7671_7674delGTTT | Frameshift | Pathogenic | Gastric cancer | Negative |
P1313 | Male | 27 | AP | CFTR | chr7:117149143 | p.Arg74Trp | c.220C>T | Missense | Likely pathogenic | Negative | Negative |
P1277 | Male | 37 | AP | CFTR | chr7:117246728 | p.Gly970Asp | c.2909G>A | Missense | Likely pathogenic | Negative | Negative |
P1290 | Female | 42 | AP | MLH1 | chr3:37083822 | p.Ser577 = | c.1731G>A | Synonymous | Pathogenic | Colorectal cancer | Negative |
P0862 | Female | 55 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1122 | Male | 36 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1221 | Female | 29 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1249 | Female | 24 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1265 | Male | 20 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1271 | Male | 51 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1277 | Male | 37 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1280 | Male | 73 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1783 | Male | 34 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2494 | Female | 30 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2509 | Male | 44 | AP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2453 | Male | 49 | CP | BRIP1 | chr17:59937230 | p.Leu43fs | c.128_131delTGTT | Frameshift | Pathogenic | Negative | Negative |
P0811 | Male | 31 | CP | PRSS1 | chr7:142459789 | p.Arg122His | c.365G>A | Missense | Pathogenic | Negative | Negative |
P0802 | Female | 55 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P0808 | Male | 53 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P0810 | Female | 38 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P0814 | Male | 56 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P0815 | Female | 62 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P0829 | Male | 13 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1014 | Female | 27 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1018 | Female | 44 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1021 | Male | 52 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1029 | Male | 37 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1036 | Female | 41 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1045 | Female | 62 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1046 | Female | 15 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1632 | Male | 75 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1806 | Male | 55 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1811 | Female | 52 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P1993 | Male | 39 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2453 | Male | 49 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2512 | Female | 68 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2545 | Female | 75 | CP | PALB2 | chr16:23625413 | Splice | c.3114-1G>A | Noncoding | Likely pathogenic | Negative | Negative |
P0626 | Female | 54 | CP | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
P2445 | Female | 13 | PNET | BRCA1 | chr17:41243677 | p.Lys1290fs | c.3869_3870delAA | Frameshift | Pathogenic | Negative | Negative |
P1124 | Male | 45 | PNET | CFTR | chr7:117246728 | p.Gly970Asp | c.2909G>A | Missense | Likely pathogenic | Negative | Negative |
P1862 | Female | 35 | SCN | BRCA2 | chr13:32913456 | p.Tyr1655Ter | c.4965delC | Nonsense | Pathogenic | Negative | Negative |
P2592 | Male | 53 | SCN | CFTR | chr7:117175301 | Splice | c.580-1G>T | Noncoding | Pathogenic | Negative | Negative |
P0980 | Female | 36 | SPT | ATM | chr11:108121593 | p.Lys468fs | c.1402_1403delAA | Frameshift | Pathogenic | Negative | Negative |
P1924 | Male | 22 | SPT | PALB2 | chr16:23634452 | Splice | c.2835-1G>C | Noncoding | Likely pathogenic | Negative | Negative |
P1119 | Female | 39 | SPT | SPINK1 | chr5:147207583 | Splice | c.194 + 2T>C | Noncoding | Pathogenic | Negative | Negative |
Abbreviations: AP, acute pancreatitis; CP, chronic pancreatitis; IPMN, intraductal papillary mucinous neoplasm; PDAC, pancreatic ductal adenocarcinomas; PNET, pancreatic neuroendocrine tumor; SCN, serous cystic neoplasm; SPT, solid pseudopapillary tumor.
Pathogenic classification according to the ClinVar database.15
This patient was diagnosed with IPMN, underwent resection, and developed an invasive cancer during surveillance.