Work

Mutational signature landscape of pancreatic cancer genomes from nine countries

Year: 2026
Type: preprint
Study design: Observational Study
Abstract: Approximately half of all pancreatic cancers cannot be explained by known risk factors. Here we present the results of mutational signature analysis in 495 cases of pancreatic cancer from nine countries to explore whether there are previously unknown mutagenic exposures acting on pancreatic cancer genomes. The mutational signature landscape was consistent between countries. We identified one signature not previously found in pancreatic cancer, SBS111, which does not have a confirmed aetiology but is present in >99% of cases and contributes on average 26% of the total mutation burden. No evidence was found for mutational signatures known to be caused by exogenous exposures, nor was any mutational signature capable of explaining differences in incidence rates between countries. These results suggest that the unexplained causes of pancreatic cancer are unlikely to be strongly mutagenic and that non-mutagenic mechanisms may have a prominent role in explaining pancreatic cancer incidence.
Source: medRxiv
Language: English
Subfield: Cancer Research
Open Access status: green
OpenAlex ID: W7223275677
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