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                  <mods:namePart>Unhjem Wiik, Mariann</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Evans, Tiffany Jane</mods:namePart>
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                  <mods:namePart>Belhadj, Sami</mods:namePart>
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                  <mods:namePart>Bolton, Katherine A.</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Dymerska, Dagmara</mods:namePart>
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                  <mods:namePart>Jagmohan Changur, Shantie</mods:namePart>
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                  <mods:namePart>Capellá, G. (Gabriel)</mods:namePart>
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                  <mods:namePart>Kurzawski, Grzegorz</mods:namePart>
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                  <mods:namePart>Wijnen, Juul T.</mods:namePart>
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                  <mods:namePart>Valle, Laura</mods:namePart>
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                  <mods:namePart>Vasen, Hans</mods:namePart>
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                  <mods:namePart>Lubinski, Jan</mods:namePart>
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                  <mods:namePart>Scott, Rodney J.</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Talseth-Palmer, Bente A.</mods:namePart>
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                  <mods:dateIssued encoding="iso8601">2021-07-05T11:07:07Z2021-07-05T11:07:07Z2021-05-312021-07-02T12:00:36Z</mods:dateIssued>
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               <mods:abstract>Individuals with Lynch syndrome (LS), have an increased risk of developing cancer. Common genetic variants of telomerase reverse transcriptase (TERT) have been associated with a wide range of cancers, including colorectal cancer (CRC) in LS. We combined genotype data from 1881 LS patients, carrying pathogenic variants in MLH1, MSH2 or MSH6, for rs2075786 (G>A, intronic variant), 1207 LS patients for rs2736108 (C>T, upstream variant) and 1201 LS patients for rs7705526 (C>A, intronic variant). The risk of cancer was estimated by heterozygous/homozygous odds ratio (OR) with mixed-effects logistic regression to adjust for gene/gender/country of sample origin considering family identity. The AA genotype of SNP rs2075786 is associated with 85% higher odds at developing cancer compared to GG genotype in MSH2 pathogenic variant carriers (p = 0.0160). Kaplan-Meier analysis also shows an association for rs2075786; the AA allele for MSH2 variant carriers confers risk for earlier diagnosis of LS cancer (log-rank p = 0.0011). We report a polymorphism in TERT to be a possible modifier of disease risk in MSH2 pathogenic variant carriers. The rs2075786 SNP in TERT is associated with a differential risk of developing cancer for MSH2 pathogenic variant carriers. Use of this information has the potential to personalise screening protocols for LS patients.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">cc by (c) Unhjem Wiik, Mariann et al., 2021 http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Cancer</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Malalties hereditàries</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Factors de risc en les malalties</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Càncer</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Genetic diseases</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Risk factors in diseases</mods:topic>
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               <mods:titleInfo>
                  <mods:title>A genetic variant in telomerase reverse transcriptase (TERT) modifies cancer risk in Lynch syndrome patients harbouring pathogenic MSH2 variants</mods:title>
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