Genetic Variability in the MTHFR Gene and Colorectal Cancer Risk Using the Colorectal Cancer Family Registry
Background: The MTHFR C677T TT genotype is associated with a 15% to 18% reduction in colorectal cancer risk, but it is not clear if other variants of the gene are associated with colorectal cancer risk. Methods: We used a tagSNP approach to comprehensively evaluate associations between variation in...
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Published in: | Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2010-01, Vol.19 (1), p.89-100 |
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Main Authors: | , , , , , , , , , , , , , , |
Format: | Article |
Language: | eng |
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Summary: | Background: The MTHFR C677T TT genotype is associated with a 15% to 18% reduction in colorectal cancer risk, but it is not clear if other variants of the
gene are associated with colorectal cancer risk.
Methods: We used a tagSNP approach to comprehensively evaluate associations between variation in the MTHFR gene and colorectal cancer risk using a large family-based case-control study of 1,750 population-based and 245 clinic-based
families from the Colon Cancer Family Registry. We assessed 22 TagSNPs, selected based on pairwise r 2 >95%, using the Haploview Tagger and genotyped the TagSNPs on the Illumina GoldenGate or Sequenom platforms. The association
between single nucleotide polymorphisms and colorectal cancer was assessed using log-additive, codominant, and recessive models.
Results: From studying the population-based families, the C677T (rs1801133) and A1298C (rs1801131) polymorphisms were associated with a decreased colorectal cancer risk overall [odds ratio (OR), 0.81; 95% confidence
interval (95% CI), 0.63-1.04; and OR, 0.82; 95% CI, 0.64-1.07, respectively]. The 677 TT genotype was associated with a decreased risk of microsatellite-stable/microsatellite-low tumors (OR, 0.69; 95% CI, 0.49-0.97)
and an increased risk of microsatellite-high tumors (OR, 2.22; 95% CI, 0.91-5.43; P interaction = 0.01), as well as an increased risk of proximal cancers and a decreased risk of distal and rectal cancers ( P interaction = 0.02). No other single nucleotide polymorphism was associated with risk overall or within subgroups.
Conclusion: The 677 TT and 1298 CC genotypes may each be associated with a decrease in colorectal cancer risk. We observed little evidence of additional genetic
variability in the MTHFR gene relevant to colorectal cancer risk. Cancer Epidemiol Biomarkers Prev; 19(1); 89–100 |
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ISSN: | 1055-9965 1538-7755 |