Volume 57, Issue 12 pp. 630-637
RESEARCH ARTICLE

Colorectal cancer susceptibility loci and influence on survival

Nan Song

Nan Song

Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea

Nan Song and Kyeezu Kim contributed equally to this work and should be considered as co-first authors.Search for more papers by this author
Kyeezu Kim

Kyeezu Kim

Division of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public Health, Chicago, Illinois

Nan Song and Kyeezu Kim contributed equally to this work and should be considered as co-first authors.Search for more papers by this author
Aesun Shin

Corresponding Author

Aesun Shin

Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea

Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea

Molecular Epidemiology Branch, National Cancer Center, Goyang, South Korea

Aesun Shin and Jae Hwan Oh contributed equally to this work and should be considered as co-corresponding authors.

Correspondence

Aesun Shin, Department of Preventive Medicine, College of Medicine, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, South Korea.

Email: [email protected]

and

Jae Hwan Oh, Center for Colorectal Cancer, Hospital, National Cancer Center, 323 Ilsan-ro, Insandong-gu, Goyang, Gyeonggi-do 10408, South Korea.

Email: [email protected]

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Ji Won Park

Ji Won Park

Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea

Center for Colorectal Cancer, National Cancer Center, Goyang, South Korea

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Hee Jin Chang

Hee Jin Chang

Center for Colorectal Cancer, National Cancer Center, Goyang, South Korea

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Jiajun Shi

Jiajun Shi

Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee

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Qiuyin Cai

Qiuyin Cai

Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee

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Dae Yong Kim

Dae Yong Kim

Center for Colorectal Cancer, National Cancer Center, Goyang, South Korea

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Wei Zheng

Wei Zheng

Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee

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Jae Hwan Oh

Corresponding Author

Jae Hwan Oh

Center for Colorectal Cancer, National Cancer Center, Goyang, South Korea

Aesun Shin and Jae Hwan Oh contributed equally to this work and should be considered as co-corresponding authors.

Correspondence

Aesun Shin, Department of Preventive Medicine, College of Medicine, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, South Korea.

Email: [email protected]

and

Jae Hwan Oh, Center for Colorectal Cancer, Hospital, National Cancer Center, 323 Ilsan-ro, Insandong-gu, Goyang, Gyeonggi-do 10408, South Korea.

Email: [email protected]

Search for more papers by this author
First published: 22 October 2018
Citations: 24
Funding information Ministry of Education, Grant/Award Numbers: 2016R1D1A1B04935872, 2010-0010276, 2009-0093820; National Research Foundation of Korea (NRF)

Abstract

Genome-wide association studies (GWAS) have identified multiple single-nucleotide polymorphisms (SNPs) associated with colorectal cancer risk. To evaluate the potential influence of colorectal cancer susceptibility SNPs on disease prognosis, we investigated whether GWAS-identified colorectal cancer risk SNPs and polygenic risk scores (PRSs) might be associated with survival among colorectal cancer patients. A total of 1374 colorectal cancer patients were recruited from the Korean National Cancer Center. For genotyping, 30 colorectal cancer-susceptibility SNPs previously identified by GWAS were selected. The Cox proportional hazard model was used to evaluate associations of these risk SNPs and PRSs with disease-free survival (DFS) and overall survival (OS). The prognostic values were compared between genetic and nongenetic models using Harrell's c index. During the follow-up period (median: 88, 91 months for DFS and OS), 570 DFS (41.5%) and 487 OS (35.4%) events were observed. We found that 5 SNPs were significantly associated with DFS or OS among colorectal cancer patients at P < .05: rs10936599 at 3q26.2 (MYNN), rs704017 at 10q22.3 (ZMIZ1-AS1), rs11196172 at 10q25.2 (TCF7L2), rs3802842 at 11q23.1 (COLCA1-2), and rs9929218 at 16q22.1 (CDH1). The PRSs constructed using these 5 SNPs were associated with worse survival (DFS: Ptrend = .02 unweighted PRS, Ptrend = .01 weighted PRS, OS: Ptrend = 3.7 × 10−3 unweighted, Ptrend = .02 weighted PRS). Our results suggest that several colorectal cancer susceptibility SNPs might also be related to survival by influencing disease progression.

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