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Inflammation and gut barrier function-related genes and colorectal cancer risk in western European populations
Department of Epidemiology, Emory Rollins School of Public Health, Atlanta, GA 30322, USA.
Nutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), 69372 Lyon, France.
Nutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), 69372 Lyon, France; Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, SW7 2AZ, UK.
Diet, Cancer and Health, Danish Cancer Society Research Center, 2100 Copenhagen, Denmark, Department of Public Health, University of Copenhagen, 1353 Copenhagen K, Denmark.
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2025 (English)In: Mutagenesis, ISSN 0267-8357, E-ISSN 1464-3804, Vol. 40, no 1, p. 48-60Article in journal (Refereed) Published
Abstract [en]

Gut barrier dysfunction and related inflammation are known to be associated with the development and progression of colorectal cancer (CRC). We investigated associations of 292 single-nucleotide polymorphisms (SNPs) from 27 genes related to endotoxins/lipopolysaccharide (LPS) sensing and tolerance, mucin synthesis, inflammation, and Crohn's disease with colon and rectal cancer risks. Incident CRC cases (N = 1374; colon = 871, rectum = 503) were matched 1:1 to controls nested within the European Prospective Investigation into Cancer and Nutrition cohort. Previously measured serum concentrations of gut barrier function and inflammation biomarkers (flagellin/LPS-specific immunoglobulins and C-reactive protein [CRP]) were available for a sub-set of participants (Ncases = 1001; Ncontrols = 667). Forty-two unique SNPs from 19 different genes were associated with serum biomarkers at Punadjusted <= 0.05 among controls. Among SNPs associated with a gut permeability score, 24 SNPs were in genes related to LPS sensing and mucin synthesis. Nine out of 12 SNPs associated with CRP were in genes related to inflammation or Crohn's disease. TLR4 was associated with colon cancer at the SNP level (nine SNPs, all Punadjusted <= 0.04) and at the gene level (Punadjusted <= 0.01). TLR4 rs10759934 was associated with rectal cancer but not colon cancer. Similarly, IL10 was associated with rectal cancer risk at an SNP and gene level (both Punadjusted <= 0.01), but not colon cancer. Genes and SNPs were selected a priori; therefore, we present unadjusted P-values. However, no association was statistically significant after multiple testing correction. This large and comprehensive study has identified gut barrier function and inflammation-related genes possibly contributing to CRC risk in European populations and is consistent with potential etiological links between host genetic background, gut barrier permeability, microbial endotoxemia, and CRC development.

Place, publisher, year, edition, pages
Oxford University Press, 2025. Vol. 40, no 1, p. 48-60
Keywords [en]
single nucleotide polymorphism, gut barrier, inflammation, colorectal neoplasms, incidence
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Cancer and Oncology
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URN: urn:nbn:se:umu:diva-228709DOI: 10.1093/mutage/geae008ISI: 001205785800001PubMedID: 38441165Scopus ID: 2-s2.0-105000754725OAI: oai:DiVA.org:umu-228709DiVA, id: diva2:1891337
Funder
Swedish Cancer SocietySwedish Research CouncilRegion SkåneRegion VästerbottenAvailable from: 2024-08-22 Created: 2024-08-22 Last updated: 2025-04-03Bibliographically approved

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Palmqvist, RichardLöwenmark, Thyra

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Olsen, AnjaDahm, Christina C.Zhang, JieRothwell, JosephSchulze, Matthias B.Guevara, MarcelaPalmqvist, RichardLöwenmark, ThyraPerez-Cornago, AuroraHeath, Alicia K.
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