Inflammation and gut barrier function-related genes and colorectal cancer risk in western European populationsUniversité Paris-Saclay, UVSQ, Inserm ‘Exposome and Heredity’ team, CESP U1018, 94807 Villejuif Cedex, France; Laboratoire de Mathématiques et de leurs Applications de Pau E2S UPPA, CNRS, 64013 Pau Cedex, France.
Université Paris-Saclay, UVSQ, Inserm ‘Exposome and Heredity’ team, CESP U1018, 94807 Villejuif Cedex, France.
Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, 69120 Heidelberg, Germany.
Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, 69120 Heidelberg, Germany.
Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50139 Florence, Italy.
Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milan, Italy.
Dipartimento Di Medicina Clinica E Chirurgia, Federico II University, 80131 Naples, Italy.
Unit of Cancer Epidemiology, AOU Città della Salute e della Scienza University Hospital, 10126 Turin, Italy.
Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology (ICO), L’Hospitalet de Llobregat, 0890x Barcelona, Spain; Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, 0890x Barcelona, Spain.
Escuela Andaluza de Salud Pública (EASP), 18011 Granada, Spain; Instituto de Investigación Biosanitaria ibs. 18011 Granada, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain; Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain; Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, BioGipuzkoa Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, 20014 Donostia – San Sebastian, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain; Department of Epidemiology, Murcia Regional Health Council-IMIB, 30120, El Palmar, Murcia, Spain.
Umeå University, Faculty of Medicine, Department of Medical Biosciences.
International Agency for Research on Cancer, 69366 Lyon Cedex 07, France.
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, SW7 2AZ, UK.
MRC Centre for Environment and Health, School of public Health, Imperial College London, London W2 1PG, UK; Italian Institute for Genomic Medicine (IIGM), 10060 Candiolo TO, Italy.
Cancer Biology and Therapeutics Group, School of Biomolecular and Biomedical Science, UCD Conway Institute, University College Dublin, Dublin 4, Ireland.
Department of Epidemiology, Emory Rollins School of Public Health, Atlanta, GA 30322, USA; Department of Epidemiology, University of Texas M. D. Anderson Cancer Center, 77030 Houston, TX, USA.
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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
National Category
Cancer and Oncology
Identifiers
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 Västerbotten2024-08-222024-08-222025-04-03Bibliographically approved