Abstract

BackgroundColorectal cancer is one of the most common causes of cancer-related mortality. The disease is clinically and genetically heterogeneous though a strong hereditary component has been identified. However, only a small proportion of the inherited susceptibility can be ascribed to dominant syndromes, such as Hereditary Non-Polyposis Colorectal Cancer (HNPCC) or Familial Adenomatous Polyposis (FAP). In an attempt to identify novel colorectal cancer predisposing genes, we have performed a genome-wide linkage analysis in 30 Swedish non-FAP/non-HNPCC families with a strong family history of colorectal cancer.MethodsStatistical analysis was performed using multipoint parametric and nonparametric linkage.ResultsParametric analysis under the assumption of locus homogeneity excluded any common susceptibility regions harbouring a predisposing gene for colorectal cancer. However, several loci on chromosomes 2q, 3q, 6q, and 7q with suggestive linkage were detected in the parametric analysis under the assumption of locus heterogeneity as well as in the nonparametric analysis. Among these loci, the locus on chromosome 3q21.1-q26.2 was the most consistent finding providing positive results in both parametric and nonparametric analyses Heterogeneity LOD score (HLOD) = 1.90, alpha = 0.45, Non-Parametric LOD score (NPL) = 2.1).ConclusionThe strongest evidence of linkage was seen for the region on chromosome 3. Interestingly, the same region has recently been reported as the most significant finding in a genome-wide analysis performed with SNP arrays; thus our results independently support the finding on chromosome 3q.

Highlights

  • Colorectal cancer is one of the most common causes of cancer-related mortality

  • Most of these families do not fulfil the criteria for Familial Adenomatous Polyposis (FAP) or Hereditary Non-Polyposis Colorectal Cancer (HNPCC), but still provide empirical evidence of an increased risk of developing colorectal cancer similar to the one seen in HNPCC families [7,8,9]

  • We extended this study and performed a genome-wide linkage analysis in an additional set of 12 Swedish non-FAP/ non-HNPCC colorectal cancer families followed by a combined analysis of data from both studies

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Summary

Introduction

Colorectal cancer is one of the most common causes of cancer-related mortality. The disease is clinically and genetically heterogeneous though a strong hereditary component has been identified. FAP and HNPCC account for less than 5% of all colorectal cancer cases [46], and for the great majority of families with colorectal cancer no hereditary cause of the disease has been identified. Most of these families do not fulfil the criteria for FAP or HNPCC, but still provide empirical evidence of an increased risk of developing colorectal cancer similar to the one seen in HNPCC families [7,8,9]. A region on chromosome 9q22.2-31.2 was suggested from a sib-pair analysis and has been confirmed in two linkage studies [16,17,18]

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