Abstract

Colorectal cancer (CRC) is the third most common cancer and has the second highest mortality rate in global cancer. Exploring the associations between chemicals and CRC has great significance in prophylaxis and therapy of tumor diseases. This study aims to explore the relationships between CRC and environmental chemicals on genetic basis by bioinformatics analysis. The genome-wide association study (GWAS) datasets for CRC were obtained from the UK Biobank. The GWAS data for colon cancer (category C18) includes 2,581 individuals and 449,683 controls, while that of rectal cancer (category C20) includes 1,244 individuals and 451,020 controls. In addition, we derived CRC gene expression datasets from the NCBI-GEO (GSE106582). The chemicals related gene sets were acquired from the comparative toxicogenomics database (CTD). Transcriptome-wide association study (TWAS) analysis was applied to CRC GWAS summary data and calculated the expression association testing statistics by FUSION software. We performed chemicals related gene set enrichment analysis (GSEA) by integrating GWAS summary data, mRNA expression profiles of CRC and the CTD chemical-gene interaction networks to identify relationships between chemicals and genes of CRC. We observed several significant correlations between chemicals and CRC. Meanwhile, we also detected 5 common chemicals between colon and rectal cancer, including methylnitronitrosoguanidine, isoniazid, PD 0325901, sulindac sulfide, and importazole. Our study performed TWAS and GSEA analysis, linked prior knowledge to newly generated data and thereby helped identifying chemicals related to tumor genes, which provides new clues for revealing the associations between environmental chemicals and cancer.

Highlights

  • Colorectal cancer (CRC) is the third most common cancer worldwide and has the second highest mortality rate in global cancer (Bray et al, 2018; Ferlay et al, 2019)

  • From the CRC genome-wide association study (GWAS) summary datasets, we identified 175 chemicals that were significantly associated with colon cancer

  • After a comparative analysis of the Transcriptome-wide association study (TWAS) and mRNA expression profile gene set enrichment analysis (GSEA) results, we significantly detected several chemicals associated with the colon cancer and rectal cancer (P < 0.05)

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Summary

Introduction

Colorectal cancer (CRC) is the third most common cancer worldwide and has the second highest mortality rate in global cancer (Bray et al, 2018; Ferlay et al, 2019). Analysis of an Iowa Women’s Health Study cohort suggested that exposure to TTHM in drinking water is associated with increased risk of rectal cancer (Jones et al, 2019). Another case-control study observed that organochlorine and organophosphorus pesticides may induce CRC (Abolhassani et al, 2019). The 5-year overall survival (OS) rate of patients with mCRC is less than 15% (Siegel et al, 2017; Bray et al, 2018), and the median OS of unresectable mCRC patients who received only supportive therapy was only 5 months (Lucas et al, 2011). Recent studies have found that some non-chemotherapeutic chemicals have an inhibitory effect on CRC, such as semisynthetic retinoid, lidocaine, and beta-carotene (Mattingly et al, 2003; Pham et al, 2013; Qu et al, 2018)

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