Abstract

Venous thrombosis has been described as a common complication for cancer patients. The association between clotting factor gene polymorphisms and the risk of colorectal cancer has been evidenced. The aim of the present study was to investigate the association of G20210A factor II prothrombin (FII) and factor V Leiden ( FVL) G1691A with the risk of colorectal cancer(CRC). Genotyping of FVL and G20210A FII was performed using the polymerase chain reaction restriction fragment length polymorphism method on a sample of 76 patients with CRC as well as 182 controls. No significant difference in FVL gene variations was observed between cases and controls. However, with regard to the G20210A FII, the homozygous mutated genotype AA was associated with an increased risk of CRC. A significant association between the G20210A FII mutation and the risk of CRC was identified using recessive (OR=57.63, 95% CI: 3.33-997.26, P=0.0053), dominant (OR=27.87, 95% CI: 12.67 -61.28, P<0, 0001) and additive (OR=21.24, 95% CI: 10.45-43.16, P<0, 0001) models. No statistical difference was observed in parameters such as sex, age and positive family history for cancer. Our results did not support an effect of FVL gene on CRC risk and suggested that the G20210A FII prothrombin gene variant may be a risk factor for CRC in Moroccan population.

Highlights

  • Venous thrombosis has been described as a commonReceived: 14 June 2017 Final Accepted: 16 July 2017 Published: August 2017 complication for cancer patients

  • G20210A factor II prothrombin (FII) mutations:The distribution of the G20210A FII mutation was within the Hardy-Weinberg Equilibrium (HWE) in the cases and controls

  • Statistical analysis revealed that the GA and the AA-mutated homozygous type of G20210A FII was significantly associated with an increased risk of colorectal cancer (CRC) (OR = 21.9 95%confidence intervals (CI)=9.84-48.92, P

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Summary

Introduction

Venous thrombosis has been described as a commonReceived: 14 June 2017 Final Accepted: 16 July 2017 Published: August 2017 complication for cancer patients. The association between clotting factor gene polymorphisms and the risk of colorectal cancer has been evidenced. ( FVL) G1691A with the risk of colorectal cancer(CRC).Methods and results. Genotyping of FVL and G20210A FII was performed using the polymerase chain reaction restriction fragment length polymorphism method on a sample of 76 patients with CRC as well as 182 controls. No significant difference in FVL gene variations was observed between cases and controls. With regard to the G20210A FII , the homozygous mutated genotype AA was associated with an increased risk of CRC. A significant association between the G20210A FII mutation and the risk of CRC was identified using recessive (OR=57.63, 95% CI: 3.33-997.26, P=0.0053), dominant (OR=27.87, 95% CI: 12.67 -61.28, P

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