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Genome-Wide Diet-Gene Interaction Analyses for Risk of Colorectal Cancer

Identifieur interne : 001215 ( Pmc/Checkpoint ); précédent : 001214; suivant : 001216

Genome-Wide Diet-Gene Interaction Analyses for Risk of Colorectal Cancer

Auteurs : Jane C. Figueiredo [États-Unis] ; Li Hsu [États-Unis] ; Carolyn M. Hutter [États-Unis] ; Yi Lin [États-Unis] ; Peter T. Campbell [États-Unis] ; John A. Baron [États-Unis] ; Sonja I. Berndt [États-Unis] ; Shuo Jiao [États-Unis] ; Graham Casey [États-Unis] ; Barbara Fortini [États-Unis] ; Andrew T. Chan [États-Unis] ; Michelle Cotterchio [Canada] ; Mathieu Lemire [Canada] ; Steven Gallinger [Canada] ; Tabitha A. Harrison [États-Unis] ; Loic Le Marchand [États-Unis] ; Polly A. Newcomb [États-Unis] ; Martha L. Slattery [États-Unis] ; Bette J. Caan [États-Unis] ; Christopher S. Carlson [États-Unis] ; Brent W. Zanke [Canada] ; Stephanie A. Rosse [États-Unis] ; Hermann Brenner [Allemagne] ; Edward L. Giovannucci [États-Unis] ; Kana Wu [États-Unis] ; Jenny Chang-Claude [Allemagne] ; Stephen J. Chanock [États-Unis] ; Keith R. Curtis [États-Unis] ; David Duggan [États-Unis] ; Jian Gong [États-Unis] ; Robert W. Haile [États-Unis] ; Richard B. Hayes [États-Unis] ; Michael Hoffmeister [Allemagne] ; John L. Hopper [Australie] ; Mark A. Jenkins [Australie] ; Laurence N. Kolonel [États-Unis] ; Conghui Qu [États-Unis] ; Anja Rudolph [Allemagne] ; Robert E. Schoen [États-Unis] ; Fredrick R. Schumacher [États-Unis] ; Daniela Seminara [États-Unis] ; Deanna L. Stelling [États-Unis] ; Stephen N. Thibodeau [États-Unis] ; Mark Thornquist [États-Unis] ; Greg S. Warnick [États-Unis] ; Brian E. Henderson [États-Unis] ; Cornelia M. Ulrich [États-Unis, Allemagne] ; W. James Gauderman [États-Unis] ; John D. Potter [États-Unis, Nouvelle-Zélande] ; Emily White [États-Unis] ; Ulrike Peters [États-Unis]

Source :

RBID : PMC:3990510

Abstract

Dietary factors, including meat, fruits, vegetables and fiber, are associated with colorectal cancer; however, there is limited information as to whether these dietary factors interact with genetic variants to modify risk of colorectal cancer. We tested interactions between these dietary factors and approximately 2.7 million genetic variants for colorectal cancer risk among 9,287 cases and 9,117 controls from ten studies. We used logistic regression to investigate multiplicative gene-diet interactions, as well as our recently developed Cocktail method that involves a screening step based on marginal associations and gene-diet correlations and a testing step for multiplicative interactions, while correcting for multiple testing using weighted hypothesis testing. Per quartile increment in the intake of red and processed meat were associated with statistically significant increased risks of colorectal cancer and vegetable, fruit and fiber intake with lower risks. From the case-control analysis, we detected a significant interaction between rs4143094 (10p14/near GATA3) and processed meat consumption (OR = 1.17; p = 8.7E-09), which was consistently observed across studies (p heterogeneity = 0.78). The risk of colorectal cancer associated with processed meat was increased among individuals with the rs4143094-TG and -TT genotypes (OR = 1.20 and OR = 1.39, respectively) and null among those with the GG genotype (OR = 1.03). Our results identify a novel gene-diet interaction with processed meat for colorectal cancer, highlighting that diet may modify the effect of genetic variants on disease risk, which may have important implications for prevention.


Url:
DOI: 10.1371/journal.pgen.1004228
PubMed: 24743840
PubMed Central: 3990510


Affiliations:


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PMC:3990510

Le document en format XML

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<wicri:regionArea>Division of Hematology, Faculty of Medicine, The University of Ottawa, Ottawa, Ontario</wicri:regionArea>
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<wicri:regionArea>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg</wicri:regionArea>
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<wicri:regionArea>Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts</wicri:regionArea>
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<name sortKey="Chang Claude, Jenny" sort="Chang Claude, Jenny" uniqKey="Chang Claude J" first="Jenny" last="Chang-Claude">Jenny Chang-Claude</name>
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<name sortKey="Duggan, David" sort="Duggan, David" uniqKey="Duggan D" first="David" last="Duggan">David Duggan</name>
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<addr-line>Translational Genomics Research Institute, Phoenix, Arizona, United States of America</addr-line>
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<name sortKey="Gong, Jian" sort="Gong, Jian" uniqKey="Gong J" first="Jian" last="Gong">Jian Gong</name>
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<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
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<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<name sortKey="Haile, Robert W" sort="Haile, Robert W" uniqKey="Haile R" first="Robert W." last="Haile">Robert W. Haile</name>
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<addr-line>Stanford Cancer Institute, Palo Alto, California, United States of America</addr-line>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Stanford Cancer Institute, Palo Alto, California</wicri:regionArea>
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<region type="state">Californie</region>
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<name sortKey="Hayes, Richard B" sort="Hayes, Richard B" uniqKey="Hayes R" first="Richard B." last="Hayes">Richard B. Hayes</name>
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<nlm:aff id="aff22">
<addr-line>Division of Epidemiology, New York University School of Medicine, New York, New York, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Epidemiology, New York University School of Medicine, New York, New York</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
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<name sortKey="Hoffmeister, Michael" sort="Hoffmeister, Michael" uniqKey="Hoffmeister M" first="Michael" last="Hoffmeister">Michael Hoffmeister</name>
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<nlm:aff id="aff16">
<addr-line>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
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<name sortKey="Hopper, John L" sort="Hopper, John L" uniqKey="Hopper J" first="John L." last="Hopper">John L. Hopper</name>
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<nlm:aff id="aff23">
<addr-line>Melbourne School of Population Health, The University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
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<settlement type="city">Melbourne</settlement>
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</placeName>
</affiliation>
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<affiliation wicri:level="3">
<nlm:aff id="aff23">
<addr-line>Melbourne School of Population Health, The University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne School of Population Health, The University of Melbourne, Melbourne</wicri:regionArea>
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<settlement type="city">Melbourne</settlement>
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</affiliation>
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<author>
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<affiliation wicri:level="2">
<nlm:aff id="aff12">
<addr-line>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii</wicri:regionArea>
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<region type="state">Hawaï</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Qu, Conghui" sort="Qu, Conghui" uniqKey="Qu C" first="Conghui" last="Qu">Conghui Qu</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rudolph, Anja" sort="Rudolph, Anja" uniqKey="Rudolph A" first="Anja" last="Rudolph">Anja Rudolph</name>
<affiliation wicri:level="3">
<nlm:aff id="aff19">
<addr-line>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Schoen, Robert E" sort="Schoen, Robert E" uniqKey="Schoen R" first="Robert E." last="Schoen">Robert E. Schoen</name>
<affiliation wicri:level="2">
<nlm:aff id="aff24">
<addr-line>Department of Medicine and Epidemiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine and Epidemiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania</wicri:regionArea>
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<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author>
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<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
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<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
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</author>
<author>
<name sortKey="Seminara, Daniela" sort="Seminara, Daniela" uniqKey="Seminara D" first="Daniela" last="Seminara">Daniela Seminara</name>
<affiliation wicri:level="2">
<nlm:aff id="aff3">
<addr-line>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland</wicri:regionArea>
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<region type="state">Maryland</region>
</placeName>
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<author>
<name sortKey="Stelling, Deanna L" sort="Stelling, Deanna L" uniqKey="Stelling D" first="Deanna L." last="Stelling">Deanna L. Stelling</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
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<author>
<name sortKey="Thibodeau, Stephen N" sort="Thibodeau, Stephen N" uniqKey="Thibodeau S" first="Stephen N." last="Thibodeau">Stephen N. Thibodeau</name>
<affiliation wicri:level="2">
<nlm:aff id="aff25">
<addr-line>Departments of Laboratory Medicine and Pathology and Laboratory Genetics, Mayo Clinic, Rochester, Minnesota, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Minnesota</region>
</placeName>
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<author>
<name sortKey="Thornquist, Mark" sort="Thornquist, Mark" uniqKey="Thornquist M" first="Mark" last="Thornquist">Mark Thornquist</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
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<author>
<name sortKey="Warnick, Greg S" sort="Warnick, Greg S" uniqKey="Warnick G" first="Greg S." last="Warnick">Greg S. Warnick</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
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<author>
<name sortKey="Henderson, Brian E" sort="Henderson, Brian E" uniqKey="Henderson B" first="Brian E." last="Henderson">Brian E. Henderson</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
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<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
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<name sortKey="Ulrich, Cornelia M" sort="Ulrich, Cornelia M" uniqKey="Ulrich C" first="Cornelia M." last="Ulrich">Cornelia M. Ulrich</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="aff26">
<addr-line>Division of Preventive Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Preventive Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gauderman, W James" sort="Gauderman, W James" uniqKey="Gauderman W" first="W. James" last="Gauderman">W. James Gauderman</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
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<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Potter, John D" sort="Potter, John D" uniqKey="Potter J" first="John D." last="Potter">John D. Potter</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
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<affiliation wicri:level="1">
<nlm:aff id="aff27">
<addr-line>Centre for Public Health Research, Massey University, Wellington, New Zealand</addr-line>
</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Centre for Public Health Research, Massey University, Wellington</wicri:regionArea>
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</affiliation>
</author>
<author>
<name sortKey="White, Emily" sort="White, Emily" uniqKey="White E" first="Emily" last="White">Emily White</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
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<name sortKey="Peters, Ulrike" sort="Peters, Ulrike" uniqKey="Peters U" first="Ulrike" last="Peters">Ulrike Peters</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
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<title xml:lang="en" level="a" type="main">Genome-Wide Diet-Gene Interaction Analyses for Risk of Colorectal Cancer</title>
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<name sortKey="Figueiredo, Jane C" sort="Figueiredo, Jane C" uniqKey="Figueiredo J" first="Jane C." last="Figueiredo">Jane C. Figueiredo</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
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<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Hsu, Li" sort="Hsu, Li" uniqKey="Hsu L" first="Li" last="Hsu">Li Hsu</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hutter, Carolyn M" sort="Hutter, Carolyn M" uniqKey="Hutter C" first="Carolyn M." last="Hutter">Carolyn M. Hutter</name>
<affiliation wicri:level="2">
<nlm:aff id="aff3">
<addr-line>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland</wicri:regionArea>
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<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lin, Yi" sort="Lin, Yi" uniqKey="Lin Y" first="Yi" last="Lin">Yi Lin</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
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<region type="state">Washington (État)</region>
</placeName>
</affiliation>
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<name sortKey="Campbell, Peter T" sort="Campbell, Peter T" uniqKey="Campbell P" first="Peter T." last="Campbell">Peter T. Campbell</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">
<addr-line>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia</wicri:regionArea>
<placeName>
<region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Baron, John A" sort="Baron, John A" uniqKey="Baron J" first="John A." last="Baron">John A. Baron</name>
<affiliation wicri:level="2">
<nlm:aff id="aff5">
<addr-line>Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina</wicri:regionArea>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Berndt, Sonja I" sort="Berndt, Sonja I" uniqKey="Berndt S" first="Sonja I." last="Berndt">Sonja I. Berndt</name>
<affiliation wicri:level="2">
<nlm:aff id="aff6">
<addr-line>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Jiao, Shuo" sort="Jiao, Shuo" uniqKey="Jiao S" first="Shuo" last="Jiao">Shuo Jiao</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Casey, Graham" sort="Casey, Graham" uniqKey="Casey G" first="Graham" last="Casey">Graham Casey</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Fortini, Barbara" sort="Fortini, Barbara" uniqKey="Fortini B" first="Barbara" last="Fortini">Barbara Fortini</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
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<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
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<author>
<name sortKey="Chan, Andrew T" sort="Chan, Andrew T" uniqKey="Chan A" first="Andrew T." last="Chan">Andrew T. Chan</name>
<affiliation wicri:level="2">
<nlm:aff id="aff7">
<addr-line>Division of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
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</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff8">
<addr-line>Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Cotterchio, Michelle" sort="Cotterchio, Michelle" uniqKey="Cotterchio M" first="Michelle" last="Cotterchio">Michelle Cotterchio</name>
<affiliation wicri:level="1">
<nlm:aff id="aff9">
<addr-line>Cancer Care Ontario, Toronto, Ontario, Canada</addr-line>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Cancer Care Ontario, Toronto, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lemire, Mathieu" sort="Lemire, Mathieu" uniqKey="Lemire M" first="Mathieu" last="Lemire">Mathieu Lemire</name>
<affiliation wicri:level="1">
<nlm:aff id="aff10">
<addr-line>Ontario Institute for Cancer Research, Toronto, Ontario, Canada</addr-line>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Ontario Institute for Cancer Research, Toronto, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gallinger, Steven" sort="Gallinger, Steven" uniqKey="Gallinger S" first="Steven" last="Gallinger">Steven Gallinger</name>
<affiliation wicri:level="1">
<nlm:aff id="aff11">
<addr-line>Department of Surgery, University Health Network Toronto General Hospital, Toronto, Ontario, Canada</addr-line>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Surgery, University Health Network Toronto General Hospital, Toronto, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Harrison, Tabitha A" sort="Harrison, Tabitha A" uniqKey="Harrison T" first="Tabitha A." last="Harrison">Tabitha A. Harrison</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Le Marchand, Loic" sort="Le Marchand, Loic" uniqKey="Le Marchand L" first="Loic" last="Le Marchand">Loic Le Marchand</name>
<affiliation wicri:level="2">
<nlm:aff id="aff12">
<addr-line>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii</wicri:regionArea>
<placeName>
<region type="state">Hawaï</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Newcomb, Polly A" sort="Newcomb, Polly A" uniqKey="Newcomb P" first="Polly A." last="Newcomb">Polly A. Newcomb</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Slattery, Martha L" sort="Slattery, Martha L" uniqKey="Slattery M" first="Martha L." last="Slattery">Martha L. Slattery</name>
<affiliation wicri:level="2">
<nlm:aff id="aff13">
<addr-line>Department of Internal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Internal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah</wicri:regionArea>
<placeName>
<region type="state">Utah</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Caan, Bette J" sort="Caan, Bette J" uniqKey="Caan B" first="Bette J." last="Caan">Bette J. Caan</name>
<affiliation wicri:level="2">
<nlm:aff id="aff14">
<addr-line>Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Research, Kaiser Permanente Medical Care Program, Oakland, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Carlson, Christopher S" sort="Carlson, Christopher S" uniqKey="Carlson C" first="Christopher S." last="Carlson">Christopher S. Carlson</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Zanke, Brent W" sort="Zanke, Brent W" uniqKey="Zanke B" first="Brent W." last="Zanke">Brent W. Zanke</name>
<affiliation wicri:level="1">
<nlm:aff id="aff15">
<addr-line>Division of Hematology, Faculty of Medicine, The University of Ottawa, Ottawa, Ontario, Canada</addr-line>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Division of Hematology, Faculty of Medicine, The University of Ottawa, Ottawa, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Rosse, Stephanie A" sort="Rosse, Stephanie A" uniqKey="Rosse S" first="Stephanie A." last="Rosse">Stephanie A. Rosse</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Brenner, Hermann" sort="Brenner, Hermann" uniqKey="Brenner H" first="Hermann" last="Brenner">Hermann Brenner</name>
<affiliation wicri:level="3">
<nlm:aff id="aff16">
<addr-line>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Giovannucci, Edward L" sort="Giovannucci, Edward L" uniqKey="Giovannucci E" first="Edward L." last="Giovannucci">Edward L. Giovannucci</name>
<affiliation wicri:level="2">
<nlm:aff id="aff17">
<addr-line>Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Wu, Kana" sort="Wu, Kana" uniqKey="Wu K" first="Kana" last="Wu">Kana Wu</name>
<affiliation wicri:level="2">
<nlm:aff id="aff18">
<addr-line>Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts</wicri:regionArea>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Chang Claude, Jenny" sort="Chang Claude, Jenny" uniqKey="Chang Claude J" first="Jenny" last="Chang-Claude">Jenny Chang-Claude</name>
<affiliation wicri:level="3">
<nlm:aff id="aff19">
<addr-line>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Chanock, Stephen J" sort="Chanock, Stephen J" uniqKey="Chanock S" first="Stephen J." last="Chanock">Stephen J. Chanock</name>
<affiliation wicri:level="2">
<nlm:aff id="aff6">
<addr-line>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Curtis, Keith R" sort="Curtis, Keith R" uniqKey="Curtis K" first="Keith R." last="Curtis">Keith R. Curtis</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Duggan, David" sort="Duggan, David" uniqKey="Duggan D" first="David" last="Duggan">David Duggan</name>
<affiliation wicri:level="2">
<nlm:aff id="aff20">
<addr-line>Translational Genomics Research Institute, Phoenix, Arizona, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Translational Genomics Research Institute, Phoenix, Arizona</wicri:regionArea>
<placeName>
<region type="state">Arizona</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gong, Jian" sort="Gong, Jian" uniqKey="Gong J" first="Jian" last="Gong">Jian Gong</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Haile, Robert W" sort="Haile, Robert W" uniqKey="Haile R" first="Robert W." last="Haile">Robert W. Haile</name>
<affiliation wicri:level="2">
<nlm:aff id="aff21">
<addr-line>Stanford Cancer Institute, Palo Alto, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Stanford Cancer Institute, Palo Alto, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hayes, Richard B" sort="Hayes, Richard B" uniqKey="Hayes R" first="Richard B." last="Hayes">Richard B. Hayes</name>
<affiliation wicri:level="2">
<nlm:aff id="aff22">
<addr-line>Division of Epidemiology, New York University School of Medicine, New York, New York, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Epidemiology, New York University School of Medicine, New York, New York</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hoffmeister, Michael" sort="Hoffmeister, Michael" uniqKey="Hoffmeister M" first="Michael" last="Hoffmeister">Michael Hoffmeister</name>
<affiliation wicri:level="3">
<nlm:aff id="aff16">
<addr-line>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hopper, John L" sort="Hopper, John L" uniqKey="Hopper J" first="John L." last="Hopper">John L. Hopper</name>
<affiliation wicri:level="3">
<nlm:aff id="aff23">
<addr-line>Melbourne School of Population Health, The University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne School of Population Health, The University of Melbourne, Melbourne</wicri:regionArea>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Jenkins, Mark A" sort="Jenkins, Mark A" uniqKey="Jenkins M" first="Mark A." last="Jenkins">Mark A. Jenkins</name>
<affiliation wicri:level="3">
<nlm:aff id="aff23">
<addr-line>Melbourne School of Population Health, The University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne School of Population Health, The University of Melbourne, Melbourne</wicri:regionArea>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kolonel, Laurence N" sort="Kolonel, Laurence N" uniqKey="Kolonel L" first="Laurence N." last="Kolonel">Laurence N. Kolonel</name>
<affiliation wicri:level="2">
<nlm:aff id="aff12">
<addr-line>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii</wicri:regionArea>
<placeName>
<region type="state">Hawaï</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Qu, Conghui" sort="Qu, Conghui" uniqKey="Qu C" first="Conghui" last="Qu">Conghui Qu</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rudolph, Anja" sort="Rudolph, Anja" uniqKey="Rudolph A" first="Anja" last="Rudolph">Anja Rudolph</name>
<affiliation wicri:level="3">
<nlm:aff id="aff19">
<addr-line>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Schoen, Robert E" sort="Schoen, Robert E" uniqKey="Schoen R" first="Robert E." last="Schoen">Robert E. Schoen</name>
<affiliation wicri:level="2">
<nlm:aff id="aff24">
<addr-line>Department of Medicine and Epidemiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine and Epidemiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania</wicri:regionArea>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Schumacher, Fredrick R" sort="Schumacher, Fredrick R" uniqKey="Schumacher F" first="Fredrick R." last="Schumacher">Fredrick R. Schumacher</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Seminara, Daniela" sort="Seminara, Daniela" uniqKey="Seminara D" first="Daniela" last="Seminara">Daniela Seminara</name>
<affiliation wicri:level="2">
<nlm:aff id="aff3">
<addr-line>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Stelling, Deanna L" sort="Stelling, Deanna L" uniqKey="Stelling D" first="Deanna L." last="Stelling">Deanna L. Stelling</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Thibodeau, Stephen N" sort="Thibodeau, Stephen N" uniqKey="Thibodeau S" first="Stephen N." last="Thibodeau">Stephen N. Thibodeau</name>
<affiliation wicri:level="2">
<nlm:aff id="aff25">
<addr-line>Departments of Laboratory Medicine and Pathology and Laboratory Genetics, Mayo Clinic, Rochester, Minnesota, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Departments of Laboratory Medicine and Pathology and Laboratory Genetics, Mayo Clinic, Rochester, Minnesota</wicri:regionArea>
<placeName>
<region type="state">Minnesota</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Thornquist, Mark" sort="Thornquist, Mark" uniqKey="Thornquist M" first="Mark" last="Thornquist">Mark Thornquist</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Warnick, Greg S" sort="Warnick, Greg S" uniqKey="Warnick G" first="Greg S." last="Warnick">Greg S. Warnick</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Henderson, Brian E" sort="Henderson, Brian E" uniqKey="Henderson B" first="Brian E." last="Henderson">Brian E. Henderson</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Ulrich, Cornelia M" sort="Ulrich, Cornelia M" uniqKey="Ulrich C" first="Cornelia M." last="Ulrich">Cornelia M. Ulrich</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="aff26">
<addr-line>Division of Preventive Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Preventive Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gauderman, W James" sort="Gauderman, W James" uniqKey="Gauderman W" first="W. James" last="Gauderman">W. James Gauderman</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Keck School of Medicine, University of Southern California, Los Angeles, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Potter, John D" sort="Potter, John D" uniqKey="Potter J" first="John D." last="Potter">John D. Potter</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff27">
<addr-line>Centre for Public Health Research, Massey University, Wellington, New Zealand</addr-line>
</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Centre for Public Health Research, Massey University, Wellington</wicri:regionArea>
<wicri:noRegion>Wellington</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="White, Emily" sort="White, Emily" uniqKey="White E" first="Emily" last="White">Emily White</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Peters, Ulrike" sort="Peters, Ulrike" uniqKey="Peters U" first="Ulrike" last="Peters">Ulrike Peters</name>
<affiliation wicri:level="2">
<nlm:aff id="aff2">
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington</wicri:regionArea>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">PLoS Genetics</title>
<idno type="ISSN">1553-7390</idno>
<idno type="eISSN">1553-7404</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<p>Dietary factors, including meat, fruits, vegetables and fiber, are associated with colorectal cancer; however, there is limited information as to whether these dietary factors interact with genetic variants to modify risk of colorectal cancer. We tested interactions between these dietary factors and approximately 2.7 million genetic variants for colorectal cancer risk among 9,287 cases and 9,117 controls from ten studies. We used logistic regression to investigate multiplicative gene-diet interactions, as well as our recently developed Cocktail method that involves a screening step based on marginal associations and gene-diet correlations and a testing step for multiplicative interactions, while correcting for multiple testing using weighted hypothesis testing. Per quartile increment in the intake of red and processed meat were associated with statistically significant increased risks of colorectal cancer and vegetable, fruit and fiber intake with lower risks. From the case-control analysis, we detected a significant interaction between rs4143094 (10p14/near
<italic>GATA3</italic>
) and processed meat consumption (OR = 1.17; p = 8.7E-09), which was consistently observed across studies (p heterogeneity = 0.78). The risk of colorectal cancer associated with processed meat was increased among individuals with the rs4143094-TG and -TT genotypes (OR = 1.20 and OR = 1.39, respectively) and null among those with the GG genotype (OR = 1.03). Our results identify a novel gene-diet interaction with processed meat for colorectal cancer, highlighting that diet may modify the effect of genetic variants on disease risk, which may have important implications for prevention.</p>
</div>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS Genet</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS Genet</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosgen</journal-id>
<journal-title-group>
<journal-title>PLoS Genetics</journal-title>
</journal-title-group>
<issn pub-type="ppub">1553-7390</issn>
<issn pub-type="epub">1553-7404</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24743840</article-id>
<article-id pub-id-type="pmc">3990510</article-id>
<article-id pub-id-type="publisher-id">PGENETICS-D-13-02524</article-id>
<article-id pub-id-type="doi">10.1371/journal.pgen.1004228</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Medicine and Health Sciences</subject>
<subj-group>
<subject>Epidemiology</subject>
</subj-group>
<subj-group>
<subject>Gastroenterology and Hepatology</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Genome-Wide Diet-Gene Interaction Analyses for Risk of Colorectal Cancer</article-title>
<alt-title alt-title-type="running-head">Gene-Diet Interactions and Colorectal Cancer Risk</alt-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Figueiredo</surname>
<given-names>Jane C.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hsu</surname>
<given-names>Li</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hutter</surname>
<given-names>Carolyn M.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Lin</surname>
<given-names>Yi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Campbell</surname>
<given-names>Peter T.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Baron</surname>
<given-names>John A.</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Berndt</surname>
<given-names>Sonja I.</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jiao</surname>
<given-names>Shuo</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Casey</surname>
<given-names>Graham</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fortini</surname>
<given-names>Barbara</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chan</surname>
<given-names>Andrew T.</given-names>
</name>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cotterchio</surname>
<given-names>Michelle</given-names>
</name>
<xref ref-type="aff" rid="aff9">
<sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lemire</surname>
<given-names>Mathieu</given-names>
</name>
<xref ref-type="aff" rid="aff10">
<sup>10</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gallinger</surname>
<given-names>Steven</given-names>
</name>
<xref ref-type="aff" rid="aff11">
<sup>11</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Harrison</surname>
<given-names>Tabitha A.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Le Marchand</surname>
<given-names>Loic</given-names>
</name>
<xref ref-type="aff" rid="aff12">
<sup>12</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Newcomb</surname>
<given-names>Polly A.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Slattery</surname>
<given-names>Martha L.</given-names>
</name>
<xref ref-type="aff" rid="aff13">
<sup>13</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caan</surname>
<given-names>Bette J.</given-names>
</name>
<xref ref-type="aff" rid="aff14">
<sup>14</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Carlson</surname>
<given-names>Christopher S.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zanke</surname>
<given-names>Brent W.</given-names>
</name>
<xref ref-type="aff" rid="aff15">
<sup>15</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rosse</surname>
<given-names>Stephanie A.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brenner</surname>
<given-names>Hermann</given-names>
</name>
<xref ref-type="aff" rid="aff16">
<sup>16</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Giovannucci</surname>
<given-names>Edward L.</given-names>
</name>
<xref ref-type="aff" rid="aff17">
<sup>17</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Kana</given-names>
</name>
<xref ref-type="aff" rid="aff18">
<sup>18</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chang-Claude</surname>
<given-names>Jenny</given-names>
</name>
<xref ref-type="aff" rid="aff19">
<sup>19</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chanock</surname>
<given-names>Stephen J.</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Curtis</surname>
<given-names>Keith R.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Duggan</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="aff20">
<sup>20</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gong</surname>
<given-names>Jian</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haile</surname>
<given-names>Robert W.</given-names>
</name>
<xref ref-type="aff" rid="aff21">
<sup>21</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hayes</surname>
<given-names>Richard B.</given-names>
</name>
<xref ref-type="aff" rid="aff22">
<sup>22</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hoffmeister</surname>
<given-names>Michael</given-names>
</name>
<xref ref-type="aff" rid="aff16">
<sup>16</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hopper</surname>
<given-names>John L.</given-names>
</name>
<xref ref-type="aff" rid="aff23">
<sup>23</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jenkins</surname>
<given-names>Mark A.</given-names>
</name>
<xref ref-type="aff" rid="aff23">
<sup>23</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kolonel</surname>
<given-names>Laurence N.</given-names>
</name>
<xref ref-type="aff" rid="aff12">
<sup>12</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qu</surname>
<given-names>Conghui</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rudolph</surname>
<given-names>Anja</given-names>
</name>
<xref ref-type="aff" rid="aff19">
<sup>19</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schoen</surname>
<given-names>Robert E.</given-names>
</name>
<xref ref-type="aff" rid="aff24">
<sup>24</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schumacher</surname>
<given-names>Fredrick R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Seminara</surname>
<given-names>Daniela</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stelling</surname>
<given-names>Deanna L.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thibodeau</surname>
<given-names>Stephen N.</given-names>
</name>
<xref ref-type="aff" rid="aff25">
<sup>25</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thornquist</surname>
<given-names>Mark</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Warnick</surname>
<given-names>Greg S.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Henderson</surname>
<given-names>Brian E.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ulrich</surname>
<given-names>Cornelia M.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff26">
<sup>26</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gauderman</surname>
<given-names>W. James</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Potter</surname>
<given-names>John D.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff27">
<sup>27</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>White</surname>
<given-names>Emily</given-names>
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<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peters</surname>
<given-names>Ulrike</given-names>
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<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<collab>on behalf of CCFR</collab>
</contrib>
<contrib contrib-type="author">
<collab>and GECCO</collab>
<xref ref-type="author-notes" rid="fn1">
<sup></sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</aff>
<aff id="aff4">
<label>4</label>
<addr-line>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia, United States of America</addr-line>
</aff>
<aff id="aff5">
<label>5</label>
<addr-line>Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America</addr-line>
</aff>
<aff id="aff6">
<label>6</label>
<addr-line>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, United States of America</addr-line>
</aff>
<aff id="aff7">
<label>7</label>
<addr-line>Division of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts</addr-line>
</aff>
<aff id="aff8">
<label>8</label>
<addr-line>Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States of America</addr-line>
</aff>
<aff id="aff9">
<label>9</label>
<addr-line>Cancer Care Ontario, Toronto, Ontario, Canada</addr-line>
</aff>
<aff id="aff10">
<label>10</label>
<addr-line>Ontario Institute for Cancer Research, Toronto, Ontario, Canada</addr-line>
</aff>
<aff id="aff11">
<label>11</label>
<addr-line>Department of Surgery, University Health Network Toronto General Hospital, Toronto, Ontario, Canada</addr-line>
</aff>
<aff id="aff12">
<label>12</label>
<addr-line>Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii, United States of America</addr-line>
</aff>
<aff id="aff13">
<label>13</label>
<addr-line>Department of Internal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah, United States of America</addr-line>
</aff>
<aff id="aff14">
<label>14</label>
<addr-line>Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, United States of America</addr-line>
</aff>
<aff id="aff15">
<label>15</label>
<addr-line>Division of Hematology, Faculty of Medicine, The University of Ottawa, Ottawa, Ontario, Canada</addr-line>
</aff>
<aff id="aff16">
<label>16</label>
<addr-line>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany</addr-line>
</aff>
<aff id="aff17">
<label>17</label>
<addr-line>Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America</addr-line>
</aff>
<aff id="aff18">
<label>18</label>
<addr-line>Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, United States of America</addr-line>
</aff>
<aff id="aff19">
<label>19</label>
<addr-line>Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany</addr-line>
</aff>
<aff id="aff20">
<label>20</label>
<addr-line>Translational Genomics Research Institute, Phoenix, Arizona, United States of America</addr-line>
</aff>
<aff id="aff21">
<label>21</label>
<addr-line>Stanford Cancer Institute, Palo Alto, California, United States of America</addr-line>
</aff>
<aff id="aff22">
<label>22</label>
<addr-line>Division of Epidemiology, New York University School of Medicine, New York, New York, United States of America</addr-line>
</aff>
<aff id="aff23">
<label>23</label>
<addr-line>Melbourne School of Population Health, The University of Melbourne, Melbourne, Australia</addr-line>
</aff>
<aff id="aff24">
<label>24</label>
<addr-line>Department of Medicine and Epidemiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America</addr-line>
</aff>
<aff id="aff25">
<label>25</label>
<addr-line>Departments of Laboratory Medicine and Pathology and Laboratory Genetics, Mayo Clinic, Rochester, Minnesota, United States of America</addr-line>
</aff>
<aff id="aff26">
<label>26</label>
<addr-line>Division of Preventive Oncology, National Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany</addr-line>
</aff>
<aff id="aff27">
<label>27</label>
<addr-line>Centre for Public Health Research, Massey University, Wellington, New Zealand</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Amos</surname>
<given-names>Christopher I.</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>Dartmouth-Hitchcock Norris Cotton Cancer Center, United States of America</addr-line>
</aff>
<author-notes>
<corresp id="cor1">* E-mail:
<email>janefigu@usc.edu</email>
(JCF);
<email>upeters@fhcrc.org</email>
(UP)</corresp>
<fn fn-type="conflict">
<p>The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con">
<p>Conceived and designed the experiments: JAB SIB HB BJC GC ATC JCC SJC DD SG ELG RWH TAH RBH BEH MH JLH LH CMH MAJ LNK LLM ML PAN UP JDP RES DS MLS SNT CMU BWZ. Performed the experiments: DD. Analyzed the data: LH YL WJG SJ UP. Contributed reagents/materials/analysis tools: SJ CQ KRC. Wrote the paper: JCF UP LH. Collected phenotype data and biological samples and contributed these as investigators for their respective study: SIB HB BJC GC ATC JCC SJC SG ELG RWH RBH BEH MH JLH MAJ LNK LLM PAN JDP RES DS MLS SNT EW BWZ. Critically reviewed the manuscript drafts and approved the final manuscript: JCF LH CMH YL PTC JAB SIB SJ GC BF ATC MC ML SG TAH LLM PAN MLS BJC CSC BWZ SAR HB ELG KW JCC SJC KRC DD JG RWH RBH MH JLH MAJ LNK CQ AR RES FRS DS DLS SNT MT GSW BEH CMU WJG JDP EW UP.</p>
</fn>
<fn id="fn1" fn-type="other">
<p>¶ Membership of GECCO is provided in the Acknowledgments.</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<month>4</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>4</month>
<year>2014</year>
</pub-date>
<volume>10</volume>
<issue>4</issue>
<elocation-id>e1004228</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>9</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>1</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-year>2014</copyright-year>
<license xlink:href="https://creativecommons.org/publicdomain/zero/1.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration, which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose.</license-p>
</license>
</permissions>
<abstract>
<p>Dietary factors, including meat, fruits, vegetables and fiber, are associated with colorectal cancer; however, there is limited information as to whether these dietary factors interact with genetic variants to modify risk of colorectal cancer. We tested interactions between these dietary factors and approximately 2.7 million genetic variants for colorectal cancer risk among 9,287 cases and 9,117 controls from ten studies. We used logistic regression to investigate multiplicative gene-diet interactions, as well as our recently developed Cocktail method that involves a screening step based on marginal associations and gene-diet correlations and a testing step for multiplicative interactions, while correcting for multiple testing using weighted hypothesis testing. Per quartile increment in the intake of red and processed meat were associated with statistically significant increased risks of colorectal cancer and vegetable, fruit and fiber intake with lower risks. From the case-control analysis, we detected a significant interaction between rs4143094 (10p14/near
<italic>GATA3</italic>
) and processed meat consumption (OR = 1.17; p = 8.7E-09), which was consistently observed across studies (p heterogeneity = 0.78). The risk of colorectal cancer associated with processed meat was increased among individuals with the rs4143094-TG and -TT genotypes (OR = 1.20 and OR = 1.39, respectively) and null among those with the GG genotype (OR = 1.03). Our results identify a novel gene-diet interaction with processed meat for colorectal cancer, highlighting that diet may modify the effect of genetic variants on disease risk, which may have important implications for prevention.</p>
</abstract>
<abstract abstract-type="summary">
<title>Author Summary</title>
<p>High intake of red and processed meat and low intake of fruits, vegetables and fiber are associated with a higher risk of colorectal cancer. We investigate if the effect of these dietary factors on colorectal cancer risk is modified by common genetic variants across the genome (total of about 2.7 million genetic variants), also known as gene-diet interactions. We included over 9,000 colorectal cancer cases and 9,000 controls that were not diagnosed with colorectal cancer. Our results provide strong evidence for a gene-diet interaction and colorectal cancer risk between a genetic variant (rs4143094) on chromosome 10p14 near the gene
<italic>GATA3</italic>
and processed meat consumption (p = 8.7E-09). This genetic locus may have interesting biological significance given its location in the genome. Our results suggest that genetic variants may interact with diet and in combination affect colorectal cancer risk, which may have important implications for personalized cancer care and provide novel insights into prevention strategies.</p>
</abstract>
<funding-group>
<funding-statement>This work was supported by, GECCO: National Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services (U01 CA137088; R01 CA059045; R01 CA120582). CCFR: National Institutes of Health (RFA # CA-95-011) and through cooperative agreements with members of the Colon Cancer Family Registry and P.I.s. This genome wide scan was supported by the National Cancer Institute, National Institutes of Health by U01 CA122839. The content of this manuscript does not necessarily reflect the views or policies of the National Cancer Institute or any of the collaborating centers in the CFRs, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government or the CFR. The following Colon CFR centers contributed data to this manuscript and were supported by National Institutes of Health: Australasian Colorectal Cancer Family Registry (U01 CA097735), Seattle Colorectal Cancer Family Registry (U01 CA074794) and Ontario Registry for Studies of Familial Colorectal Cancer (U01 CA074783). DACHS: German Research Council (Deutsche Forschungsgemeinschaft, BR 1704/6-1, BR 1704/6-3, BR 1704/6-4 and CH 117/1-1), and the German Federal Ministry of Education and Research (01KH0404 and 01ER0814). DALS: National Institutes of Health (R01 CA48998 to MLS); HPFS was supported by the National Institutes of Health (P01 CA 055075, UM1 CA167552, R01 137178, and P50 CA 127003), and NHS by the National Institutes of Health (R01 137178, P01 CA 087969 and P50 CA 127003,). OFCCR: National Institutes of Health, through funding allocated to the Ontario Registry for Studies of Familial Colorectal Cancer (U01 CA074783); see CCFR section above. Genetic analyses have been supported by a GL2 grant from the Ontario Research Fund, the Canadian Institutes of Health Research, the Cancer Risk Evaluation (CaRE) Program grant from the Canadian Cancer Society Research Institute and the Ontario Institute for Cancer Research, through generous support from the Ontario Ministry of Research and Innovation. PLCO: Intramural Research Program of the Division of Cancer Epidemiology and Genetics and supported by contracts from the Division of Cancer Prevention, National Cancer Institute, NIH, DHHS. Additionally, a subset of control samples were genotyped as part of the Cancer Genetic Markers of Susceptibility (CGEMS) Prostate Cancer GWAS (Yeager, M et al. Nat Genet 2007 May;39(5):645–9), Colon CGEMS pancreatic cancer scan (PanScan) (Amundadottir, L et al. Nat Genet. 2009 Sep;41(9):986–90 and Petersen, GM et al Nat Genet. 2010 Mar;42(3):224–8), and the Lung Cancer and Smoking study. The prostate and PanScan study datasets were accessed with appropriate approval through the dbGaP online resource (
<ext-link ext-link-type="uri" xlink:href="http://cgems.cancer.gov/data/">http://cgems.cancer.gov/data/</ext-link>
) accession numbers 000207v.1p1 and phs000206.v3.p2, respectively, and the lung datasets were accessed from the dbGaP website (
<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/gap">http://www.ncbi.nlm.nih.gov/gap</ext-link>
) through accession number phs000093 v2.p2. Funding for the Lung Cancer and Smoking study was provided by National Institutes of Health (NIH), Genes, Environment and Health Initiative (GEI) Z01 CP 010200, NIH U01 HG004446, and NIH GEI U01 HG 004438. For the lung study, the GENEVA Coordinating Center provided assistance with genotype cleaning and general study coordination, and the Johns Hopkins University Center for Inherited Disease Research conducted genotyping. PMH: National Institutes of Health (R01 CA076366 to PAN). VITAL: National Institutes of Health (K05 CA154337). WHI: The WHI program was funded by the National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services through contracts HHSN268201100046C, HHSN268201100001C, HHSN268201100002C, HHSN268201100003C, HHSN268201100004C, and HHSN271201100004C. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<page-count count="9"></page-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>Nouvelle-Zélande</li>
<li>États-Unis</li>
</country>
<region>
<li>Arizona</li>
<li>Bade-Wurtemberg</li>
<li>Californie</li>
<li>Caroline du Nord</li>
<li>District de Karlsruhe</li>
<li>Géorgie (États-Unis)</li>
<li>Hawaï</li>
<li>Maryland</li>
<li>Massachusetts</li>
<li>Minnesota</li>
<li>Pennsylvanie</li>
<li>Utah</li>
<li>Victoria (État)</li>
<li>Washington (État)</li>
<li>État de New York</li>
</region>
<settlement>
<li>Heidelberg</li>
<li>Los Angeles</li>
<li>Melbourne</li>
</settlement>
<orgName>
<li>Université de Californie du Sud</li>
</orgName>
</list>
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<name sortKey="Carlson, Christopher S" sort="Carlson, Christopher S" uniqKey="Carlson C" first="Christopher S." last="Carlson">Christopher S. Carlson</name>
<name sortKey="Casey, Graham" sort="Casey, Graham" uniqKey="Casey G" first="Graham" last="Casey">Graham Casey</name>
<name sortKey="Chan, Andrew T" sort="Chan, Andrew T" uniqKey="Chan A" first="Andrew T." last="Chan">Andrew T. Chan</name>
<name sortKey="Chan, Andrew T" sort="Chan, Andrew T" uniqKey="Chan A" first="Andrew T." last="Chan">Andrew T. Chan</name>
<name sortKey="Chanock, Stephen J" sort="Chanock, Stephen J" uniqKey="Chanock S" first="Stephen J." last="Chanock">Stephen J. Chanock</name>
<name sortKey="Curtis, Keith R" sort="Curtis, Keith R" uniqKey="Curtis K" first="Keith R." last="Curtis">Keith R. Curtis</name>
<name sortKey="Duggan, David" sort="Duggan, David" uniqKey="Duggan D" first="David" last="Duggan">David Duggan</name>
<name sortKey="Fortini, Barbara" sort="Fortini, Barbara" uniqKey="Fortini B" first="Barbara" last="Fortini">Barbara Fortini</name>
<name sortKey="Gauderman, W James" sort="Gauderman, W James" uniqKey="Gauderman W" first="W. James" last="Gauderman">W. James Gauderman</name>
<name sortKey="Giovannucci, Edward L" sort="Giovannucci, Edward L" uniqKey="Giovannucci E" first="Edward L." last="Giovannucci">Edward L. Giovannucci</name>
<name sortKey="Gong, Jian" sort="Gong, Jian" uniqKey="Gong J" first="Jian" last="Gong">Jian Gong</name>
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<name sortKey="Hayes, Richard B" sort="Hayes, Richard B" uniqKey="Hayes R" first="Richard B." last="Hayes">Richard B. Hayes</name>
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<name sortKey="Kolonel, Laurence N" sort="Kolonel, Laurence N" uniqKey="Kolonel L" first="Laurence N." last="Kolonel">Laurence N. Kolonel</name>
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<name sortKey="Lin, Yi" sort="Lin, Yi" uniqKey="Lin Y" first="Yi" last="Lin">Yi Lin</name>
<name sortKey="Newcomb, Polly A" sort="Newcomb, Polly A" uniqKey="Newcomb P" first="Polly A." last="Newcomb">Polly A. Newcomb</name>
<name sortKey="Peters, Ulrike" sort="Peters, Ulrike" uniqKey="Peters U" first="Ulrike" last="Peters">Ulrike Peters</name>
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<name sortKey="Qu, Conghui" sort="Qu, Conghui" uniqKey="Qu C" first="Conghui" last="Qu">Conghui Qu</name>
<name sortKey="Rosse, Stephanie A" sort="Rosse, Stephanie A" uniqKey="Rosse S" first="Stephanie A." last="Rosse">Stephanie A. Rosse</name>
<name sortKey="Schoen, Robert E" sort="Schoen, Robert E" uniqKey="Schoen R" first="Robert E." last="Schoen">Robert E. Schoen</name>
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<name sortKey="White, Emily" sort="White, Emily" uniqKey="White E" first="Emily" last="White">Emily White</name>
<name sortKey="Wu, Kana" sort="Wu, Kana" uniqKey="Wu K" first="Kana" last="Wu">Kana Wu</name>
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</noRegion>
<name sortKey="Gallinger, Steven" sort="Gallinger, Steven" uniqKey="Gallinger S" first="Steven" last="Gallinger">Steven Gallinger</name>
<name sortKey="Lemire, Mathieu" sort="Lemire, Mathieu" uniqKey="Lemire M" first="Mathieu" last="Lemire">Mathieu Lemire</name>
<name sortKey="Zanke, Brent W" sort="Zanke, Brent W" uniqKey="Zanke B" first="Brent W." last="Zanke">Brent W. Zanke</name>
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<region name="Bade-Wurtemberg">
<name sortKey="Brenner, Hermann" sort="Brenner, Hermann" uniqKey="Brenner H" first="Hermann" last="Brenner">Hermann Brenner</name>
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<name sortKey="Chang Claude, Jenny" sort="Chang Claude, Jenny" uniqKey="Chang Claude J" first="Jenny" last="Chang-Claude">Jenny Chang-Claude</name>
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<name sortKey="Ulrich, Cornelia M" sort="Ulrich, Cornelia M" uniqKey="Ulrich C" first="Cornelia M." last="Ulrich">Cornelia M. Ulrich</name>
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