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A large-scale meta-analysis to refine colorectal cancer risk estimates associated with MUTYH variants

Identifieur interne : 007559 ( Main/Merge ); précédent : 007558; suivant : 007560

A large-scale meta-analysis to refine colorectal cancer risk estimates associated with MUTYH variants

Auteurs : E. Theodoratou [Royaume-Uni] ; H. Campbell [Royaume-Uni] ; A. Tenesa [Royaume-Uni] ; R. Houlston [Royaume-Uni] ; E. Webb [Royaume-Uni] ; S. Lubbe [Royaume-Uni] ; P. Broderick [Royaume-Uni] ; S. Gallinger [Canada] ; E M Croitoru [Canada] ; M A Jenkins [Australie] ; A K Win [Australie] ; S P Cleary [Canada] ; T. Koessler [Royaume-Uni] ; P D Pharoah [Royaume-Uni] ; S. Küry [France] ; S. Bézieau [France] ; B. Buecher [France] ; N A Ellis [États-Unis] ; P. Peterlongo [Italie] ; K. Offit [États-Unis] ; L A Aaltonen [Finlande] ; S. Enholm [Finlande] ; A. Lindblom [Suède] ; X-L Zhou [Suède] ; I P Tomlinson [Royaume-Uni] ; V. Moreno [Espagne] ; I. Blanco [Espagne] ; G. Capellà [Espagne] ; R. Barnetson [Royaume-Uni] ; M E Porteous [Royaume-Uni] ; M G Dunlop [Royaume-Uni] ; S M Farrington [Royaume-Uni]

Source :

RBID : PMC:3008602

Abstract

Background:

Defective DNA repair has a causal role in hereditary colorectal cancer (CRC). Defects in the base excision repair gene MUTYH are responsible for MUTYH-associated polyposis and CRC predisposition as an autosomal recessive trait. Numerous reports have suggested MUTYH mono-allelic variants to be low penetrance risk alleles. We report a large collaborative meta-analysis to assess and refine CRC risk estimates associated with bi-allelic and mono-allelic MUTYH variants and investigate age and sex influence on risk.

Methods:

MUTYH genotype data were included from 20 565 cases and 15 524 controls. Three logistic regression models were tested: a crude model; adjusted for age and sex; adjusted for age, sex and study.

Results:

All three models produced very similar results. MUTYH bi-allelic carriers demonstrated a 28-fold increase in risk (95% confidence interval (CI): 6.95–115). Significant bi-allelic effects were also observed for G396D and Y179C/G396D compound heterozygotes and a marginal mono-allelic effect for variant Y179C (odds ratio (OR)=1.34; 95% CI: 1.00–1.80). A pooled meta-analysis of all published and unpublished datasets submitted showed bi-allelic effects for MUTYH, G396D and Y179C (OR=10.8, 95% CI: 5.02–23.2; OR=6.47, 95% CI: 2.33–18.0; OR=3.35, 95% CI: 1.14–9.89) and marginal mono-allelic effect for variants MUTYH (OR=1.16, 95% CI: 1.00–1.34) and Y179C alone (OR=1.34, 95% CI: 1.01–1.77).

Conclusions:

Overall, this large study refines estimates of disease risk associated with mono-allelic and bi-allelic MUTYH carriers.


Url:
DOI: 10.1038/sj.bjc.6605966
PubMed: 21063410
PubMed Central: 3008602

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PMC:3008602

Le document en format XML

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<country xml:lang="fr">France</country>
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<name sortKey="Bezieau, S" sort="Bezieau, S" uniqKey="Bezieau S" first="S" last="Bézieau">S. Bézieau</name>
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<institution>CHU de Nantes, pôle de Biologie, service de Génétique Médicale</institution>
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<institution>unité de Génétique Constitutionnelle, Institut Curie, service de Génétique Oncologique</institution>
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</nlm:aff>
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<name sortKey="Ellis, N A" sort="Ellis, N A" uniqKey="Ellis N" first="N A" last="Ellis">N A Ellis</name>
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<nlm:aff id="aff11">
<institution>University of Chicago</institution>
, 900 East 57th Street, Chicago, IL 60637,
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<name sortKey="Zhou, X L" sort="Zhou, X L" uniqKey="Zhou X" first="X-L" last="Zhou">X-L Zhou</name>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Moreno, V" sort="Moreno, V" uniqKey="Moreno V" first="V" last="Moreno">V. Moreno</name>
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</nlm:aff>
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<name sortKey="Blanco, I" sort="Blanco, I" uniqKey="Blanco I" first="I" last="Blanco">I. Blanco</name>
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<country xml:lang="fr">Espagne</country>
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<name sortKey="Capella, G" sort="Capella, G" uniqKey="Capella G" first="G" last="Capellà">G. Capellà</name>
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<institution>Catalan Institute of Oncology-ICO, IDIBELL and University of Barcelona</institution>
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<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Barnetson, R" sort="Barnetson, R" uniqKey="Barnetson R" first="R" last="Barnetson">R. Barnetson</name>
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<name sortKey="Porteous, M E" sort="Porteous, M E" uniqKey="Porteous M" first="M E" last="Porteous">M E Porteous</name>
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<name sortKey="Dunlop, M G" sort="Dunlop, M G" uniqKey="Dunlop M" first="M G" last="Dunlop">M G Dunlop</name>
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<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Farrington, S M" sort="Farrington, S M" uniqKey="Farrington S" first="S M" last="Farrington">S M Farrington</name>
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<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
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<title xml:lang="en" level="a" type="main">A large-scale meta-analysis to refine colorectal cancer risk estimates associated with
<italic>MUTYH</italic>
variants</title>
<author>
<name sortKey="Theodoratou, E" sort="Theodoratou, E" uniqKey="Theodoratou E" first="E" last="Theodoratou">E. Theodoratou</name>
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<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff2">
<institution>Public Health Sciences, University of Edinburgh, Teviot Place</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Campbell, H" sort="Campbell, H" uniqKey="Campbell H" first="H" last="Campbell">H. Campbell</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff2">
<institution>Public Health Sciences, University of Edinburgh, Teviot Place</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tenesa, A" sort="Tenesa, A" uniqKey="Tenesa A" first="A" last="Tenesa">A. Tenesa</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Houlston, R" sort="Houlston, R" uniqKey="Houlston R" first="R" last="Houlston">R. Houlston</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">
<institution>Section of Cancer Genetics, Institute of Cancer Research</institution>
, Sutton, Surrey,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Webb, E" sort="Webb, E" uniqKey="Webb E" first="E" last="Webb">E. Webb</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">
<institution>Section of Cancer Genetics, Institute of Cancer Research</institution>
, Sutton, Surrey,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lubbe, S" sort="Lubbe, S" uniqKey="Lubbe S" first="S" last="Lubbe">S. Lubbe</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">
<institution>Section of Cancer Genetics, Institute of Cancer Research</institution>
, Sutton, Surrey,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Broderick, P" sort="Broderick, P" uniqKey="Broderick P" first="P" last="Broderick">P. Broderick</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">
<institution>Section of Cancer Genetics, Institute of Cancer Research</institution>
, Sutton, Surrey,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gallinger, S" sort="Gallinger, S" uniqKey="Gallinger S" first="S" last="Gallinger">S. Gallinger</name>
<affiliation wicri:level="1">
<nlm:aff id="aff5">
<institution>Ontario Familial Colorectal Cancer Registry</institution>
, Toronto, Ontario,
<country>Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Croitoru, E M" sort="Croitoru, E M" uniqKey="Croitoru E" first="E M" last="Croitoru">E M Croitoru</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">
<institution>Samuel Lunenfeld Research Institute, Mount Sinai Hospital</institution>
, Toronto,
<country>Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jenkins, M A" sort="Jenkins, M A" uniqKey="Jenkins M" first="M A" last="Jenkins">M A Jenkins</name>
<affiliation wicri:level="1">
<nlm:aff id="aff7">
<institution>Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, The University of Melbourne</institution>
, Victoria,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Win, A K" sort="Win, A K" uniqKey="Win A" first="A K" last="Win">A K Win</name>
<affiliation wicri:level="1">
<nlm:aff id="aff7">
<institution>Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, The University of Melbourne</institution>
, Victoria,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cleary, S P" sort="Cleary, S P" uniqKey="Cleary S" first="S P" last="Cleary">S P Cleary</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">
<institution>Samuel Lunenfeld Research Institute, Mount Sinai Hospital</institution>
, Toronto,
<country>Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Koessler, T" sort="Koessler, T" uniqKey="Koessler T" first="T" last="Koessler">T. Koessler</name>
<affiliation wicri:level="1">
<nlm:aff id="aff8">
<institution>Strangeways Research Laboratory, Department of Oncology and Department of Public Health and Primary Care, University of Cambridge</institution>
, Cambridge,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pharoah, P D" sort="Pharoah, P D" uniqKey="Pharoah P" first="P D" last="Pharoah">P D Pharoah</name>
<affiliation wicri:level="1">
<nlm:aff id="aff8">
<institution>Strangeways Research Laboratory, Department of Oncology and Department of Public Health and Primary Care, University of Cambridge</institution>
, Cambridge,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kury, S" sort="Kury, S" uniqKey="Kury S" first="S" last="Küry">S. Küry</name>
<affiliation wicri:level="1">
<nlm:aff id="aff9">
<institution>CHU de Nantes, pôle de Biologie, service de Génétique Médicale</institution>
, 9 quai Moncousu, Nantes, 44093 cedex 1,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bezieau, S" sort="Bezieau, S" uniqKey="Bezieau S" first="S" last="Bézieau">S. Bézieau</name>
<affiliation wicri:level="1">
<nlm:aff id="aff9">
<institution>CHU de Nantes, pôle de Biologie, service de Génétique Médicale</institution>
, 9 quai Moncousu, Nantes, 44093 cedex 1,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Buecher, B" sort="Buecher, B" uniqKey="Buecher B" first="B" last="Buecher">B. Buecher</name>
<affiliation wicri:level="1">
<nlm:aff id="aff10">
<institution>unité de Génétique Constitutionnelle, Institut Curie, service de Génétique Oncologique</institution>
, 26 rue d'Ulm, Paris, 75248 cedex 05,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ellis, N A" sort="Ellis, N A" uniqKey="Ellis N" first="N A" last="Ellis">N A Ellis</name>
<affiliation wicri:level="1">
<nlm:aff id="aff11">
<institution>University of Chicago</institution>
, 900 East 57th Street, Chicago, IL 60637,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Peterlongo, P" sort="Peterlongo, P" uniqKey="Peterlongo P" first="P" last="Peterlongo">P. Peterlongo</name>
<affiliation wicri:level="1">
<nlm:aff id="aff12">
<institution>IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, and Unit of Genetic Susceptibility to Cancer, Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori</institution>
, Milan,
<country>Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Offit, K" sort="Offit, K" uniqKey="Offit K" first="K" last="Offit">K. Offit</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">
<institution>Clinical Cancer Genetics, Memorial Sloan-Kettering Cancer Centre</institution>
, New York,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Aaltonen, L A" sort="Aaltonen, L A" uniqKey="Aaltonen L" first="L A" last="Aaltonen">L A Aaltonen</name>
<affiliation wicri:level="1">
<nlm:aff id="aff14">
<institution>Department of Medical Genetics, Biomedicum Helsinki, University of Helsinki</institution>
, PO Box 63 (Haartmaninkatu 8), FIN-00014,
<country>Finland</country>
</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Enholm, S" sort="Enholm, S" uniqKey="Enholm S" first="S" last="Enholm">S. Enholm</name>
<affiliation wicri:level="1">
<nlm:aff id="aff14">
<institution>Department of Medical Genetics, Biomedicum Helsinki, University of Helsinki</institution>
, PO Box 63 (Haartmaninkatu 8), FIN-00014,
<country>Finland</country>
</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lindblom, A" sort="Lindblom, A" uniqKey="Lindblom A" first="A" last="Lindblom">A. Lindblom</name>
<affiliation wicri:level="1">
<nlm:aff id="aff15">
<institution>Department of Molecular Medicine and Surgery Karolinska Institute and Department of Clinical Genetics Karolinska University Hospital</institution>
, Stockholm,
<country>Sweden</country>
</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Zhou, X L" sort="Zhou, X L" uniqKey="Zhou X" first="X-L" last="Zhou">X-L Zhou</name>
<affiliation wicri:level="1">
<nlm:aff id="aff15">
<institution>Department of Molecular Medicine and Surgery Karolinska Institute and Department of Clinical Genetics Karolinska University Hospital</institution>
, Stockholm,
<country>Sweden</country>
</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tomlinson, I P" sort="Tomlinson, I P" uniqKey="Tomlinson I" first="I P" last="Tomlinson">I P Tomlinson</name>
<affiliation wicri:level="1">
<nlm:aff id="aff16">
<institution>Molecular and Population Genetics Laboratory, London Research Institute, Cancer Research UK</institution>
, London,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Moreno, V" sort="Moreno, V" uniqKey="Moreno V" first="V" last="Moreno">V. Moreno</name>
<affiliation wicri:level="1">
<nlm:aff id="aff17">
<institution>Catalan Institute of Oncology-ICO, IDIBELL and University of Barcelona</institution>
, Av Gran Via 199, L'Hospitalet, Barcelona 08907,
<country>Spain</country>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Blanco, I" sort="Blanco, I" uniqKey="Blanco I" first="I" last="Blanco">I. Blanco</name>
<affiliation wicri:level="1">
<nlm:aff id="aff17">
<institution>Catalan Institute of Oncology-ICO, IDIBELL and University of Barcelona</institution>
, Av Gran Via 199, L'Hospitalet, Barcelona 08907,
<country>Spain</country>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Capella, G" sort="Capella, G" uniqKey="Capella G" first="G" last="Capellà">G. Capellà</name>
<affiliation wicri:level="1">
<nlm:aff id="aff17">
<institution>Catalan Institute of Oncology-ICO, IDIBELL and University of Barcelona</institution>
, Av Gran Via 199, L'Hospitalet, Barcelona 08907,
<country>Spain</country>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Barnetson, R" sort="Barnetson, R" uniqKey="Barnetson R" first="R" last="Barnetson">R. Barnetson</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Porteous, M E" sort="Porteous, M E" uniqKey="Porteous M" first="M E" last="Porteous">M E Porteous</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff3">
<institution>Southeast of Scotland Clinical Genetic Services, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dunlop, M G" sort="Dunlop, M G" uniqKey="Dunlop M" first="M G" last="Dunlop">M G Dunlop</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Farrington, S M" sort="Farrington, S M" uniqKey="Farrington S" first="S M" last="Farrington">S M Farrington</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Colon Cancer Genetics Group and Academic Coloproctology, MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh</institution>
, Edinburgh,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">British Journal of Cancer</title>
<idno type="ISSN">0007-0920</idno>
<idno type="eISSN">1532-1827</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background:</title>
<p>Defective DNA repair has a causal role in hereditary colorectal cancer (CRC). Defects in the base excision repair gene
<italic>MUTYH</italic>
are responsible for
<italic>MUTYH</italic>
-associated polyposis and CRC predisposition as an autosomal recessive trait. Numerous reports have suggested
<italic>MUTYH</italic>
mono-allelic variants to be low penetrance risk alleles. We report a large collaborative meta-analysis to assess and refine CRC risk estimates associated with bi-allelic and mono-allelic
<italic>MUTYH</italic>
variants and investigate age and sex influence on risk.</p>
</sec>
<sec>
<title>Methods:</title>
<p>
<italic>MUTYH</italic>
genotype data were included from 20 565 cases and 15 524 controls. Three logistic regression models were tested: a crude model; adjusted for age and sex; adjusted for age, sex and study.</p>
</sec>
<sec>
<title>Results:</title>
<p>All three models produced very similar results.
<italic>MUTYH</italic>
bi-allelic carriers demonstrated a 28-fold increase in risk (95% confidence interval (CI): 6.95–115). Significant bi-allelic effects were also observed for G396D and Y179C/G396D compound heterozygotes and a marginal mono-allelic effect for variant Y179C (odds ratio (OR)=1.34; 95% CI: 1.00–1.80). A pooled meta-analysis of all published and unpublished datasets submitted showed bi-allelic effects for
<italic>MUTYH</italic>
, G396D and Y179C (OR=10.8, 95% CI: 5.02–23.2; OR=6.47, 95% CI: 2.33–18.0; OR=3.35, 95% CI: 1.14–9.89) and marginal mono-allelic effect for variants
<italic>MUTYH</italic>
(OR=1.16, 95% CI: 1.00–1.34) and Y179C alone (OR=1.34, 95% CI: 1.01–1.77).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Overall, this large study refines estimates of disease risk associated with mono-allelic and bi-allelic
<italic>MUTYH</italic>
carriers.</p>
</sec>
</div>
</front>
<back>
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