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Genetic Basis for Colorectal Cancer Disparities

  • Molecular Biology (S Anant, Section Editor)
  • Published:
Current Colorectal Cancer Reports

Abstract

African Americans suffer the highest burden from colorectal cancer (CRC) in the USA. Studies have suggested that healthcare access and poorer utilization of preventive services may be playing more of a role in this disparity. However, African Americans also tend to develop CRC at younger ages and are more likely to have proximal cancers. This raises the possibility of higher genetic predisposition to CRC among African Americans and this has not been well studied. In this article, we reviewed possible genetic basis underpinning biological differences in CRC burden in the USA.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Howlader N, Noone AM, Krapcho M, Garshell J, Miller D, Altekruse SF, et al editors. SEER Cancer Statistics Review, 1975-2012, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2012/, based on November 2014 SEER data submission, posted to the SEER web site, April 2015. Last accessed August 31, 2015. This publicly available data give comprehensive overview of CRC burden among different populations in the United States

  2. Alexander DD, Waterbor J, Hughes T, Funkhouser E, Grizzle W, Manne U. African-American and Caucasian disparities in colorectal cancer mortality and survival by data source: an epidemiologic review. Cancer Biomark. 2007;3:301–13.

    PubMed Central  PubMed  Google Scholar 

  3. Bolen JC, Rhodes L, Powell-Griner EE, Bland SD, Holtzman D. State-specific prevalence of selected health behaviors, by race and ethnicity—Behavioral Risk Factor Surveillance System, 1997. MMWR CDC Surveill Summ. 2000;49(2):1–60.

    CAS  Google Scholar 

  4. Shavers VL. Racial/ethnic variation in the anatomic subsite location of in situ and invasive cancers of the colon. J Natl Med Assoc. 2007;99(7):733–48.

    PubMed Central  PubMed  Google Scholar 

  5. Rex DK, Khan AM, Shah P, Newton J, Cummings OW. Screening colonoscopy in asymptomatic average-risk African Americans. Gastrointest Endosc. 2000;51:524–7.

    Article  CAS  PubMed  Google Scholar 

  6. Govindarajan R, Shah RV, Erkman LG, Hutchins LF. Racial differences in the outcome of patients with colorectal carcinoma. Cancer. 2003;97:493–8.

    Article  PubMed  Google Scholar 

  7. Aaltonen LA, Peltomäki P, Leach FS, Sistonen P, Pylkkänen L, Mecklin JP, et al. Clues to the pathogenesis of familial colorectal cancer. Science. 1993;260:812–6.

    Article  CAS  PubMed  Google Scholar 

  8. Boland CR. Molecular genetics of hereditary nonpolyposis colorectal cancer. Ann N Y Acad Sci. 2000;910:50–9.

    Article  CAS  PubMed  Google Scholar 

  9. Ashktorab H, Smoot DT, Carethers JM, Rahmanian M, Kittles R, Vosganian G, et al. High incidence of microsatellite instability in colorectal cancer from African Americans. Clin Cancer Res. 2003;9(3):1112–7. Erratum in: Clin Cancer Res. 2003 Aug 1;9(8):3217.

    CAS  PubMed  Google Scholar 

  10. Carethers JM, Murali B, Yang B, Doctolero RT, Tajima A, Basa R, et al. Influence of race on microsatellite instability and CD8+ T cell infiltration in colon cancer. PLoS One. 2014;9(6):e100461. doi:10.1371/journal.pone.0100461. eCollection 2014. Erratum in: PLoS One. 2014;9(7):e103699. This study provided a more robust evaluation of MSI by race.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Sylvester BE, Huo D, Khramtsov A, Zhang J, Smalling RV, Olugbile S, et al. Molecular analysis of colorectal tumors within a diverse patient cohort at a single institution. Clin Cancer Res. 2012;18(2):350–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Guda K, Veigl ML, Varadan V, Nosrati A, Ravi L, Lutterbaugh J, et al. Novel recurrently mutated genes in African American colon cancers. Proc Natl Acad Sci U S A. 2015;112(4):1149–54. This study identified novel genes among African Americans and warrants further studies.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Ashktorab H, Daremipouran M, Devaney J, Varma S, Rahi H, Lee E, et al. Identification of novel mutations by exome sequencing in African American colorectal cancer patients. Cancer. 2015;121(1):34–42. This study identified novel genes among African Americans and warrants further studies.

    Article  CAS  PubMed  Google Scholar 

  14. Katkoori VR, Jia X, Shanmugam C, Wan W, Meleth S, Bumpers H, et al. Prognostic significance of p53 codon 72 polymorphism differs with race in colorectal adenocarcinoma. Clin Cancer Res. 2009;15:2406–16.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  15. Risch NJ. Searching for genetic determinants in the new millennium. Nature. 2000;405(6788):847–56. doi:10.1038/35015718.

    Article  CAS  PubMed  Google Scholar 

  16. Goodman JE, Bowman ED, Chanock SJ, Alberg AJ, Harris CC. Arachidonate lipoxygenase (ALOX) and cyclooxygenase (COX) polymorphisms and colon cancer risk. Carcinogenesis. 2004;25(12):2467–72. doi:10.1093/carcin/bgh260.

    Article  CAS  PubMed  Google Scholar 

  17. Ashktorab H, Tsang S, Luke B, Sun Z, Adam-Campbell L, Kwagyan J, et al. Protective effect of Cox-2 allelic variants on risk of colorectal adenoma development in African Americans. Anticancer Res. 2008;28(5B):3119–23.

    CAS  PubMed  Google Scholar 

  18. Woolcott CG, Wilkens LR, Nomura AM, Horst RL, Goodman MT, Murphy SP, et al. Plasma 25-hydroxyvitamin D levels and the risk of colorectal cancer: the multiethnic cohort study. Cancer Epidemiol Biomarkers Prev. 2010;19:130–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Wu K, Feskanich D, Fuchs CS, Willett WC, Hollis BW, Giovannucci EL. A nested case control study of plasma 25-hydroxyvitamin D concentrations and risk of colorectal cancer. J Natl Cancer Inst. 2007;99(14):1120–9.

    Article  CAS  PubMed  Google Scholar 

  20. Gutierrez OM, Farwell WR, Kermah D, Taylor EN. Racial differences in the relationship between vitamin D, bone mineral density, and parathyroid hormone in the National Health and Nutrition Examination Survey. Osteoporos Int. 2011;22:1745–53.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Pibiri F, Kittles RA, Sandler RS, Keku TO, Kupfer SS, Xicola RM, et al. Genetic variation in vitamin D-related genes and risk of colorectal cancer in African Americans. Cancer Causes Control. 2014;25:561–70. doi:10.1007/s10552-014-0361-y.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Sarkissyan M, Wu Y, Chen Z, Mishra DK, Sarkissyan S, Giannikopoulos I, et al. Vitamin D receptor FokI gene polymorphisms may be associated with colorectal cancer among African American and Hispanic participants. Cancer. 2014;120:1387–93. doi:10.1002/cncr.28565.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  23. Ashktorab H, Nguza B, Fatemi M, Nouraie M, Smoot DT, Schäffer AA, et al. Case-control study of vitamin D, dickkopf homolog 1 (DKK1) gene methylation, VDR gene polymorphism and the risk of colon adenoma in African Americans. PLoS One. 2011;6(10), e25314.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  24. Ashktorab H, Paydar M, Yazdi S, Namin HH, Sanderson A, Begum R, et al. BMI and the risk of colorectal adenoma in African-Americans. Obesity (Silver Spring). 2014;22(5):1387–91.

    Article  Google Scholar 

  25. Ochs-Balcom HM, Vaughn CB, Nie J, Chen Z, Thompson CL, Parekh N, et al. Racial differences in the association of insulin-like growth factor pathway and colorectal adenoma risk. Cancer Causes Control. 2014;25(2):161–70.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Jovov B, Araujo-Perez F, Sigel CS, Stratford JK, McCoy AN, Yeh JJ, et al. Differential gene expression between African American and European American colorectal cancer patients. PLoS One. 2012;7(1), e30168.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  27. Li E, Ji P, Ouyang N, Zhang Y, Wang XY, Rubin DC, et al. Differential expression of miRNAs in colon cancer between African and Caucasian Americans: implications for cancer racial health disparities. Int J Oncol. 2014;45(2):587–94.

    PubMed Central  PubMed  Google Scholar 

  28. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, accessed on July 5, 2015. This publicly available data give comprehensive overview of CRC burden among different populations in the world

  29. Ou J, Carbonero F, Zoetendal EG, DeLany JP, Wang M, Newton K, et al. Diet, microbiota, and microbial metabolites in colon cancer risk in rural Africans and African Americans. Am J Clin Nutr. 2013;98(1):111–20.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  30. Hester CM, Jala VR, Langille MGI, Umar S, Greiner KA, Haribabu B. Fecal microbes, short chain fatty acids, and colorectal cancer across racial/ethnic groups. World J Gastroenterol. 2015;21(9):2759–69.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Brim H, Yooseph S, Zoetendal EG, Lee E, Torralbo M, Laiyemo AO, et al. Microbiome analysis of stool samples from African Americans with colon polyps. PLoS One. 2013;8(12), e81352.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Brim H, Kumar K, Nazarian J, Hathout Y, Jafarian A, Lee E, et al. SLC5A8 gene, a transporter of butyrate: a gut flora metabolite, is frequently methylated in African American colon adenomas. PLoS One. 2011;6(6), e20216.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  33. Levin B, Lieberman DA, McFarland B, Andrews KS, Brooks D, Bond J, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134(5):1570–95.

    Article  CAS  PubMed  Google Scholar 

  34. Kupfer SS, McCaffrey S, Kim KE. Racial and gender disparities in hereditary colorectal cancer risk assessment: the role of family history. J Cancer Educ. 2006;21(1 Suppl):S32–6.

    Article  PubMed  Google Scholar 

  35. Pinsky PF, Kramer BS, Reding D, Buys S, PLCO Project Team. Reported family history of cancer in the prostate, lung, colorectal, and ovarian cancer screening trial. Am J Epidemiol. 2003;157(9):792–9.

    Article  PubMed  Google Scholar 

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Correspondence to Adeyinka O. Laiyemo.

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The authors declare that they have no competing interests.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Grant Support

Dr Laiyemo is supported by grant awards from Charles and Mary Latham Funds and from the National Center for Advancing Translational Science (KL2TR000102-04 and UL1RT000101) and from the National Institute of Diabetes and Digestive and Kidney Diseases (R21DK100875), National Institutes of Health.

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This article is a review and does not contain any studies with human or animal subjects performed by any of the authors for the purpose of this manuscript.

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This article is part of the Topical Collection on Molecular Biology

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Nayani, R., Ashktorab, H., Brim, H. et al. Genetic Basis for Colorectal Cancer Disparities. Curr Colorectal Cancer Rep 11, 408–413 (2015). https://doi.org/10.1007/s11888-015-0302-5

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  • DOI: https://doi.org/10.1007/s11888-015-0302-5

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