通过全基因组关联研究鉴定非遗传性结直肠息肉病及其复发的相关遗传因素。

IF 3.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of Gastroenterology and Hepatology Pub Date : 2024-12-04 DOI:10.1111/jgh.16840
Jung Hyun Ji, Su Hyun Lee, Chan Il Jeon, Jihun Jang, Jihye Park, Soo Jung Park, Jae Jun Park, Jae Hee Cheon, Sun Ha Jee, Tae Il Kim
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引用次数: 0

摘要

背景:许多结直肠息肉病患者在种系突变试验中表现为阴性。本研究旨在通过全基因组关联研究(GWAS)揭示与非遗传性结直肠息肉病相关的遗传变异。方法:2012年1月至2021年9月,在一家转诊的大学医院,638例结肠镜检查证实≥10例活检证实的累积性息肉患者,无与遗传性结直肠癌或息肉病相关的种系突变。对照组由韩国医学研究所的1863人组成,每个人都至少做过两次结肠镜检查,结果都是正常的。本研究利用GWAS鉴定非遗传性结直肠息肉病的易感位点。采用Cox比例风险模型分析有或无≥10例息肉复发患者的遗传差异。结果:GWAS发现了71个在既往结直肠癌和息肉性GWAS中未见的新的危险单核苷酸多态性(snp)。5个基因(UPF3A、BICRA、CBWD6、PDE4DIP和ABCC4)重叠了7个snp (rss566295755、rs2770288、rs1012003、rs201270202、rs71264659、rs1699813和rs149368557),这些先前与结直肠癌相关的基因被确定为非遗传性结直肠息肉病的重要危险因素。发现了两个新的基因(CNTN4和CNTNAP3B),以前与结直肠疾病无关。三个snp (rs149368557、rs12438834和rs9707935)与息肉病复发的高风险显著相关。与rs149368557重叠的基因为ABCC4,该基因也与非遗传性结直肠息肉病的风险增加显著相关。结论:本研究确定了71个非遗传性结直肠息肉病的新风险变异,其中3个snp (rs149368557、rs12438834和rs9707935)与息肉病复发风险增加有显著关联。
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Identification of Genetic Factors Related With Nonhereditary Colorectal Polyposis and Its Recurrence Through Genome-Wide Association Study.

Background: Many patients with colorectal polyposis demonstrate negative results in germline mutation test. This study aimed to uncover genetic variants associated with nonhereditary colorectal polyposis using a genome-wide association study (GWAS).

Methods: At a single referral university hospital, between January 2012 and September 2021, 638 patients with ≥ 10 biopsy-proven cumulative polyps on colonoscopy without germline mutations related to hereditary colorectal cancer or polyposis were included. The control group comprised 1863 individuals from the Korea Medical Institute, each having undergone at least two colonoscopies, all of which were normal. This study utilized GWAS to identify susceptibility loci for nonhereditary colorectal polyposis. Genetic differences between patients with and without ≥ 10 polyp recurrences were analyzed using Cox proportional hazards models.

Results: GWAS revealed 71 novel risk single-nucleotide polymorphisms (SNPs) not seen in previous colorectal cancer and polyp GWAS. Five genes (UPF3A, BICRA, CBWD6, PDE4DIP, and ABCC4) overlapping seven SNPs (rs566295755, rs2770288, rs1012003, rs201270202, rs71264659, rs1699813, and rs149368557), previously linked to colorectal cancer, were identified as significant risk factors for nonhereditary colorectal polyposis. Two novel genes (CNTN4 and CNTNAP3B), not previously associated with colorectal diseases, were identified. Three SNPs (rs149368557, rs12438834, and rs9707935) were significantly associated with higher risk of recurrence of polyposis. The gene overlapping with rs149368557 was ABCC4, which was also significantly associated with an increased risk of nonhereditary colorectal polyposis.

Conclusion: This study identified 71 novel risk variants for nonhereditary colorectal polyposis, with three SNPs (rs149368557, rs12438834, and rs9707935) indicating significant associations with increased risk of polyposis recurrence.

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来源期刊
CiteScore
7.90
自引率
2.40%
发文量
326
审稿时长
2.3 months
期刊介绍: Journal of Gastroenterology and Hepatology is produced 12 times per year and publishes peer-reviewed original papers, reviews and editorials concerned with clinical practice and research in the fields of hepatology, gastroenterology and endoscopy. Papers cover the medical, radiological, pathological, biochemical, physiological and historical aspects of the subject areas. All submitted papers are reviewed by at least two referees expert in the field of the submitted paper.
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