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A Comprehensive Study of the Effect on Colorectal Cancer Survival of Common Germline Genetic Variation Previously Linked with Cancer Prognosis.


ABSTRACT:

Background

Germline genetic variants may influence pathways of tumor progression common to multiple cancer types. Here, we investigated the association between survival after colorectal cancer diagnosis and 128 common genetic variants previously associated with prognosis in genome-wide association studies in different cancer types.

Methods

We studied survival outcomes in a large well-documented, prospective, population-based cohort (5,675 patients with colorectal cancer) with up to 20 years' follow-up.

Results

None of the 128 variants were significantly associated with overall or colorectal cancer-specific survival (P < 5 × 10-4, Bonferroni-corrected threshold). We observed suggestive evidence (P < 0.05) for eight variants (rs17026425, rs17057166, rs6854845, rs1728400, rs17693104, rs202280, rs6797464, and rs823920) in all colorectal cancer and two variants (rs17026425 and rs6854845) in rectal cancer that were concordant with previous reports.

Conclusions

Given good statistical power (>0.80 for 75% of variants), this study indicates that most previously reported variants associated with cancer survival have limited influence on colorectal cancer prognosis.

Impact

Although small effects cannot be excluded, clinically meaningful germline influences on patients with colorectal cancer as a group are unlikely.

SUBMITTER: He Y 

PROVIDER: S-EPMC7614160 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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A Comprehensive Study of the Effect on Colorectal Cancer Survival of Common Germline Genetic Variation Previously Linked with Cancer Prognosis.

He Yazhou Y   Timofeeva Maria M   Li Xue X   Din Farhat V N FVN   Blackmur James P JP   Vaughan-Shaw Peter P   Svinti Victoria V   Farrington Susan M SM   Campbell Harry H   Dunlop Malcolm G MG   Theodoratou Evropi E  

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 20190905 11


<h4>Background</h4>Germline genetic variants may influence pathways of tumor progression common to multiple cancer types. Here, we investigated the association between survival after colorectal cancer diagnosis and 128 common genetic variants previously associated with prognosis in genome-wide association studies in different cancer types.<h4>Methods</h4>We studied survival outcomes in a large well-documented, prospective, population-based cohort (5,675 patients with colorectal cancer) with up t  ...[more]

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