Picelli Simone, Vandrovcova Jana, Jones Siân, Djureinovic Tatjana, Skoglund Johanna, Zhou Xiao-Lei, Velculescu Victor E, Vogelstein Bert, Lindblom Annika
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
BMC Cancer. 2008 Apr 1;8:87. doi: 10.1186/1471-2407-8-87.
Colorectal cancer is one of the most common causes of cancer-related mortality. The disease is clinically and genetically heterogeneous though a strong hereditary component has been identified. However, only a small proportion of the inherited susceptibility can be ascribed to dominant syndromes, such as Hereditary Non-Polyposis Colorectal Cancer (HNPCC) or Familial Adenomatous Polyposis (FAP). In an attempt to identify novel colorectal cancer predisposing genes, we have performed a genome-wide linkage analysis in 30 Swedish non-FAP/non-HNPCC families with a strong family history of colorectal cancer.
Statistical analysis was performed using multipoint parametric and nonparametric linkage.
Parametric analysis under the assumption of locus homogeneity excluded any common susceptibility regions harbouring a predisposing gene for colorectal cancer. However, several loci on chromosomes 2q, 3q, 6q, and 7q with suggestive linkage were detected in the parametric analysis under the assumption of locus heterogeneity as well as in the nonparametric analysis. Among these loci, the locus on chromosome 3q21.1-q26.2 was the most consistent finding providing positive results in both parametric and nonparametric analyses Heterogeneity LOD score (HLOD) = 1.90, alpha = 0.45, Non-Parametric LOD score (NPL) = 2.1).
The strongest evidence of linkage was seen for the region on chromosome 3. Interestingly, the same region has recently been reported as the most significant finding in a genome-wide analysis performed with SNP arrays; thus our results independently support the finding on chromosome 3q.
结直肠癌是癌症相关死亡的最常见原因之一。尽管已确定该疾病存在很强的遗传因素,但在临床和基因方面具有异质性。然而,只有一小部分遗传易感性可归因于显性综合征,如遗传性非息肉病性结直肠癌(HNPCC)或家族性腺瘤性息肉病(FAP)。为了识别新的结直肠癌易感基因,我们对30个有强烈结直肠癌家族史的瑞典非FAP/非HNPCC家族进行了全基因组连锁分析。
使用多点参数和非参数连锁进行统计分析。
在位点同质性假设下的参数分析排除了任何含有结直肠癌易感基因的常见易感区域。然而,在位点异质性假设下的参数分析以及非参数分析中,均检测到2号染色体、3号染色体、6号染色体和7号染色体上的几个具有提示性连锁的位点。在这些位点中,3号染色体q21.1 - q26.2区域的位点是最一致的发现,在参数分析和非参数分析中均给出了阳性结果(异质性对数优势分数(HLOD)= 1.90,α = 0.45,非参数对数优势分数(NPL)= 2.1)。
在3号染色体区域观察到最强的连锁证据。有趣的是,最近在一项使用SNP阵列进行的全基因组分析中,同一区域被报告为最显著的发现;因此我们的结果独立支持了3号染色体q区域的这一发现。