Published in:
01-08-2016 | Colorectal Cancer
8q24 Polymorphisms and Diabetes Mellitus Regulate Apolipoprotein A-IV in Colorectal Carcinogenesis
Authors:
Keishi Sugimachi, MD, PhD, Rui Yamaguchi, PhD, Hidetoshi Eguchi, MD, PhD, Masami Ueda, MD, Atsushi Niida, PhD, Shotaro Sakimura, MD, Hidenari Hirata, MD, Ryutaro Uchi, MD, Yoshiaki Shinden, MD, Tomohiro Iguchi, MD, PhD, Kazutoyo Morita, MD, PhD, Ken Yamamoto, MD, PhD, Satoru Miyano, PhD, Masaki Mori, MD, PhD, Yoshihiko Maehara, MD, PhD, Koshi Mimori, MD, PhD
Published in:
Annals of Surgical Oncology
|
Special Issue 4/2016
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Abstract
Background
Here, we explored the genetic interactions between diabetes and oncogenic single-nucleotide polymorphisms (SNPs) that determine colorectal cancer (CRC) morbidity.
Methods
8q24 rs6983267 polymorphism analysis and cDNA microarray were performed in 107 CRCs to identify the genes associated with diabetes and the oncogenic SNP. Then clinical significance of the gene was validated in 132 CRCs. Meta-analysis of microarray data and diabetic comorbidity was performed.
Results
Of genes associated with a minor SNP allele at 8q24, diabetes, and MYC overexpression, apolipoprotein A-IV (ApoA-IV) was associated with oncogenesis and poor prognosis in CRC patients. Patients with high ApoA-IV expression showed significantly poorer prognosis by univariate and multivariate analysis. Meta-analysis revealed lipid metabolism was associated with ApoA-IV-related oncogenesis in diabetic patients.
Conclusions
Changes in lipid metabolism associated with aberrant expression of ApoA-IV were risks for CRC oncogenesis.