PMID- 27105501 OWN - NLM STAT- MEDLINE DCOM- 20180112 LR - 20221207 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 20 DP - 2016 May 17 TI - Two variants on T2DM susceptible gene HHEX are associated with CRC risk in a Chinese population. PG - 29770-9 LID - 10.18632/oncotarget.8865 [doi] AB - Increasing amounts of evidence has demonstrated that T2DM (Type 2 Diabetes Mellitus) patients have increased susceptibility to CRC (colorectal cancer). As HHEX is a recognized susceptibility gene in T2DM, this work was focused on two SNPs in HHEX, rs1111875 and rs7923837, to study their association with CRC. T2DM patients without CRC (T2DM-only, n=300), T2DM with CRC (T2DM/CRC, n=135), cancer-free controls (Control, n=570), and CRC without T2DM (CRC-only, n=642) cases were enrolled. DNA samples were extracted from the peripheral blood leukocytes of the patients and sequenced by direct sequencing. The chi2 test was used to compare categorical data. We found that in T2DM patients, rs1111875 but not the rs7923837 in HHEX gene was associated with the occurrence of CRC (p= 0.006). for rs1111875, TC/CC patients had an increased risk of CRC (p=0.019, OR=1.592, 95%CI=1.046-2.423). Moreover, our results also indicated that the two variants of HEEX gene could be risk factors for CRC in general population, independent on T2DM (p< 0.001 for rs1111875, p=0.001 for rs7923837). For rs1111875, increased risk of CRC was observed in TC or TC/CC than CC individuals (p<0.001, OR= 1.780, 95%CI= 1.385-2.287; p<0.001, OR= 1.695, 95%CI= 1.335-2.152). For rs7923837, increased CRC risk was observed in AG, GG, and AG/GG than AA individuals (p< 0.001, OR= 1.520, 95%CI= 1.200-1.924; p=0.036, OR= 1.739, 95%CI= 0.989-3.058; p< 0.001, OR= 1.540, 95%CI= 1.225-1.936). This finding highlights the potentially functional alteration with HHEX rs1111875 and rs7923837 polymorphisms may increase CRC susceptibility. Risk effects and the functional impact of these polymorphisms need further validation. FAU - Sun, Rui AU - Sun R AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Liu, Jian-Ping AU - Liu JP AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Gao, Chang AU - Gao C AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Xiong, Ying-Ying AU - Xiong YY AD - Department of Clinical Laboratory, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Li, Min AU - Li M AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Wang, Ya-Ping AU - Wang YP AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Su, Yan-Wei AU - Su YW AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Lin, Mei AU - Lin M AD - Department of Endocrinology, Wuhan PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Jiang, An-Li AU - Jiang AL AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Xiong, Ling-Fan AU - Xiong LF AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Xie, Yan AU - Xie Y AD - Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, United States of America. FAU - Feng, Jue-Ping AU - Feng JP AD - Department of Oncology, PuAi Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (HHEX protein, human) RN - 0 (Homeodomain Proteins) RN - 0 (Transcription Factors) SB - IM MH - Asian People/genetics MH - Colorectal Neoplasms/*genetics MH - Diabetes Mellitus, Type 2/complications/genetics MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - Homeodomain Proteins/*genetics MH - Humans MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Risk Factors MH - Transcription Factors/*genetics PMC - PMC5045432 OTO - NOTNLM OT - HHEX OT - colorectal cancer OT - genetic variants OT - type 2 diabetes mellitus COIS- The authors declare no conflicts of interest. EDAT- 2016/04/23 06:00 MHDA- 2018/01/13 06:00 PMCR- 2016/05/17 CRDT- 2016/04/23 06:00 PHST- 2015/11/07 00:00 [received] PHST- 2016/03/28 00:00 [accepted] PHST- 2016/04/23 06:00 [entrez] PHST- 2016/04/23 06:00 [pubmed] PHST- 2018/01/13 06:00 [medline] PHST- 2016/05/17 00:00 [pmc-release] AID - 8865 [pii] AID - 10.18632/oncotarget.8865 [doi] PST - ppublish SO - Oncotarget. 2016 May 17;7(20):29770-9. doi: 10.18632/oncotarget.8865.