Genetic variants of MUC4 are associated with susceptibility to and mortality of colorectal cancer and exhibit synergistic effects with LDL-C levels

As a disease with high mortality and prevalence rates worldwide, colorectal cancer (CRC) has been thoroughly investigated. Mucins are involved in the induction of CRC and the regulation of intestinal homeostasis but a member of the mucin gene family MUC4 has a controversial role in CRC. MUC4 has bee...

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Veröffentlicht in:PloS one 2023-06, Vol.18 (6), p.e0287768
Hauptverfasser: Kwon, Min Jung, Lee, Jeong Yong, Kim, Eo Jin, Ko, Eun Ju, Ryu, Chang Soo, Cho, Hye Jung, Jun, Hak Hoon, Kim, Jong Woo, Kim, Nam Keun
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container_title PloS one
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creator Kwon, Min Jung
Lee, Jeong Yong
Kim, Eo Jin
Ko, Eun Ju
Ryu, Chang Soo
Cho, Hye Jung
Jun, Hak Hoon
Kim, Jong Woo
Kim, Nam Keun
description As a disease with high mortality and prevalence rates worldwide, colorectal cancer (CRC) has been thoroughly investigated. Mucins are involved in the induction of CRC and the regulation of intestinal homeostasis but a member of the mucin gene family MUC4 has a controversial role in CRC. MUC4 has been associated with either decreased susceptibility to or a worse prognosis of CRC. In our study, the multifunctional aspects of MUC4 were elucidated by genetic polymorphism analysis in a case-control study of 420 controls and 464 CRC patients. MUC4 rs1104760 A>G polymorphism had a protective effect on CRC risk (AG, AOR = 0.537; GG, AOR = 0.297; dominant model, AOR = 0.493; recessive model, AOR = 0.382) and MUC4 rs2688513 A>G was associated with an increased mortality rate of CRC (5 years, GG, adjusted HR = 6.496; recessive model, adjusted HR = 5.848). In addition, MUC4 rs1104760 A>G showed a high probability of being a potential biomarker for CRC patients with low-density lipoprotein cholesterol (LDL-C) in the risk range while showing a significant synergistic effect with the LDL-C level. This is the first study to indicate a significant association between MUC4 genetic polymorphisms and CRC prevalence, suggesting a functional genetic variant with the LDL-C level, for CRC prevention.
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Mucins are involved in the induction of CRC and the regulation of intestinal homeostasis but a member of the mucin gene family MUC4 has a controversial role in CRC. MUC4 has been associated with either decreased susceptibility to or a worse prognosis of CRC. In our study, the multifunctional aspects of MUC4 were elucidated by genetic polymorphism analysis in a case-control study of 420 controls and 464 CRC patients. MUC4 rs1104760 A&gt;G polymorphism had a protective effect on CRC risk (AG, AOR = 0.537; GG, AOR = 0.297; dominant model, AOR = 0.493; recessive model, AOR = 0.382) and MUC4 rs2688513 A&gt;G was associated with an increased mortality rate of CRC (5 years, GG, adjusted HR = 6.496; recessive model, adjusted HR = 5.848). In addition, MUC4 rs1104760 A&gt;G showed a high probability of being a potential biomarker for CRC patients with low-density lipoprotein cholesterol (LDL-C) in the risk range while showing a significant synergistic effect with the LDL-C level. 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subjects Age
Analysis
Biology and Life Sciences
Biomarkers
Body mass index
Cancer
Cancer therapies
Cholesterol
Cholesterol, LDL
Colorectal cancer
Colorectal carcinoma
Diabetes
Diagnosis
Disease
Disease susceptibility
Gene polymorphism
Genetic analysis
Genetic aspects
Genetic diversity
Genetic variance
Health aspects
High density lipoprotein
Homeostasis
Hypertension
Lipids
Low density lipoprotein
Medical prognosis
Medical screening
Medicine and Health Sciences
Metabolism
Mortality
Mucin
Mucins
Polymorphism
Precision medicine
Software
Surgery
Survival analysis
Synergistic effect
Tumors
title Genetic variants of MUC4 are associated with susceptibility to and mortality of colorectal cancer and exhibit synergistic effects with LDL-C levels
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