Fighting colorectal cancer: molecular epidemiology differences among Ashkenazi and Sephardic Jews and Palestinians

Background: To evaluate and compare differences in the molecular genetics among high-risk (Ashkenazi Jews), intermediate-risk (Sephardic Jews) and low-risk (Palestinians) groups for colorectal cancer who live in the same geographical region. Patients and methods: The 1995–1996 records from the Tel A...

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Veröffentlicht in:Annals of oncology 2002-09, Vol.13 (9), p.1497-1501
Hauptverfasser: Darwish, H., Trejo, I. E., Shapira, I., Oweineh, S., Sughayer, M., Baron, L., Aljadeff, E., Silbermann, M., Sweidan, W., Zilberg, D., Halpern, Z., Hibshoosh, H., Arber, N.
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container_end_page 1501
container_issue 9
container_start_page 1497
container_title Annals of oncology
container_volume 13
creator Darwish, H.
Trejo, I. E.
Shapira, I.
Oweineh, S.
Sughayer, M.
Baron, L.
Aljadeff, E.
Silbermann, M.
Sweidan, W.
Zilberg, D.
Halpern, Z.
Hibshoosh, H.
Arber, N.
description Background: To evaluate and compare differences in the molecular genetics among high-risk (Ashkenazi Jews), intermediate-risk (Sephardic Jews) and low-risk (Palestinians) groups for colorectal cancer who live in the same geographical region. Patients and methods: The 1995–1996 records from the Tel Aviv Medical Center and Muqased hospital (East Jerusalem) randomly identified patients with colorectal cancer. There were 25 patients from each ethnic group. Epidemiological data were obtained from interviews with the patients and from their hospital charts. The levels of cyclin D1, β-catenine, p27, p53, Ki-67 and Her-2/neu proteins were determined by immunohistochemistry. The main outcome measures were the association between gene expression and colorectal incidence in the different ethnic groups. Results: Ashkenazi Jews have the highest rate of colorectal cancer, and are diagnosed at an early stage compared with Palestinians (72% and 33% of the cases are in Dukes’ A and B, respectively), and, hence, this may explain the better 5-year survival rate among this group. Sephardic Jews are diagnosed at a more advanced stage, the tumors are poorly differentiated and they lack p27. Palestinians have significantly higher cyclin D1 levels. There was a statistically significant inverse correlation between the expression of β-catenine and cyclin D1, as well as p53 and p27 (P
doi_str_mv 10.1093/annonc/mdf230
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E. ; Shapira, I. ; Oweineh, S. ; Sughayer, M. ; Baron, L. ; Aljadeff, E. ; Silbermann, M. ; Sweidan, W. ; Zilberg, D. ; Halpern, Z. ; Hibshoosh, H. ; Arber, N.</creator><creatorcontrib>Darwish, H. ; Trejo, I. E. ; Shapira, I. ; Oweineh, S. ; Sughayer, M. ; Baron, L. ; Aljadeff, E. ; Silbermann, M. ; Sweidan, W. ; Zilberg, D. ; Halpern, Z. ; Hibshoosh, H. ; Arber, N.</creatorcontrib><description>Background: To evaluate and compare differences in the molecular genetics among high-risk (Ashkenazi Jews), intermediate-risk (Sephardic Jews) and low-risk (Palestinians) groups for colorectal cancer who live in the same geographical region. Patients and methods: The 1995–1996 records from the Tel Aviv Medical Center and Muqased hospital (East Jerusalem) randomly identified patients with colorectal cancer. There were 25 patients from each ethnic group. Epidemiological data were obtained from interviews with the patients and from their hospital charts. The levels of cyclin D1, β-catenine, p27, p53, Ki-67 and Her-2/neu proteins were determined by immunohistochemistry. The main outcome measures were the association between gene expression and colorectal incidence in the different ethnic groups. Results: Ashkenazi Jews have the highest rate of colorectal cancer, and are diagnosed at an early stage compared with Palestinians (72% and 33% of the cases are in Dukes’ A and B, respectively), and, hence, this may explain the better 5-year survival rate among this group. Sephardic Jews are diagnosed at a more advanced stage, the tumors are poorly differentiated and they lack p27. Palestinians have significantly higher cyclin D1 levels. There was a statistically significant inverse correlation between the expression of β-catenine and cyclin D1, as well as p53 and p27 (P &lt;0.05). Conclusions: Increased expression of cyclin D1, p53, Ki-67, β-catenine and Her-2/neu, and decreased expression of p27 may be important events in the three ethnic groups with colorectal cancer. The lower mortality rate among Ashkenazi Jews may be partially explained by their better molecular biology profile.</description><identifier>ISSN: 0923-7534</identifier><identifier>EISSN: 1569-8041</identifier><identifier>DOI: 10.1093/annonc/mdf230</identifier><identifier>PMID: 12196377</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; Arabs - genetics ; beta Catenin ; Biological and medical sciences ; Biopsy, Needle ; colorectal cancer ; Colorectal Neoplasms - ethnology ; Colorectal Neoplasms - genetics ; Colorectal Neoplasms - prevention &amp; control ; Cyclin D1 - genetics ; Cytoskeletal Proteins - genetics ; Female ; Gastroenterology. Liver. Pancreas. 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E.</creatorcontrib><creatorcontrib>Shapira, I.</creatorcontrib><creatorcontrib>Oweineh, S.</creatorcontrib><creatorcontrib>Sughayer, M.</creatorcontrib><creatorcontrib>Baron, L.</creatorcontrib><creatorcontrib>Aljadeff, E.</creatorcontrib><creatorcontrib>Silbermann, M.</creatorcontrib><creatorcontrib>Sweidan, W.</creatorcontrib><creatorcontrib>Zilberg, D.</creatorcontrib><creatorcontrib>Halpern, Z.</creatorcontrib><creatorcontrib>Hibshoosh, H.</creatorcontrib><creatorcontrib>Arber, N.</creatorcontrib><title>Fighting colorectal cancer: molecular epidemiology differences among Ashkenazi and Sephardic Jews and Palestinians</title><title>Annals of oncology</title><addtitle>Ann Oncol</addtitle><description>Background: To evaluate and compare differences in the molecular genetics among high-risk (Ashkenazi Jews), intermediate-risk (Sephardic Jews) and low-risk (Palestinians) groups for colorectal cancer who live in the same geographical region. Patients and methods: The 1995–1996 records from the Tel Aviv Medical Center and Muqased hospital (East Jerusalem) randomly identified patients with colorectal cancer. There were 25 patients from each ethnic group. Epidemiological data were obtained from interviews with the patients and from their hospital charts. The levels of cyclin D1, β-catenine, p27, p53, Ki-67 and Her-2/neu proteins were determined by immunohistochemistry. The main outcome measures were the association between gene expression and colorectal incidence in the different ethnic groups. Results: Ashkenazi Jews have the highest rate of colorectal cancer, and are diagnosed at an early stage compared with Palestinians (72% and 33% of the cases are in Dukes’ A and B, respectively), and, hence, this may explain the better 5-year survival rate among this group. Sephardic Jews are diagnosed at a more advanced stage, the tumors are poorly differentiated and they lack p27. Palestinians have significantly higher cyclin D1 levels. There was a statistically significant inverse correlation between the expression of β-catenine and cyclin D1, as well as p53 and p27 (P &lt;0.05). Conclusions: Increased expression of cyclin D1, p53, Ki-67, β-catenine and Her-2/neu, and decreased expression of p27 may be important events in the three ethnic groups with colorectal cancer. The lower mortality rate among Ashkenazi Jews may be partially explained by their better molecular biology profile.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arabs - genetics</subject><subject>beta Catenin</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>colorectal cancer</subject><subject>Colorectal Neoplasms - ethnology</subject><subject>Colorectal Neoplasms - genetics</subject><subject>Colorectal Neoplasms - prevention &amp; control</subject><subject>Cyclin D1 - genetics</subject><subject>Cytoskeletal Proteins - genetics</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Genes, p53 - genetics</subject><subject>Genetic Markers - genetics</subject><subject>Genetic Predisposition to Disease - ethnology</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Israel - epidemiology</subject><subject>Jews - genetics</subject><subject>Key words: Ashkenazi Jews</subject><subject>Ki-67 Antigen - genetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molecular Epidemiology</subject><subject>Palestinians</subject><subject>Receptor, ErbB-2 - genetics</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Sephardic Jews</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Trans-Activators - genetics</subject><subject>Tumors</subject><issn>0923-7534</issn><issn>1569-8041</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1vEzEQhi0EoqFw5Ir2Arel_lh7bW6lIm1RpRYBAnGxJuNxYrofwU4E5dezJVFzGmnmmfeVHsZeCv5WcKdOYBjGAU_6EKXij9hMaONqyxvxmM24k6putWqO2LNSfnLOjZPuKTsSUjij2nbG8jwtV5s0LCscuzETbqCrEAak_K7qx45w20GuaJ0C9WlClndVSDFSpokpFfTj9HtaVrc0wN9UwRCqz7ReQQ4Jq4_0u_xf3UBHZapJMJTn7EmErtCL_TxmX-cfvpxd1FfX55dnp1c1Kmc2NUiIEQ0QRtQBW6u4ddZEJwNXaMQCFmAXQZFQWkdtySoUSmmMJjacUB2zN7vcdR5_bad636eC1HUw0LgtvpVcWqnlBNY7EPNYSqbo1zn1kO-84P5est9J9jvJE_9qH7xd9BQO9N7qBLzeA1AQupgnn6kcuKbhVjbqUJzKhv483CHfetOqVvuL7z-8ujl__83NP3mt_gGBB5k-</recordid><startdate>20020901</startdate><enddate>20020901</enddate><creator>Darwish, H.</creator><creator>Trejo, I. 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E.</creatorcontrib><creatorcontrib>Shapira, I.</creatorcontrib><creatorcontrib>Oweineh, S.</creatorcontrib><creatorcontrib>Sughayer, M.</creatorcontrib><creatorcontrib>Baron, L.</creatorcontrib><creatorcontrib>Aljadeff, E.</creatorcontrib><creatorcontrib>Silbermann, M.</creatorcontrib><creatorcontrib>Sweidan, W.</creatorcontrib><creatorcontrib>Zilberg, D.</creatorcontrib><creatorcontrib>Halpern, Z.</creatorcontrib><creatorcontrib>Hibshoosh, H.</creatorcontrib><creatorcontrib>Arber, N.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darwish, H.</au><au>Trejo, I. E.</au><au>Shapira, I.</au><au>Oweineh, S.</au><au>Sughayer, M.</au><au>Baron, L.</au><au>Aljadeff, E.</au><au>Silbermann, M.</au><au>Sweidan, W.</au><au>Zilberg, D.</au><au>Halpern, Z.</au><au>Hibshoosh, H.</au><au>Arber, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fighting colorectal cancer: molecular epidemiology differences among Ashkenazi and Sephardic Jews and Palestinians</atitle><jtitle>Annals of oncology</jtitle><addtitle>Ann Oncol</addtitle><date>2002-09-01</date><risdate>2002</risdate><volume>13</volume><issue>9</issue><spage>1497</spage><epage>1501</epage><pages>1497-1501</pages><issn>0923-7534</issn><eissn>1569-8041</eissn><abstract>Background: To evaluate and compare differences in the molecular genetics among high-risk (Ashkenazi Jews), intermediate-risk (Sephardic Jews) and low-risk (Palestinians) groups for colorectal cancer who live in the same geographical region. Patients and methods: The 1995–1996 records from the Tel Aviv Medical Center and Muqased hospital (East Jerusalem) randomly identified patients with colorectal cancer. There were 25 patients from each ethnic group. Epidemiological data were obtained from interviews with the patients and from their hospital charts. The levels of cyclin D1, β-catenine, p27, p53, Ki-67 and Her-2/neu proteins were determined by immunohistochemistry. The main outcome measures were the association between gene expression and colorectal incidence in the different ethnic groups. Results: Ashkenazi Jews have the highest rate of colorectal cancer, and are diagnosed at an early stage compared with Palestinians (72% and 33% of the cases are in Dukes’ A and B, respectively), and, hence, this may explain the better 5-year survival rate among this group. Sephardic Jews are diagnosed at a more advanced stage, the tumors are poorly differentiated and they lack p27. Palestinians have significantly higher cyclin D1 levels. There was a statistically significant inverse correlation between the expression of β-catenine and cyclin D1, as well as p53 and p27 (P &lt;0.05). Conclusions: Increased expression of cyclin D1, p53, Ki-67, β-catenine and Her-2/neu, and decreased expression of p27 may be important events in the three ethnic groups with colorectal cancer. The lower mortality rate among Ashkenazi Jews may be partially explained by their better molecular biology profile.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12196377</pmid><doi>10.1093/annonc/mdf230</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Arabs - genetics
beta Catenin
Biological and medical sciences
Biopsy, Needle
colorectal cancer
Colorectal Neoplasms - ethnology
Colorectal Neoplasms - genetics
Colorectal Neoplasms - prevention & control
Cyclin D1 - genetics
Cytoskeletal Proteins - genetics
Female
Gastroenterology. Liver. Pancreas. Abdomen
Genes, p53 - genetics
Genetic Markers - genetics
Genetic Predisposition to Disease - ethnology
Humans
Immunohistochemistry
Israel - epidemiology
Jews - genetics
Key words: Ashkenazi Jews
Ki-67 Antigen - genetics
Male
Medical sciences
Middle Aged
Molecular Epidemiology
Palestinians
Receptor, ErbB-2 - genetics
Registries
Retrospective Studies
Sensitivity and Specificity
Sephardic Jews
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Trans-Activators - genetics
Tumors
title Fighting colorectal cancer: molecular epidemiology differences among Ashkenazi and Sephardic Jews and Palestinians
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