A Common SMAD7 Variant Is Associated with Risk of Colorectal Cancer: Evidence from a Case-Control Study and a Meta-AnalysisReport as inadecuate




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Background

A common genetic variant, rs4939827, located in SMAD7, was identified by two recent genome-wide association GWA studies to be strongly associated with the risk of colorectal cancer CRC. However, the following replication studies yielded conflicting results.

Method and Findings

We conducted a case-control study of 641 cases and 1037 controls in a Chinese population and then performed a meta-analysis, integrating our and published data of 34313 cases and 33251 controls, to clarify the relationship between rs4939827 and CRC risk. In our case-control study, the dominant model was significant associated with increased CRC risk Odds Ratio OR = 1.46; 95% confidence interval 95% CI, 1.19–1.80. The following meta-analysis further confirmed this significant association for all genetic models but with significant between-study heterogeneity all P for heterogeneity <0.1. By stratified analysis, we revealed that ethnicity, sample size, and tumor sites might constitute the source of heterogeneity. The cumulative analysis suggested that evident tendency to significant association was seen with adding study samples over time; whilst, sensitive analysis showed results before and after removal of each study were similar, indicating the highly stability of the current results.

Conclusion

Results from our case-control study and the meta-analysis collectively confirmed the significant association of the variant rs4939827 with increased risk of colorectal cancer. Nevertheless, fine-mapping of the susceptibility loci defined by rs4939287 should be imposed to reveal causal variant.



Author: Qibin Song , Beibei Zhu , Weiguo Hu, Liming Cheng, Hongyun Gong, Bin Xu, Xiawen Zheng, Li Zou, Rong Zhong, Shengyu Duan, Wei Chen

Source: http://plos.srce.hr/



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