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Colorectal cancer

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Several SNPs have been reported to be associated with increased risk for developing colorectal cancer ("CRC"), including:


Some SNPs have also been found that lower the risk of developing colorectal cancer, along with lowering the odds of metastatic CRC:


Other SNPs have been associated with the efficacy of various treatments CRC:

  • Colorectal cancer patients being treated with the chemotherapeutic drug irinotecan are the subject of an FDA approved genetic test designed to assess a SNP in the UGT1A1 gene. Drug dosage guidelines are different for different rs34815109 genotypes.
  • rs396991 influences progression-free survival when using cetuximab to treat metastatic CRC
  • nejm K-ras Mutations and Benefit from Cetuximab in Advanced Colorectal Cancer

2009 Review: Pharmacogenetics and biomarkers in colorectal cancer.[PMID 19381163]


[PMID 17914568] The Gln/Gln genotype at codon 302 in RAD18 was significantly more frequent in CRC (18.0%) than in the healthy controls (11.5%) (p=0.046). The increased risk was detected in CRC patients with the Gln/Gln genotype (Odds ratio [OR], 2.10; 95% confidence interval [CI], 1.00 to 4.40). When the relationship of the SNP with clinicopathological parameters of CRC was investigated, particularly in the well-differentiated grade and in the lymph node metastasis (N1) CRC patients, significantly higher risks were detected (OR, 7.00; 95% CI, 1.19-41.1 and OR, 3.71; 95% CI, 1.30-10.6, respectively).

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