Dear Sir,Cytosolic sulfotransferases (SULT) play an important role in Phase II metabolism of several xenobiotics. Although sulfonation in general exerts detoxifying effects, it may also lead to the bioactivation of certain promutagens and procarcinogens including heterocyclic amines that can be formed when meats are cooked at high temperature. 1,2 Several sulfotransferases have been identified in humans, which show important tissue distribution variability and different affinities for some substrates. For SULT1A1 and SULT1A2, 2 polymorphisms have been detected that lead to altered enzyme functions. SULT1A1 is highly expressed in numerous tissues including colon mucosa. Its variant SULT1A1*His was associated with decreased enzyme activity and thermostability in platelets and reduced activation of some pro mutagens in vitro 3 compared to SULT1A1*Arg. There are no published studies demonstrating the presence of SULT1A2 protein in any tissue. Using a modified protocol for electrophoresis, our group could separate SULT1A2 from other cross-immunoreactive SULT forms, including SULT1A1, and unambiguously detect the presence of moderate levels of SULT1A2 protein in some (but not all) colon mucosa samples investigated as well as in the colon carcinoma cell line Caco-2 (W. Meinl, W. Teubner, A. Lampen and H. R. Glatt, unpublished data). In vitro studies have shown that SULT1A2 can activate procarcinogens. 4 The gene SULT1A2 is usually in linkage disequilibrium with SULT1A1, and high-activity alloenzymes (SULT1A1*Arg and SULT1A2* Asn) are associated together. 5 SULT1A1*His has been associated to a protective effect in colorectal cancer, 6 although other studies have not confirmed this finding. [7][8][9][10] We have tested the main hypothesis that polymorphisms in SULT1A1 and SULT1A2 modify the risk of colorectal cancer. We have also explored whether these polymorphisms interact with exposures such as diet, alcohol, tobacco or drugs and with genetic alterations in the tumors.A hospital-based case-control study was conducted to assess risk factors of colorectal cancer and gene-environment interactions. Details about the study population, interviews and collection of biological samples have been published elsewhere. 11 Briefly, cases were patients with a new diagnosis of colorectal adenocarcinoma attending a University Hospital in Barcelona, Spain, between January 1996 and December 1998. Controls were selected from admissions to the same hospital during this period. To avoid selection bias of controls, the reason for admission had to be a disease not previously diagnosed for that patient. Main diagnosis groups of controls were: acute digestive surgery 19%, urology 17%, gastroenterology 16% and orthopedic surgery 15%. The study protocol was cleared by the Ethics Committee of the hospital and all individuals gave written informed consent to participate and to perform genetic analysis on their samples. Our study is based on 293 cases (67% of eligible) and 272 controls (63% of eligible) that provided a blood sample to perform the ...