Cyclin D1 (CCND1) and E-cadherin (CDH1) have been shown to be important genes of the b-catenin/LEF pathway that is involved in colorectal carcinogenesis. However, epidemiological studies on relationship between genetic variants of these two genes and colorectal cancer (CRC) have shown inconsistent results. In a population-based case-control study (498 cases and 600 controls), we assessed the association of CCND1 G870A and CDH1 C-160A polymorphisms with CRC risk. Multivariable logistic regression analysis was used to estimate the association between genotypes, environmental exposures and CRC risk, adjusting for potential confounders. Compared to common homozygotes, the OR for heterozygous and homozygote variant genotype was 1.08 (95% CI, 0.80-1.46) in CCND1 and 0.97 (95% CI, 0.75-1.25) in CDH1. Neither tumor stage nor location showed an association with genetic susceptibility. However, a significant interaction between hormone replacement therapy (HRT) and CCND1 genotypes in CRC risk was found among postmenopausal women (p interaction 5 0.02). The risk reduction associated with HRT was substantial (OR, 0.09; 95% CI, 0.02-0.35) in women who were GG homozygous. A metaanalyses including 11 published studies on CCND1 G870A in addition to our study showed a slightly increased risk of CRC for carriers of the A allele (OR, 1.19; 95% CI, 1.06-1.34); however, there was some indication of publication bias. We conclude that the CCND1 G870A and CDH1 C-160A polymorphisms are not associated with the risk of CRC in the German population. However, the CCND1 G870A polymorphism may modify the protective effect of postmenopausal hormone use on the development of CRC. ' 2008 Wiley-Liss, Inc.Key words: colorectal cancer; cyclin D1; E-cadherin; genetic polymorphism Aberrant activation of Wnt/b-catenin signalling, due to mutations in component enzyme of the pathway, is thought to be an initiating event in colorectal carcinogenesis.1 b-Catenin associates with TCF/LEF (T cell factor/lymphocyte enhancer factor) transcription factors to activate target genes that enhance proliferation and cell survival, and thus impact on the development of colorectal cancer (CRC).2 Therefore, polymorphisms of the genes involved in Wnt/b-catenin signalling pathway are likely to play a role in determining the individual susceptibility to CRC.Cyclin D1 (CCND1) is a key cell cycle regulator from G1 to S phase. The CCND1 gene is a direct target for transactivation by the the b-catenin /LEF-1 pathway through a LEF-1 binding site in the CCND1 promoter.3 A common G870A polymorphism in exon 4 of the CCND1 gene is known to modulate the frequency of alternate splicing and probably reduce transcript levels. 4 A number of studies have linked the CCND1 870A allele to increased cancer risk, but the evidence is not entirely consistent, and some controversy exists regarding the effects on CRC development (Table I). [5][6][7][8][9][10][11][12][13][14][15] E-cadherin (CDH1) is a well-characterized cell-cell adhesion molecule leading to increased cell mobility and possibly i...