BACKGROUNDCpG island hypermethylation has been reported at the promoter region of many tumor suppressor genes in colorectal cancers. However, there are significant interindividual differences in the degree of DNA methylation in colorectal cancers. The objective of the current study was to understand whether single nucleotide polymorphisms (SNPs) around the promoter of a gene are implicated in the interindividual differences of CpG island hypermethylation.METHODSPromoter methylation of the p14ARF gene and messenger RNA (mRNA) expression levels of p14ARF, DNA methyltransferase 1 (DNMT1), and DNMT3b were investigated by using methylation‐specific polymerase chain reaction (PCR) analysis (MSP) and quantitative real‐time PCR analysis in fresh tissues from 188 patients with colorectal cancer. SNPs around the p14ARF promoter were genotyped in DNA from peripheral blood lymphocytes in 300 healthy individuals and in 188 patients with colorectal cancer by using matrix‐assisted laser desorption/ionization mass spectrometry.RESULTSp14ARF methylation was present in 61 of 188 colorectal cancers (32%). Fourteen SNPs among the 20 candidate SNPs were identified as monomorphic in the Korean population studied. Two individual SNPs (−4256 thymine to cytosine [T→C] and −1477 guanine to adenine [G→A]), which were in strong linkage disequilibrium (|D′| = 0.99; correlation coefficient [r2] = 0.95), were associated significantly with p14ARF methylation. Patients who had the CC variant at the−4256 locus or the AA variant at the −1477 locus had 2.42 times (95% confidence interval [95% CI], 1.07–5.46; P = .03) and 2.47 times (95% CI, 1.09–5.56; P = .03) greater risk of p14ARF methylation than patients who had the TT or GG homozygote, respectively, after adjusting for mRNA levels of DNMTs. Four major haplotypes were identified within a block (−4256 T→C, −3631 T→C, −1477 G→A, and +20,188 T→C). p14ARF promoter methylation also was associated significantly with the CCAT haplotype (odds ratio [OR], 8.31; 95% CI, 2.43–28.41; P = .0007) and the CTAC haplotype (OR, 9.71; 95% CI, 1.09–86.24; P = .04).CONCLUSIONSThe current results suggested that SNPs around the p14ARF promoter region may be responsible for the interindividual susceptibility to p14ARF promoter methylation among individuals with colorectal cancer. Cancer 2008. © 2008 American Cancer Society.