The MUTYH gene encodes a DNA glycosylase that can initiate the base excision repair pathway and prevent G:C > > > > T:A transversion by excising adenine mispaired with 8-hydroxyguanine. Biallelic germline mutations of MUTYH have been shown to predict familial and sporadic multiple colorectal adenomas and carcinomas, however, whether there is an association between single nucleotide polymorphisms (SNPs) of MUTYH and sporadic colorectal cancer (CRC) risk has remained unclear. In this study we investigated four MUTYH SNPs, I ntracellular DNA is at risk of damage by reactive oxygen species (ROS) generated by normal metabolism and environmental exposure, and 8-hydroxyguanine (8-ohG) is one of the products induced by ROS damage and is known to be a mutagenic lesion.(1,2) The base excision repair (BER) pathway plays an important role in repairing oxidative-damage-induced mutations, and the MUTYH gene encodes the glycosylase capable of initiating the BER pathway by catalyzing the removal of adenine residues mispaired with 8-ohG.(3-5) It has been indicated that defects in the BER pathway may contribute to tumorigenesis by increasing mutation frequency in oncogenes and tumor suppressor genes.(6) In fact, it has been reported that some cases of autosomal recessive inherited multiple colorectal adenomatous polyposis and carcinoma with an increased frequency of somatic G:C > T:A mutations in APC are attributable to biallelic germline mutations in the MUTYH gene.(7-10) The disease-causing mutations, Y165C, G382D, 466delE, E466X, and Y90X have been reported in Caucasians, Indian, Pakistani and other ethnic groups. (8,9,11,12) The frequencies of Y165C and G382D have been investigated in several colorectal cancer (CRC) case-control studies, and monoallelic carriers of these variants were found in 0.0 -2.6% of the cases and 0.0 -2.1% of the controls and biallelic carriers of these variants were found in 0.0-0.8% of the cases and 0% of the controls, respectively.(13-18) However, neither of these two variants has ever been detected in East Asians, including Japanese, (19)(20)(21)(22) suggesting that they are ethnicity-specific alleles. Based on the above findings, we hypothesized that MUTYH variants other than Y165C and G382D act as low-penetrance susceptibility alleles in Japanese CRC, similar to a situation previously reported for the APC and CHEK2 gene variants. (23,24) We conducted a CRC case-control study to evaluate the significance of MUTYH variants in a Japanese population. In the single-nucleotide polymorphisms (SNPs) reported in the Japanese population, (19,20) four SNPs (IVS1+11C > T, IVS6+35G > A, IVS10 -2A > G and 972G > C [Gln324His]), were selected, and all 685 cases and 778 matched controls were genotyped to detect these four SNPs. Statistically significant association was found between the IVS1+11C > T SNP and increased CRC risk in the Japanese population. A haplotye-based association study was also carried out, and a statistically significant association was found between the IVS1+11T -IVS6+35G -IVS10-2A -972C (TG...