Background/Aim: While numerous biomarkers associated with genetic susceptibility to colorectal cancer (CRC) have been identified and validated through epidemiological studies, the specific influence of DNA ligase 4 (Lig4) genotypes remains unexplored. This study aimed to elucidate the hitherto unexamined relationship between Lig4 genotypes and CRC risk. Materials and Methods: The genotypes of Lig4 rs1805388 were determined applying the polymerase chain reaction-restriction fragment length polymorphism methodology. The potential association between these genotypes and CRC risk was assessed in a Taiwanese population comprising 362 CRC cases and an equal number of age-and sex-matched controls. Results: In the genotypic analysis, the distribution of CC, CT, and TT genotypes for Lig4 rs1805388 among CRC cases was 54.7%, 38.1%, and 7.2%, respectively. This distribution was not significantly different from the controls, which exhibited genotypic frequencies of 57.2%, 36.7%, and 6.1%, respectively (p for trend=0.7314). Analysis of allelic distribution indicated that individuals carrying the T allele of Lig4 rs1805388 displayed a slightly elevated CRC risk compared to those carrying the C allele (odds ratio=1.10, 95% confidence interval=0. 87-1.39, p=0.4685)
. Conclusion:The variant genotypes of Lig4 rs1805388 may not serve as predictive markers for CRC risk in the Taiwanese population.Colorectal cancer (CRC) constitutes approximately 11% of all newly diagnosed cancer cases and stands as the third most prevalent cancer worldwide, leading to the second highest number of cancer-related fatalities (1). The pathogenesis of CRC encompasses a myriad of factors that contribute to intricate genetic and epigenetic mechanisms, culminating in the conversion of normal colonic mucosa into malignant tissues (2). Deficient DNA repair capacity is closely linked with genomic instability and heightened susceptibility to cancer (3-5). Furthermore, emerging evidence underscores the strong correlation between genetic variations in the DNA damage responses, microsatellite instability status and mitochondrial copy numbers and other pathways, serving as crucial determinants for CRC patients (6-11).