AIM:To investigate the association between colorectal cancer (CRC) genetic susceptibility variants and esophageal cancer in a Chinese Han population.
METHODS:A case-control study was conducted including 360 esophageal cancer patients and 310 healthy controls. Thirty-one single-nucleotide polymorphisms (SNPs) associated with CRC risk from previous genome-wide association studies were analyzed. SNPs were genotyped using Sequenom Mass-ARRAY technology, and genotypic frequencies in controls were tested for departure from HardyWeinberg equilibrium using a Fisher's exact test. The allelic frequencies were compared between cases and controls using a χ 2 test. Associations between the SNPs and the risk of esophageal cancer were tested using various genetic models (codominant, dominant, recessive, overdominant, and additive). ORs and 95%CIs were calculated by unconditional logistic regression with adjustments for age and sex.
RESULTS:The minor alleles of rs1321311 and rs4444235 were associated with a 1.53-fold (95%CI:
ORIGINAL ARTICLE
Case Control StudyAssociation of colorectal cancer susceptibility variants with esophageal cancer in a Chinese population of esophageal cancer, squamous cell carcinoma is the most common, and prognosis highly correlates with disease stage and advancement.Epidemiologic studies indicate that tobacco smoking, alcohol intake, nutritional deficiencies, and dietary carcinogen exposure contribute to the etiology of esophageal cancer [4,5] . However, only a small proportion of individuals exposed to these factors actually develop esophageal cancer, suggesting that genetic factors also play a vital role in susceptibility. It has been reported that susceptibility to esophageal cancer is not dependent on a single gene and is affected by population differences [6,7] . Colorectal cancer (CRC) is the most common malignant tumor of the digestive tract, and the second most common of all gastrointestinal tumors [8] . Recent studies have identified haplotype-tagging singlenucleotide polymorphisms (SNPs) that are associated with an increased colorectal cancer risk in the general population [9][10][11][12] . Previous genetic polymorphism studies in the Chinese population were focused solely on SNPs associated with esophageal cancer risk in genome-wide association studies (GWAS) [13][14][15] . The purpose of the present study was to identify digestive system tumor common susceptibility loci. To achieve this, 31 high-frequency SNPs associated with CRC risk in the Chinese population were evaluated with respect to esophageal cancer risk.
MATERIALS AND METHODS
Study participantsAll participants were Chinese Han that were seen between January 2011 and February 2014 at the First Affiliated Hospital of the Medical College of Xi'an Jiaotong University. None of the study participants received neoadjuvant therapy or had previous histories of other cancers, chemotherapy, or radiotherapy. Participants were chosen without restrictions of age, sex, or disease stage. None of the healthy control subjects had a...