P53 and DCC polymorphisms and the risk for colorectal cancer in Romanian patients—A preliminary study

Abstract. Inactivation of tumor suppressor genes p53 and DCC has been frequently observed in colorectal cancer. The aim of this case-control study was to test possible association between polymorphisms g.32008376A>G (rs714) of DCC gene and g.7175464A>G (rs1625895) of p53 gene and colorectal cancer risk in Romanian patients. We investigate these two polymorphisms by PCR-RFLP in individuals with colorectal cancer (n=120, M:W=74:46) and healthy persons (n=60, M:W=32:28). We observed that GG genotype of both genes confer protection for CRC (ORDCC 0.34, 95%CI 0.18-0.66, ORp53 0.28, 95%CI 0.14-0.55). The presence of DCC AA (OR 2.97, 95%CI 0.97-9.08) and p53 GA (OR 3.86, 95%CI 1.89-7.87) genotypes are associated with an increased risk for CRC. The alleles A of both markers are associated with the risk for disease (OR 2.87, 95%CI 1.49-5.50, respectively 3.54, 95%CI 1.81-6.91). We also observed that coinheritance of DCC GG genotype and p53 GG (OR 0.36) or p53 GA (OR 0.23) confer protection for CRC. These apparent discordant results obtained for the p53 gene may be the result of interaction with other markers or a selection bias. Our findings indicate that the p53 and DCC polymorphisms are associated with a risk of CRC in Romanian patients