Abstract. Common methods for identifying cancer-related genes are solely based on differences between gene frequencies in the disease and control groups, and do not take into account the age of onset in the gene carriers. In the present investigation, we developed a new study design based on the age of onset of cancer for the identification of colorectal cancerrelated genes. The samples from patients with colorectal cancer were typed using an HLA-DQB1 polymerase chain reaction using a sequence-specific primers (PCR-SSP) typing kit. The mean age of subjects with and without the alleles was calculated. The mean age of subjects with the HLA-DQB1*02 allele was significantly less than that of subjects without this allele (p<0.05). We found that the HLA-DQB1*02 allele was associated with colorectal cancer susceptibility. This new method of analysis may therefore be an efficient and reliable approach for the identification of cancer-causing genes.
IntroductionGenetic linkage analysis has been highly successful in mapping the genes responsible for Mendelian diseases. During the past decade, attempts have been made to extend this approach to multifactorial disorders and other health-related traits. However, since complex diseases, including colorectal cancer, are characterized by the modest contributions of each susceptibility gene, identification of strong and replicable linkages has proven to be difficult (1,2). In this regard, the results of our linkage studies on human leukocyte antigen (HLA) allele polymorphisms and cancers have also been discouraging owing to inconsistent findings and weak linkage signals; however, these studies have indicated that genetic factors may affect the early onset of cancer. Therefore, we developed a new study design based on the age of onset of cancer.Cancer is typically a complex disorder to which, until now, an unknown number of genes contribute by interacting with each other and the environment (3,4). The identities of these genes have remained elusive in spite of the rapid pace of development of molecular technology and the increase in genome sequence information. This scenario may be partly attributed to by the absence of methods for high-efficacy analysis of genetic information. Single nucleotide polymorphisms (SNPs) are currently popular allelic markers (5,6); however, their value is largely qualitative. They may not be satisfactory indicators of complex diseases owing to their low quantitative efficacy. Our new study design uses the age of onset of cancer as an indicative factor that may provide a quantitative rather than a qualitative estimate (by assessing allele frequency at the locus). The efficacy of analysis may be improved since a quantitative measure is more statistically robust than a qualitative one.The HLA complex genes are located on the short arm of chromosome 6 and are the most polymorphic loci within the human genome. The primary function of HLA is to stimulate the immune system to identify infectious pathogens and eliminate them. The status of HLA alleles is impor...