Background and Aims
Germline variation in allele-specific expression (ASE) is associated with highly penetrant familial cancers, but its role in common sporadic cancers is unclear. ASE of the adenomatous polyposis coli (APC) gene plays a role in familial adenomatous polyposis coli. We hypothesized that moderate ASE variation in APC contributes to common forms of colorectal cancer (CRC).
Methods
Denaturing high performance liquid chromatography (DHPLC) was employed for germline APC ASE analysis in CRC cases (n=53) and controls (n=68). Means, medians, and variances of ASE were compared. Mutation analysis and SNP genotyping were performed.
Results
ASE distributions differed significantly between groups; cases had a significantly larger variance than controls (p = 0.0004). Importantly, CRC risk increased proportionally with the degree of deviation from the mean. Individuals with ASE deviating more than 1 SD from the mean had an odds ratio (OR) of 3.97 (1.71, 9.24 95% CI; p = 0.001); those deviating more than 1.645 SDs had an OR of 13.46 (1.76, 609.40 95% CI; p = 0.005). In support of these findings, sequence analysis revealed that a patient with marked ASE, who was negative for CRC family history, carried a nonsense APC mutation (p.Arg216X). Furthermore, APC genotyping showed that multiple SNPs were associated with ASE values and/or ASE variance in cases, but not in controls. Thus, cis variants may explain at least some of the ASE results.
Conclusion
Our results indicate that imbalanced germline ASE of APC is more frequent in CRC patients than controls, and represents an indicator of risk for common forms of CRC.