Fat and K-ras mutations in sporadic colorectal cancer in The Netherlands Cohort Study

Background/Aim: Associations between dietary intake of various fats and specific K-ras mutations in colorectal cancer (CRC) were investigated within the framework of the Netherlands Cohort Study on diet and cancer (NLCS). Methods: After 7.3 years of follow-up and with exclusion of the first 2.3 years, 448 colon and 160 rectal cancer patients and 3048 subcohort members (55-69 years at baseline) were available for data-analyses. Mutation analysis of the K-ras gene was performed on all archival colon and rectal adenocarcinoma specimens. Case-cohort analyses were used to compute adjusted incidence... Mehr ...

Verfasser: Brink, Mirian
Weijenberg, Matty P.
de Goeij, Anton F. P. M.
Schouten, Leo J.
Koedijk, Femke D. H.
Roemen, Guido M. J. M.
Lentjes, Marjolein H. F. M.
de Bruïne, Adriaan P.
Goldbohm, R. Alexandra
van den Brandt, Piet A.
Dokumenttyp: TEXT
Erscheinungsdatum: 2004
Verlag/Hrsg.: Oxford University Press
Schlagwörter: MOLECULAR EPIDEMIOLOGY AND CANCER PREVENTION
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29175525
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://carcin.oxfordjournals.org/cgi/content/short/bgh177v1

Background/Aim: Associations between dietary intake of various fats and specific K-ras mutations in colorectal cancer (CRC) were investigated within the framework of the Netherlands Cohort Study on diet and cancer (NLCS). Methods: After 7.3 years of follow-up and with exclusion of the first 2.3 years, 448 colon and 160 rectal cancer patients and 3048 subcohort members (55-69 years at baseline) were available for data-analyses. Mutation analysis of the K-ras gene was performed on all archival colon and rectal adenocarcinoma specimens. Case-cohort analyses were used to compute adjusted incidence rate ratios (RR) and 95% confidence intervals (CI) for colon and rectal cancer cases and for K-ras mutation subgroups. Results: Intake of total, saturated and mono-unsaturated fat was not significantly associated with colon or rectal cancer. High intake of dietary poly-unsaturated fat and, specifically, linoleic acid is associated with an increased risk of mutated K-ras colon tumours. The RRs for one standard deviation of increase of poly-unsaturated fat and linoleic acid were 1.21 (95% CI 1.05-1.41) and 1.22 (95% CI 1.05-1.42), respectively and similar associations were observed for both G>A transitions and G>T or G>C transversions in the colon. In contrast, no significant associations were observed with rectal cancer risk, overall nor with specific K-ras mutation status. Conclusions: A high intake of poly-unsaturated fat, in particular linoleic acid, may be an important dietary risk factor for K-ras mutated colon tumours, possibly by generating G>A transitions or G>T or G>C transversions in the K-ras oncogene.