Genome-wide interaction analysis of long-term trihalomethane exposure in drinking water and colorectal cancer risk in a Spanish Multicenter Case-Control Study (MCC-Spain)

We conducted a genome-wide interaction analysis between long-term exposure to trihalomethanes in drinking water and colorectal cancer (CRC) risk in a multicenter case-control study in Spain, including 1037 CRC cases and 2100 controls. Exposure categories were estimated based on sex-specific median a...

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Detalles Bibliográficos
Autores: Moratalla-Navarro, F., Obón-Santacana, M., Rius-Sansalvador, B., Guinó, E., Moragas, N., Donat-Vargas, C., de Larrea-Baz, N.F., Molina-Barceló, A., Guevara, M., Morón-Duran, F.D., Dierssen-Sotos, T., Tardón, A., Castaño-Vinyals, G., Cabrera-Castro, N., Molina, A.J., Aizpurua, A., Morales-Suárez-Varela, M.M., Martín, V., Fernández-Navarro, P., Villanueva, C.M., Moreno, V.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Universidad de Málaga
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:dnet:r-fisabio___::f4a5068ede516eed7b6a0abc6a613be2
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/20347
https://www.scopus.com/inward/record.uri?eid=2-s2.0-105027546033&doi=10.1016%2fj.envint.2026.110059&partnerID=40&md5=5b470a79ce60ff59d1850c8bfdef4ab1
Access Level:acceso abierto
Palabra clave:Colorectal Cancer
Drinking water
Gene-environment interaction
Trihalomethanes
Aged
Case-Control Studies
Colorectal Neoplasms
Drinking Water
Environmental Exposure
Female
Gene-Environment Interaction
Genome-Wide Association Study
Humans
Male
Middle Aged
Quantitative Trait Loci
Spain
Water Pollutants, Chemical
Chlorine compounds
Diseases
Environmental impact
Gene expression
Proteomics
Risk analysis
Risk assessment
chloroform
drinking water
nonsteroid antiinflammatory agent
trihalomethane
Cancer risk
Candidate genes
Case-control study
Colorectal cancer
Interaction analysis
Interaction modeling
Long term exposure
Quantitative trait locus
cancer
comparative study
genome
guideline
health geography
health impact
health risk
quantitative analysis
research work
threshold
volatile organic compound
World Health Organization
adult
Article
blood s
Descripción
Sumario:We conducted a genome-wide interaction analysis between long-term exposure to trihalomethanes in drinking water and colorectal cancer (CRC) risk in a multicenter case-control study in Spain, including 1037 CRC cases and 2100 controls. Exposure categories were estimated based on sex-specific median and quartile values of total trihalomethanes (TTHM), chloroform (CHCl3), and brominated trihalomethanes (Br-THMs) among controls. In addition, TTHM exposure was assessed relative to the WHO guideline thresholds. Gene-environment interaction models were computed with the GxEScanR package. To explore biological plausibility, relevant results were inspected in search of expression quantitative trait loci (eQTLs) in two independent resources: BarcUVaSeq and the Genome Tissue Expression (GTEx) v8. Finally, we searched the Comparative Toxicogenomics Database to identify candidate genes previously linked to trihalomethane exposure, retrieved their eQTLs, and evaluated gene-environment interactions with TTHM levels. We found three variants that modulated CRC risk in relation to CHCl3 and TTHM exposure: rs77985109 near LRRC8B , chr15:28997737 near WHAMMP2 , and rs7890183 near MAGEB2 . Two additional variants were specifically found for women and one for rectal cancer. Functional assessment suggested a regulatory role of rs77985109 in LRRC8B expression. Moreover, eQTL analysis of candidate genes revealed an additional variant associated with CCL2 which could modulate CRC risk under different TTHM exposure levels. The present study identified novel loci potentially influencing CRC susceptibility under THM exposure, highlighting the importance of integrating environmental and genetic data to better understand environmental driven cancer risks. Further research is needed to confirm these results and clarify underlying mechanisms. Copyright © 2026. Published by Elsevier Ltd.