New genes emerging for colorectal cancer predisposition.

Colorectal cancer (CRC) is one of the most frequent neoplasms and an important cause of mortality in the developed world. This cancer is caused by both genetic and environmental factors although 35% of the variation in CRC susceptibility involves inherited genetic differences. Mendelian syndromes ac...

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Bibliographic Details
Authors: Esteban-Jurado, Clara, Garre, Pilar, Vila, Maria, Lozano Salvatella, Juan José, Pristoupilova, Anna, Beltrán, Sergi, Abulí, Anna, Muñoz, Jenifer, Balaguer Prunés, Francesc, Ocaña, Teresa, Castells Garangou, Antoni, Piqué, J. M. (Piqué Badía), Carracedo Álvarez, Ángel, Ruiz-Ponte, Clara, Bessa i Caserras, Xavier, Andreu, Montserrat, Bujanda, Luis, Caldés, Trinidad, Castellví Bel, Sergi
Format: article
Status:Published version
Publication Date:2014
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/122328
Online Access:https://hdl.handle.net/2445/122328
Access Level:Open access
Keyword:Càncer colorectal
Malalties hereditàries
Genètica molecular
Polimorfisme genètic
Colorectal cancer
Genetic diseases
Molecular genetics
Genetic polymorphisms
Description
Summary:Colorectal cancer (CRC) is one of the most frequent neoplasms and an important cause of mortality in the developed world. This cancer is caused by both genetic and environmental factors although 35% of the variation in CRC susceptibility involves inherited genetic differences. Mendelian syndromes account for about 5% of the total burden of CRC, with Lynch syndrome and familial adenomatous polyposis the most common forms. Excluding hereditary forms, there is an important fraction of CRC cases that present familial aggregation for the disease with an unknown germline genetic cause. CRC can be also considered as a complex disease taking into account the common disease-commom variant hypothesis with a polygenic model of inheritance where the genetic components of common complex diseases correspond mostly to variants of low/moderate effect. So far, 30 common, low-penetrance susceptibility variants have been identified for CRC. Recently, new sequencing technologies including exome- and whole-genome sequencing have permitted to add a new approach to facilitate the identification of new genes responsible for human disease predisposition. By using whole-genome sequencing, germline mutations in the POLE and POLD1 genes have been found to be responsible for a new form of CRC genetic predisposition called polymerase proofreading-associated polyposis.