Skip to main content
Log in

Heterozygosity for the Cys282Tyr mutation in the HFE gene and the risk of colorectal cancer (Netherlands)

  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Background & Aims: Heterozygosity for the Cys282Tyr transition in the HFE-gene is associated with slightly increased iron levels and may therefore be a potential risk factor for colorectal cancer. Methods: We studied the relationship between Cys282Tyr-heterozygosity and colorectal cancer using a case–control design. The 240 colorectal cancer cases and 635 controls in our study were derived from a prospective cohort study of 12,242 postmenopausal women, who were invited for an experimental breast cancer screening program in Utrecht, the Netherlands. The women were age 51–69 at time of inclusion and were followed for a period of 20 years. HFE genotyping was performed by PCR and allele-specific oligonucleotide (ASO) hybridization. Results: The risk of colorectal cancer was higher for women who were heterozygous for the Cys282Tyr mutation, than for those who were Cys282Tyr-wildtypes, although this was not statistically significant (Age-adjusted OR = 1.2, 95% CI: 0.6–2.2). Cys282Tyr-heterozygotes who smoked seemed to be at higher risk of colorectal cancer, although the p-value for interaction was not significant (p-value 0.42). Conclusions: The Cys282Tyr mutation is not associated with an increased risk for colorectal cancer in postmenopausal women, although in combination with smoking a slightly increased risk cannot be excluded.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
€32.70 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Netherlands)

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Selby JV, Friedman GD (1988) Epidemiologic evidence of an association between body iron stores and risk of cancer. Int J Cancer 41: 677-682.

    Google Scholar 

  2. Stevens RG, Jones DY, Micozzi MS, Taylor PR (1988) Body iron stores and the risk of cancer. N Engl J Med 319: 1047-1052.

    Google Scholar 

  3. Nelson RL, Davis FG, Persky V, Becker E (1995) Risk of neoplastic and other diseases among people with heterozygosity for hereditary hemochromatosis. Cancer 76: 875-879.

    Google Scholar 

  4. Nelson RL, Davis FG, Sutter E, Sobin LH, Kikendall JW, Bowen P (1994) Body iron stores and risk of colonic neoplasia. J Natl Cancer Inst 86: 455-460.

    Google Scholar 

  5. Freudenheim JL, Graham S, Marshall JR, Haughey BP, Wilkinson G (1990) A case-control study of diet and rectal cancer in western New York. Am J Epidemiol 131: 612-624.

    Google Scholar 

  6. Bird CL, Witte JS, Swendseid ME, et al. (1996) Plasma ferritin, iron intake, and the risk of colorectal polyps. Am J Epidemiol 144: 34-41.

    Google Scholar 

  7. Knekt P, Reunanen A, Takkunen H, Aromaa A, Heliovaara M, Hakulinen T (1994) Body iron stores and risk of cancer. Int J Cancer 56: 379-382.

    Google Scholar 

  8. Wurzelmann JI, Silver A, Schreinemachers DM, Sandler RS, Everson RB (1996) Iron intake and the risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev 5: 503-507.

    Google Scholar 

  9. Hsing AW, McLaughlin JK, Olsen JH, Mellemkjar L, Wacholder S, Fraumeni JFJ (1995) Cancer risk following primary hemochromatosis: a population-based cohort study in Denmark. Int J Cancer 60: 160-162.

    Google Scholar 

  10. McCord J (1992) Lauffer RB, ed. Iron and Oxidative Balance. Boca Raton, FL: CRC Press, pp. 509-518.

    Google Scholar 

  11. DeSousa M (1989) The immunology of iron overload. In: de Sousa M, Brock JH, eds. Iron in Immunity, Cancer and Inflammation, Chichester: J Wiley, pp. 247-258.

    Google Scholar 

  12. Djeha A, Brock JH (1992) Effect of transferrin, lactoferrin and chelated iron on human T-lymphocytes. Br J Haematol 80: 235-241.

    Google Scholar 

  13. Holley RW (1972) A unifying hypothesis concerning the nature of malignant growth. Proc Natl Acad Sci USA 69: 2840-2841.

    Google Scholar 

  14. Simon M, Bourel M, Genetet B, Fauchet R (1977) Heredity of idiopathic haemochromatosis. Lancet 1: 706.

    Google Scholar 

  15. Feder JN, Gnirke A, Thomas W, et al. (1996) A novel MHC class I-like gene is mutated in patients with hereditary haemochromatosis. Nat Genet 13: 399-408.

    Google Scholar 

  16. Hanson EH, Imperatore G, Burke W (2001) HFE gene and hereditary hemochromatosis: a HuGE review. Human genome epidemiology. Am J Epidemiol 154: 193-206.

    Google Scholar 

  17. de Valk B, Addicks MA, Gosriwatana I, Lu S, Hider RC, Marx JJ (2000) Non-transferrin-bound iron is present in serum of hereditary haemochromatosis heterozygotes. Eur J Clin Invest 30: 248-251.

    Google Scholar 

  18. de Waard F, Collette HJ, Rombach JJ, Baanders-van Halewijn EA, Honing C (1984) The DOM project for the early detection of breast cancer, Utrecht, The Netherlands. J Chronic Dis 37: 1-44.

    Google Scholar 

  19. Roest M, van der Schouw YT, de Valk B, et al. (1999) Heterozygosity for a hereditary hemochromatosis gene is associated with cardiovascular death in women. Circulation 100: 1268-1273.

    Google Scholar 

  20. van der Hel OL, van der Luijt RB, Bas Bueno DM, et al. (2002) Quality and quantity of DNA isolated from frozen urine in population-based research. Anal Biochem 304: 206-211.

    Google Scholar 

  21. Fleiss JL (1981) Statistical Methods for Rates and Proportions. NewYork: Wiley.

    Google Scholar 

  22. de Valk B, Witlox RS, van der Schouw YT, Marx JJ (2000) Biochemical expression of heterozygous hereditary hemochromatosis. Eur J Intern Med 11: 317-321.

    Google Scholar 

  23. Hardy GH (1908) Mendelian proportions in a mixed population. Science 28: 41-50.

    Google Scholar 

  24. Weinberg W (1963) On the demonstration of heredity in man. In: Boyer SH, ed. Papers on Human Genetics. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  25. Giovannucci E (2001) An updated reviewof the epidemiological evidence that cigarette smoking increases risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev 10: 725-731.

    Google Scholar 

  26. Nelson RL (2001) Iron and colorectal cancer risk: human studies. Nutr Rev 59: 140-148.

    Google Scholar 

  27. Beckman LE, Van Landeghem GF, Sikström C, et al. (1999) Interaction between haemochromatosis and transferrin receptor genes in different neoplastic disorders. Carcinogenesis 20: 1231-1233.

    Google Scholar 

  28. Macdonald GA, Tarish J, Whitehall VJ, et al. (1999) No evidence of increased risk of colorectal cancer in individuals heterozygous for the Cys282Tyr haemochromatosis mutation. J Gastroenterol Hepatol 14: 1188-1191.

    Google Scholar 

  29. Altes A, Gimferrer E, Capella G, Barcelo MJ, Baiget M (1999) Colorectal cancer and HFE gene mutations. Haematologica 84: 479-480.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daphne L. van der A.

Rights and permissions

Reprints and permissions

About this article

Cite this article

van der A, D.L., van der Hel, O., Roest, M. et al. Heterozygosity for the Cys282Tyr mutation in the HFE gene and the risk of colorectal cancer (Netherlands). Cancer Causes Control 14, 541–545 (2003). https://doi.org/10.1023/A:1024839528684

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1024839528684