Case Control Study
Copyright ©The Author(s) 2020.
World J Gastroenterol. Jan 21, 2020; 26(3): 307-323
Published online Jan 21, 2020. doi: 10.3748/wjg.v26.i3.307
Table 1 Function prediction of nucleotide excision repair polymorphisms in the discovery stage
SNPChromosomeNearby geneAllelePositionnsSNPSplicing (site)Splicing (abolish domain)Splicing (ESE or ESS)Stop CodonPolyphenSNPs3D (svm profile)SNPs3D (svm structure)TFBSmiRNA (miRanda)miRNA (Sanger)Reg PotentialConservation
rs202929811DDB2A/GPromoter----------------Y----00.001
rs32622211DDB2C/TIntron----------------------00.001
rs378161911DDB2A/GIntron----------------------NA0
rs83008311DDB2A/C/G/TIntron----------------------NA0
rs1161519ERCC1C/TExon------Y--------------0.267240.989
rs229888119ERCC1A/C/TIntron----------------Y----0.2526110
rs321295519ERCC1A/GIntron----------------------0.2467010
rs321296119ERCC1A/C/TIntron----------------------00
rs321298619ERCC1A/C/G/TExonY--------Benign----------0.3051870
rs73548219ERCC1A/CExonY--------Benign----------00
rs105255519ERCC2C/TExon----YY--------------0.4789251
rs1318119ERCC2A/G/TExonY--YY--Benign----------0.5854680.999
rs23840619ERCC2G/TExon----YY--------------0.365570.996
rs23841719ERCC2A/C/GIntron----------------------0.0370990
rs5087119ERCC2G/TIntron----------------------00.001
rs5087219ERCC2A/C/TIntron----------------------0.1373640.001
rs41504412ERCC3A/GIntron----------------------00
rs41504482ERCC3A/GIntron----------------------00
rs41505062ERCC3C/TIntron----------------------NA0
rs179980116ERCC4C/TExon----------------------0.2053810.326
rs227646416ERCC4A/C/G3'-UTR------------------YY00
rs25494216ERCC4A/C/G/TIntron----------------------0.1680340.005
rs104776813ERCC5C/TExon----YY--------------0.244050.914
rs209425813ERCC5A/GPromoter----------------Y----00.001
rs222895913ERCC5A/CExon----------------------0.1814020.509
rs229614713ERCC5C/TPromo-ter----------------Y----0.1759930
rs415029113ERCC5A/TIntron----------------------00
rs415038313ERCC5A/GIntron----------------------00
rs75140213ERCC5C/TPromo-ter----YY--------Y----0.256130
rs87360113ERCC5A/GExon----YY----------YY00.005
rs108179389XPAC/TPromoter------Y--------------NA0.94
rs28086689XPAC/G/TIntron----------------------00.004
rs31766299XPAC/TPromoter----------------Y----00
rs18701343XPCC/G/TExonY----Y--------------0.2728010
rs22280003XPCC/TExonY--------------------0.1367010
rs22280013XPCA/CExonY--------------------0.1899381
rs24703523XPCA/G/TExon----------------------00
rs26077753XPCC/GExon------Y--------Y----0.2820580
Table 2 Association between nucleotide excision repair polymorphisms and colorectal cancer risk in the validation stage1, n (%)
SNP genotypeNCBI RefCRCCONP valueOR (95%CI)
DDB2
rs2029298n = 849n = 849
GG32 (37.2)393 (46.3)385 (45.3)1 (Ref)
GA38 (44.2)359 (42.3)368 (43.3)0.6500.95 (0.78-1.17)
AA16 (18.6)97 (11.4)96 (11.3)0.9190.98 (0.72-1.35)
GA + AA vs GG0.6770.96 (0.79-1.16)
AA vs GA + GG0.9801.00 (0.74-1.36)
PHWE0.5840.570
ERCC1
rs11615n = 850n = 847
CC54 (62.8)518 (60.9)494 (58.3)1 (Ref)
CT24 (27.9)293 (34.5)305 (36.0)0.3550.91 (0.74-1.11)
TT8 (9.3)39 (4.6)48 (5.7)0.2480.77 (0.50-1.20)
CT + TT vs CC0.2440.89 (0.73-1.08)
TT vs CT + CC0.3210.80 (0.52-1.24)
PHWE0.2000.919
rs735482n = 836n = 838
CC18 (20.9)169 (20.2)168 (20.0)1 (Ref)
CA40 (46.5)405 (48.4)403 (48.1)0.9661.00 (0.77-1.28)
AA28 (32.6)262 (31.3)267 (31.9)0.8560.98 (0.74-1.28)
CA + AA vs CC0.9200.99 (0.78-1.26)
AA vs CA + CC0.8120.98 (0.79-1.20)
PHWE0.7520.477
ERCC2
rs1052555n = 852n = 851
CCNA767 (90.0)759 (89.2)1 (Ref)
CTNA84 (9.9)91 (10.7)0.6050.92 (0.67-1.26)
TTNA1 (0.1)1 (0.1)0.9700.95 (0.06-15.21)
CT + TT vs CC0.6020.92 (0.67-1.26)
TT vs CT + CC0.9710.95 (0.06-15.22)
PHWENA0.307
rs50871n = 838n = 845
TT40 (46.5)429 (51.2)451 (53.4)1 (Ref)
TG36 (41.9)337 (40.2)358 (42.4)0.9220.99 (0.81-1.21)
GG10 (11.6)72 (8.6)36 (4.3)0.0012.09 (1.37-3.19)
TG + GG vs TT0.3741.09 (0.90-1.32)
GG vs TG + TT< 0.0012.08 (1.38-3.15)
PHWE1.0000.001
ERCC5
rs1047768n = 839n = 845
CC8 (9.3)75 (8.9)71 (8.4)1 (Ref)
CT30 (34.9)348 (41.5)351 (41.5)0.7350.94 (0.66-1.35)
TT48 (55.8)416 (49.6)423 (50.1)0.7080.94 (0.66-1.33)
CT + TT vs CC0.7170.94 (0.67-1.32)
TT vs CT + CC0.8220.98 (0.81-1.19)
PHWE0.4800.880
rs2094258n = 843n = 841
GG38 (44.2)307 (36.4)326 (38.8)1 (Ref)
GA42 (48.8)409 (48.5)392 (46.6)0.3891.10 (0.89-1.35)
AA6 (7.0)127 (15.1)123 (14.6)0.6151.08 (0.80-1.45)
GA + AA vs GG0.3701.10 (0.90-1.33)
AA vs GA + GG0.8371.03 (0.79-1.35)
PHWE0.4030.770
rs2228959n = 841n = 851
CC74 (86.0)754 (89.7)782 (91.9)1 (Ref)
CA12 (14.0)83 (9.9)62 (7.3)0.0511.41 (1.00-1.99)
AA0 (0.0)4 (0.5)7 (0.8)0.4080.59 (0.17-2.04)
CA + AA vs CC0.0951.33 (0.95-1.85)
AA vs CA + CC0.3830.58 (0.17-1.98)
PHWE1.000< 0.001
rs2296147n = 844n = 847
TT52 (60.5)508 (60.2)517 (61.0)1 (Ref)
TC32 (37.2)294 (34.8)289 (34.1)0.6841.04 (0.85-1.28)
CC2 (2.3)42 (5.0)41 (4.8)0.9041.03 (0.66-1.61)
TC + CC vs TT0.6791.04 (0.86-1.27)
CC vs TC + TT0.9521.01 (0.65-1.58)
PHWE0.4390.940
rs873601n = 842n = 837
GG16 (18.6)230 (27.3)223 (26.6)1 (Ref)
GA48 (55.8)435 (51.7)413 (49.3)0.8071.03 (0.82-1.29)
AA22 (25.6)177 (21.0)201 (24.0)0.3100.87 (0.66-1.14)
GA + AA vs GG0.8490.98 (0.79-1.22)
AA vs GA + GG0.1550.85 (0.67-1.07)
PHWE0.4390.719
XPA
rs10817938n = 823n = 822
TT58 (67.4)511 (62.1)547 (66.5)1(Ref)
TC24 (27.9)259 (31.5)241 (29.3)0.2311.14 (0.92-1.41)
CC4 (4.7)53 (6.4)34 (4.1)0.0211.70 (1.08-2.66)
TC + CC vs TT0.0711.21 (0.98-1.48)
CC vs TC + TT0.0331.62 (1.04-2.52)
PHWE0.6550.257
rs3176629n = 847n = 852
CC68 (79.1)689 (81.3)706 (82.9)1 (Ref)
CT18 (20.9)151 (17.8)133 (15.6)0.2401.17 (0.90-1.51)
TT0 (0.0)7 (0.8)13 (1.5)0.2250.56 (0.22-1.42)
CT + TT vs CC0.3991.11 (0.87-1.43)
TT vs CT + CC0.2050.55 (0.22-1.39)
PHWE0.7520.024
XPC
rs2607775n = 840n = 850
CC76 (84.5)755 (89.9)792 (93.2)1(Ref)
CG12 (13.3)80 (9.5)56 (6.6)0.0271.49 (1.05-2.13)
GG2 (2.2)5 (0.6)2 (0.2)0.2192.81 (0.54-14.56)
CG + GG vs CC0.0161.54 (1.09-2.18)
GG vs CG + CC0.2382.69 (0.52-13.95)
PHWE0.2510.343
Table 3 Cumulative effect of nucleotide excision repair polymorphisms associated with colorectal cancer risk1, n (%)
Number of SNP risk genotypesCRCCONP valueOR (95%CI)
n = 841n = 847
0706 (83.9)755 (89.1)1 (Ref)
1131 (15.6)92 (10.9)0.0041.53 (1.15-2.04)
24 (0.5)0 (0.0)NANA
Ptrend = 0.001
Table 4 Effect of interaction between nucleotide excision repair polymorphisms and environmental factors on colorectal cancer risk1
SNP genotypeSmoking
Drinking
Helicobacter pylori infection
NoYesNoYesNegativePositive
DDB2
rs2029298n = 981n = 468n = 1190n = 257n = 810n = 443
GA + AA
Case/Control312/220142/104367/27487/49164/286189/44
OR (95%CI)1 (Ref)0.96 (0.71-1.31)1 (Ref)1.33 (0.90-1.95)1 (Ref)7.49 (5.12-10.96)
GG
Case/Control267/182124/98330/21961/60140/220158/52
OR (95%CI)1.03 (0.80-1.34)0.89 (0.65-1.22)1.13 (0.89-1.42)0.76 (0.51-1.12)1.11 (0.83-1.48)5.30 (3.67-7.65)
Pinteraction = 0.618Pinteraction = 0.019 OR (95%CI) = 0.52 (0.30-0.90)Pinteraction = 0.095
ERCC1
rs11615n = 982n = 467n = 1190n = 257n = 812n = 444
CT + TT
Case/Control231/160101/88278/20554/40110/210146/42
OR (95%CI)1 (Ref)0.80 (0.56-1.13)1 (Ref)1.00 (0.64-1.56)1 (Ref)6.64 (4.39-10.04)
CC
Case/Control349/242165/113421/28693/70194/298203/53
OR (95%CI)1.00 (0.77-1.30)1.01 (0.74-1.38)1.09 (0.86-1.37)0.98 (0.68-1.40)1.24 (0.93-1.67)7.31 (5.00-10.70)
Pinteraction = 0.309Pinteraction = 0.749Pinteraction = 0.642
rs735482n = 968n = 461n = 1171n = 256n = 803n = 434
AA
Case/Control175/12487/64213/14849/4089/161115/24
OR (95%CI)1 (Ref)0.96 (0.65-1.43)1 (Ref)0.85 (0.53-1.36)1 (Ref)8.67 (5.20-14.44)
CA + CC
Case/Control396/273174/136471/33999/68212/341224/71
OR (95%CI)1.03 (0.78-1.36)0.91 (0.66-1.25)0.97 (0.75-1.24)1.01 (0.70-1.47)1.13 (0.82-1.53)5.71 (3.94-8.28)
Pinteraction = 0.638Pinteraction = 0.446Pinteraction = 0.082
ERCC2
rs1052555n = 986n = 468n = 1193n = 259n = 811n = 447
CT + TT
Case/Control55/3930/2768/5617/1027/5439/11
OR (95%CI)1 (Ref)0.79 (0.41-1.53)1 (Ref)1.40 (0.59-3.30)1 (Ref)7.09 (3.15-15.99)
CC
Case/Control527/365236/175632/437131/101277/453312/85
OR (95%CI)1.02 (0.67-1.58)0.96 (0.61-1.51)1.19 (0.82-1.73)1.07 (0.69-1.66)1.22 (0.75-1.99)7.34 (4.36-12.35)
Pinteraction = 0.624Pinteraction = 0.319Pinteraction = 0.712
ERCC5
rs1047768n = 973n = 464n = 1177n = 258n = 808n = 437
CT + TT
Case/Control524/368236/190622/452138/103272/460317/88
OR (95%CI)1 (Ref)0.87 (0.69-1.10)1 (Ref)0.97 (0.73-1.29)1 (Ref)6.09 (4.61-8.06)
CC
Case/Control49/3226/1266/379/829/4726/6
OR (95%CI)1.08 (0.68-1.71)1.52 (0.76-3.06)1.30 (0.85-1.97)0.82 (0.31-2.14)1.04 (0.64-1.70)7.33 (2.98-18.03)
Pinteraction = 0.241Pinteraction = 0.491Pinteraction = 0.843
rs2094258n = 973n = 464n = 1180n = 255n = 805n = 443
GG
Case/Control209/15097/70251/18055/40119/203116/38
OR (95%CI)1 (Ref)1.00 (0.69-1.44)1 (Ref)0.99 (0.63-1.55)1 (Ref)5.21 (3.39-8.01)
GA + AA
Case/Control364/250169/128442/30791/69181/302233/56
OR (95%CI)1.05 (0.80-1.36)0.95 (0.69-1.29)1.03 (0.81-1.31)0.95 (0.66-1.37)1.02 (0.76-1.37)7.10 (4.91-10.27)
Pinteraction = 0.587Pinteraction = 0.685Pinteraction = 0.314
rs2296147n = 979n = 466n = 1185n = 258n = 807n = 440
TT
Case/Control356/251151/126426/30181/75184/298207/59
OR (95%CI)1 (Ref)0.85 (0.64-1.13)1 (Ref)0.76 (0.54-1.08)1 (Ref)5.68 (4.03-8.01)
TC+CC
Case/Control221/151112/77268/19065/37118/207138/36
OR (95%CI)1.03 (0.79-1.34)1.03 (0.74-1.43)1.00 (0.79-1.26)1.24 (0.81-1.91)0.92 (0.69-1.24)6.21 (4.12-9.36)
Pinteraction = 0.506Pinteraction = 0.089Pinteraction = 0.562
rs873601n = 974n = 462n = 1179n = 255n = 798n = 439
AA
Case/Control130/9447/51148/11629/2869/12675/25
OR (95%CI)1 (Ref)0.67 (0.41-1.07)1 (Ref)0.81 (0.46-1.44)1 (Ref)5.48 (3.19-9.40)
GA + GG
Case/Control446/304215/149543/372118/80234/369269/70
OR (95%CI)1.06 (0.78-1.44)1.04 (0.74-1.46)1.14 (0.87-1.51)1.16 (0.80-1.68)1.16 (0.83-1.62)7.02 (4.73-10.41)
Pinteraction = 0.202Pinteraction = 0.550Pinteraction = 0.764
XPA
rs10817938n = 952n = 453n = 1152n = 252n = 785n = 429
TC + TT
Case/Control527/380239/183631/459135/103281/470311/88
OR (95%CI)1 (Ref)0.94 (0.75-1.19)1 (Ref)0.95 (0.72-1.27)1 (Ref)5.91 (4.47-7.81)
CC
Case/Control33/1220/1145/178/614/2025/5
OR (95%CI)1.98 (1.01-3.89)1.31 (0.62-2.77)1.93 (1.09-3.41)0.97 (0.33-2.81)1.17 (0.58-2.36)8.36 (3.17-22.09)
Pinteraction = 0.516Pinteraction = 0.299Pinteraction = 0.738
XPC
rs2607775n = 979n = 463n = 1184n = 256n = 809n = 439
CC
Case/Control513/369238/195617/458134/103273/475314/88
OR (95%CI)1 (Ref)0.88 (0.70-1.11)1 (Ref)0.97 (0.73-1.28)1 (Ref)6.21 (4.70-8.21)
CG + GG
Case/Control61/3624/673/3612/728/3330/7
OR (95%CI)1.22 (0.79-1.88)2.88 (1.16-7.11)1.51 (0.99-2.28)1.27 (0.50-3.26)1.48 (0.87-2.50)7.46 (3.23-17.21)
Pinteraction=0.066Pinteraction=0.728Pinteraction=0.766
Table 5 Association between host factors and the overall survival of colorectal cancer patients
FactorCRC patientsDeathMST (M)P value
Totaln = 565n = 95
Gender0.862
Male3846346.61
Female1813247.11
Age (yr)0.127
≤ 603224647.91
> 602434944.71
Smoking0.111
Ever Smoker1802348.71
Never Smoker3837245.91
Drinking0.157
Drinker1071449.31
Non-drinker4568146.11
TNM stage< 0.001
I + II3362352.11
III + IV2236948
Macroscopic type< 0.001
Protrude type104553.41
Ulcerative/Invasive type4589045.21
Histological type< 0.001
High/Middle differentiation3674050.21
Low differentiation1965539.31
Depth of invasion< 0.001
T1 + T2114653.41
T3 + T44508944.91
Growth mode< 0.001
Nest2361852.11
Invasion3267742.61
Lymphatic metastasis< 0.001
Positive2176847
Negative3422452.01
Table 6 Association between nucleotide excision repair polymorphisms and colorectal cancer prognosis
SNP genotypeCRC patientsDeathMST (M)Univariate
Multivariate
P valueHR (95%CI)P valueHR (95%CI)
DDB2
rs2029298n = 560n = 94
GG2625044.411(Ref)1 (Ref)
GA2303547.410.3680.82 (0.53-1.26)0.3930.82 (0.53-1.29)
AA68948.610.2650.67 (0.33-1.36)0.4670.77 (0.37-1.57)
GA + AA vs GG0.2350.78 (0.52-1.17)0.3070.81 (0.53-1.22)
AA vs GA + GG0.3700.73 (0.37-1.45)0.5810.82 (0.41-1.65)
ERCC1
rs11615n = 561n = 95
CC3456246.411 (Ref)1 (Ref)
CT1882947.210.6470.90 (0.58-1.40)0.9471.02 (0.65-1.59)
TT28445.810.9550.97 (0.35-2.67)0.9750.98 (0.35-2.76)
CT + TT vs CC0.6620.91 (0.60-1.39)0.9740.99 (0.65-1.53)
TT vs CT + CC0.9991.00 (0.37-2.73)0.9110.94 (0.34-2.60)
rs735482n = 552n = 91
CC1232346.811 (Ref)1 (Ref)
CA2583847.310.9820.99 (0.59-1.67)0.5821.16 (0.69-1.96)
AA1713045.510.6031.16 (0.67-1.99)0.7740.92 (0.53-1.61)
CA + AA vs CC0.8291.05 (0.66-1.69)0.9231.02 (0.64-1.65)
AA vs CA + CC0.5171.16 (0.75-1.79)0.5210.86 (0.55-1.35)
ERCC2
rs1052555n = 563n = 95
CC5068646.611 (Ref)1 (Ref)
CT56848.310.3770.72 (0.35-1.49)0.9981.00 (0.48-2.09)
TT112< 0.00149.73 (6.37-388.47)0.01014.99 (1.90-118.10)
CT + TT vs CC0.5510.81 (0.41-1.61)0.7441.12 (0.56-2.26)
TT vs CT + CC< 0.00155.22 (7.07-431.35)0.00915.89 (2.02-125.16)
rs50871n = 551n = 92
TT2944347.011 (Ref)1 (Ref)
TG2104045.710.2561.28 (0.83-1.98)0.4461.19 (0.77-1.84)
GG47945.810.5411.25 (0.61-2.57)0.5760.80 (0.37-1.74)
TG + GG vs TT0.2391.28 (0.85-1.93)0.6461.10 (0.73-1.68)
GG vs TG + TT0.7491.12 (0.56-2.23)0.3540.71 (0.34-1.47)
ERCC5
rs1047768n = 553n = 92
CC55946.711 (Ref)1 (Ref)
CT2334446.510.7851.11 (0.54-2.26)0.9450.97 (0.45-2.09)
TT2653947.010.9331.03 (0.50-2.13)0.5420.78 (0.36-1.72)
CT + TT vs CC0.8511.07 (0.54-2.13)0.7680.90 (0.43-1.87)
TT vs CT + CC0.7990.95 (0.63-1.43)0.3870.83 (0.54-1.27)
rs2094258n = 555n = 93
GG2073846.611 (Ref)1 (Ref)
GA2694247.010.7210.92 (0.60-1.43)0.4000.82 (0.53-1.29)
AA791344.310.9730.99 (0.53-1.86)0.5880.84 (0.44-1.59)
GA + AA vs GG0.7730.94 (0.62-1.42)0.4240.84 (0.55-1.29)
AA vs GA + GG0.8691.05 (0.59-1.89)0.9161.03 (0.57-1.87)
rs2228959n = 558n = 93
CC5018247.111 (Ref)1 (Ref)
CA53945.410.7681.11 (0.56-2.21)0.8110.92 (0.46-1.85)
AA4213.810.0067.18 (1.75-29.50)0.0464.32 (1.03-18.17)
CA + AA vs CC0.4021.31 (0.70-2.46)0.8471.07 (0.56-2.02)
AA vs CA + CC0.0067.16 (1.75-29.32)0.0494.20 (1.00-17.60)
rs2296147n = 556n = 92
TT3184647.411 (Ref)1 (Ref)
TC2074245.410.3841.21 (0.79-1.83)0.1941.32 (0.87-2.02)
CC31448.110.6910.81 (0.29-2.26)0.6581.32 (0.38-4.57)
TC + CC vs TT0.4841.16 (0.77-1.74)0.1841.33 (0.87-2.02)
CC vs TC + TT0.5730.75 (0.28-2.04)0.9781.02 (0.31-3.32)
rs873601n = 558n = 95
GG1402147.511 (Ref)1 (Ref)
GA3014946.910.7451.09 (0.65-1.82)0.9230.98 (0.58-1.64)
AA1172544.510.2931.37 (0.76-2.44)0.7131.12 (0.62-2.03)
GA + AA vs GG0.5261.17 (0.72-1.90)0.9511.02 (0.62-1.66)
AA vs GA + GG0.2751.29 (0.82-2.04)0.4731.19 (0.74-1.90)
XPA
rs10817938n = 545n = 93
TT3516146.611 (Ref)1 (Ref)
TC1632946.210.8151.05 (0.68-1.64)0.4721.18 (0.75-1.88)
CC31349.510.4290.63 (0.20-2.00)0.9030.93 (0.29-3.02)
TC + CC vs TT0.9680.99 (0.65-1.52)0.4891.17 (0.75-1.83)
CC vs TC+TT0.4140.62 (0.20-1.96)0.8630.90 (0.28-2.89)
rs3176629n = 558n = 94
CC4507447.011 (Ref)1 (Ref)
CT1031944.810.4701.20 (0.73-1.99)0.4200.81 (0.48-1.36)
TT5149.310.8240.80 (0.11-5.76)0.6600.64 (0.09-4.64)
CT + TT vs CC0.5211.18 (0.72-1.93)0.3750.79 (0.47-1.33)
TT vs CT + CC0.7870.76 (0.11-5.47)0.6900.67 (0.09-4.82)
XPC
rs2607775n = 556n = 92
CC4948446.811 (Ref)1 (Ref)
CG57846.310.7390.88 (0.43-1.83)0.8420.93 (0.44-1.94)
GG50NA0.525NA0.969NA
CG + GG vs CC0.5550.80 (0.39-1.66)0.6040.82 (0.40-1.72)
GG vs CG + CC0.528NA0.970NA