Loss of IGF2 imprinting: A potential marker of colorectal cancer risk

Hengmi Cui, Marcia Cruz-Correa, Francis M. Giardiello, David F. Hutcheon, David R. Kafonek, Sheri Brandenburg, Yiqian Wu, Xiaobing He, Neil R. Powe, Andrew P. Feinberg

Research output: Contribution to journalArticlepeer-review

617 Scopus citations

Abstract

Loss of imprinting (LOI), an epigenetic alteration affecting the insulin-like growth factor II gene (IGF2), is found in normal colonic mucosa of about 30% of colorectal cancer (CRC) patients, but it is found in only 10% of healthy individuals. In a pilot study to investigate the utility of LOI as a marker of CRC risk, we evaluated 172 patients at a colonoscopy clinic. The adjusted odds ratio for LOI in lymphocytes was 5.15 for patients with a positive family history [95% confidence interval (95% CI), 1.70 to 16.96; probability P = 0.002], 3.46 for patients with adenomas (95% Cl, 1.14 to 11.37; P = 0.026), and 21.7 for patients with CRC (95% Cl, 3.48 to 153.6; P = 0.0005). LOI can be assayed with a DNA-based blood test, and it may be a valuable predictive marker of an individual's risk for CRC.

Original languageEnglish (US)
Pages (from-to)1753-1755
Number of pages3
JournalScience
Volume299
Issue number5613
DOIs
StatePublished - Mar 14 2003

ASJC Scopus subject areas

  • General

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