TY - JOUR A1 - Pittman, Alan M. A1 - Naranjo, Silvia A1 - Webb, Emily A1 - Broderick, Peter A1 - Lips, Esther H. A1 - van Wezel, Tom A1 - Morreau, Hans A1 - Sullivan, Kate A1 - Fielding, Sarah A1 - Twiss, Philip A1 - Vijayakrishnan, Jayaram A1 - Casares, Fernando A1 - Qureshi, Mobshra A1 - Gómez-Skarmeta, José Luis A1 - Houlston, Richard S. T1 - The colorectal cancer risk at 18q21 is caused by a novel variant altering SMAD7 expression Y1 - 2009/06/01 JF - Genome Research JO - Genome Research SP - 987 EP - 993 DO - 10.1101/gr.092668.109 VL - 19 IS - 6 UR - http://genome.cshlp.org/content/19/6/987.abstract N2 - Recent genome-wide scans for colorectal cancer (CRC) have revealed the SMAD7 (mothers against decapentaplegic homolog 7) gene as a locus associated with a modest, but highly significant increase in CRC risk. To identify the causal basis of the association between 18q21 variation and CRC, we resequenced the 17-kb region of linkage disequilibrium and evaluated all variants in 2532 CRC cases and 2607 controls. A novel C to G single nucleotide polymorphism (SNP) at 44,703,563 bp was maximally associated with CRC risk (P = 5.98 × 10−7; ≥1.5-fold more likely to be causal than other variants). Using transgenic assays in Xenopus laevis as a functional model, we demonstrate that the G risk allele leads to reduced reporter gene expression in the colorectum (P = 5.4 × 10−3). Electrophoretic mobility shift assays provided evidence for the role of Novel 1 in transcription factor binding. We propose that the novel SNP we have identified is the functional change leading to CRC predisposition through differential SMAD7 expression and, hence, aberrant TGF-beta signaling. ER -