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Clin Transl Gastroenterol. 2014 Mar 06;5:e52. doi: 10.1038/ctg.2014.3.

The association of telomere length with colorectal cancer differs by the age of cancer onset.

Clinical and translational gastroenterology

Lisa A Boardman, Kristin Litzelman, Songwon Seo, Ruth A Johnson, Russell J Vanderboom, Grace W Kimmel, Julie M Cunningham, Ronald E Gangnon, Corinne D Engelman, Douglas L Riegert-Johnson, John Potter, Robert Haile, Daniel Buchanan, Mark A Jenkins, David N Rider, Stephen N Thibodeau, Gloria M Petersen, Halcyon G Skinner

Affiliations

  1. Department of Gastroenterology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
  2. Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin, USA.
  3. National Radiation Emergency Medical Center, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
  4. Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
  5. Mayo Clinic Cancer Center, Rochester, Minnesota, USA.
  6. University of Michigan, Ann Arbor, Michigan, USA.
  7. Department of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin, USA.
  8. Public Health Sciences Division, Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
  9. Department of Oncology, Stanford School of Medicine, The Stanford Cancer Institute, Stanford, California, USA.
  10. Queensland Institute of Medical Research, Clive Berghofer Cancer Research Centre, Brisbane, Queensland, Australia.
  11. Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria, Australia.
  12. Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.

PMID: 24598784 PMCID: PMC3972691 DOI: 10.1038/ctg.2014.3

Abstract

OBJECTIVES: Telomeres are nucleoprotein structures that cap the end of chromosomes and shorten with sequential cell divisions in normal aging. Short telomeres are also implicated in the incidence of many cancers, but the evidence is not conclusive for colorectal cancer (CRC). Therefore, the aim of this study was to assess the association of CRC and telomere length.

METHODS: In this case-control study, we measured relative telomere length from peripheral blood leukocytes (PBLs) DNA with quantitative PCR in 598 CRC patients and 2,212 healthy controls.

RESULTS: Multivariate analysis indicated that telomere length was associated with risk for CRC, and this association varied in an age-related manner; younger individuals (≤50 years of age) with longer telomeres (80-99 percentiles) had a 2-6 times higher risk of CRC, while older individuals (>50 years of age) with shortened telomeres (1-10 percentiles) had 2-12 times the risk for CRC. The risk for CRC varies with extremes in telomere length in an age-associated manner.

CONCLUSIONS: Younger individuals with longer telomeres or older individuals with shorter telomeres are at higher risk for CRC. These findings indicate that the association of PBL telomere length varies according to the age of cancer onset and that CRC is likely associated with at minimum two different mechanisms of telomere dynamics.

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