Smoking, gender, and ethnicity predict somatic BRAF mutations in colorectal cancer

Cancer Epidemiol Biomarkers Prev. 2010 Mar;19(3):838-43. doi: 10.1158/1055-9965.EPI-09-1112. Epub 2010 Mar 3.

Abstract

Approximately 5% to 15% of all colorectal cancers (CRC) have an activating BRAF somatic mutation, which may be associated with a distinct risk profile compared with tumors without BRAF mutations. Here, we measured the prevalence and epidemiologic correlates of the BRAF V600E somatic mutation in cases collected as a part of a population-based case-control study of CRC in northern Israel. The prevalence of BRAF V600E was 5.0% in this population, and the mutation was more likely to be found in tumors from cases who were of Ashkenazi Jewish descent [odds ratio (OR), 1.87; 95% confidence interval (95% CI), 1.01-3.47], female (OR, 1.97; P = 1.17-3.31), and older (73.8 years versus 70.3 years; P < 0.001). These results were similar when restricting to only tumors with microsatellite instability. Whether smoking was associated with a BRAF somatic mutation depended on gender. Although men were less likely to have a tumor with a BRAF somatic mutation, men who smoked were much more likely to have a tumor with a somatic BRAF mutation (OR(interaction), 4.95; 95% CI, 1.18-20.83) than women who never smoked. We note the strong heterogeneity in the reported prevalence of the BRAF V600E mutation in studies of different ethnicities, with a lower prevalence in Israel than other Western populations but a higher prevalence among Jewish than non-Jewish Israeli cases. Epidemiologic studies of CRC should incorporate somatic characteristics to fully appreciate risk factors for this disease.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Colorectal Neoplasms / epidemiology
  • Colorectal Neoplasms / ethnology*
  • Colorectal Neoplasms / genetics*
  • DNA Mutational Analysis
  • Female
  • Humans
  • Israel / epidemiology
  • Israel / ethnology
  • Jews / genetics
  • Male
  • Microsatellite Instability
  • Middle Aged
  • Proto-Oncogene Proteins B-raf / genetics*
  • Risk Factors
  • Sex Factors
  • Smoking / adverse effects*
  • Young Adult

Substances

  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf