Grant Details
Grant Number: |
5R01CA066635-09 Interpret this number |
Primary Investigator: |
Sandler, Robert |
Organization: |
Univ Of North Carolina Chapel Hill |
Project Title: |
Population Study of Rectal Cancer in Blacks and Whites |
Fiscal Year: |
2005 |
Abstract
DESCRIPTION (provided by applicant): Between 1973 and 1995 the incidence of
rectal cancer decreased 2.0 percent in blacks compared to 20.2 percent in
whites. From 1989-94, the five-year relative survival was 52.5 percentin blacks
and 63.0 percent in whites. These differences have not been explained. In fact,
black-white differences in rectal cancer incidence and mortality have not been
adequately studied. This competing renewal application seeks funds to conduct a
population-based study of rectal cancer in blacks and whites in a 33-county
area of North Carolina, building on the infrastructure developed in an ongoing
and successful study of colon cancer. The primary goal of the proposed research
is to examine possible exposure, susceptibility, and health care factors that
might explain diverging incidence and mortality trends in blacks and whites.
The specific aims of this research are: (1) To identify environmental and
lifestyle risk factors for rectal cancer in blacks and whites. The proposed
study will explore a range of exposures that may be related to rectal cancer.
(2) To assess the prevalence and etiologic importance of specific inherited
susceptibility characteristics in a large mixed-race population. The study will
focus on the known alleles of the N-acetyltransferase genes (NAT1 and NAT2) and
manganese superoxide dismutase (MnSOD) genes using DNA obtained from blood
samples. The study will investigate interactions between these genes and
environmental exposures. (3) To evaluate factors that might account for the
higher mortality among blacks including poverty, insurance, access to care,
delay in the medical system, and transportation. A secondary aim is to collect
biological specimens for subsequent analyses such as the role of other
inherited genetic characteristics and the presence or absence of specific
somatic genetic alterations.
The study will recruit 1000 cases of rectal cancer age 40-80 and 1000
population-based controls. Cancer cases (250 blacks and 750 whites) will be
identified using the rapid ascertainment system of the North Carolina Central
Cancer Registry. Controls (250 blacks and 750 whites) will be selected using
Division of Motor Vehicle Registry data for those under age 65 and HCFA files
for those age 65 and over. Dietary, lifestyle and environmental exposure
information will be obtained for cases and controls by personal, in-home
interviews. The interview instrument includes comprehensive questions
concerning diet and the use of dietary supplements, and seeks information about
medications, education, physical activity, poverty, health care access and
utilization. DNA extracted from peripheral blood lymphocytes will be used to
determine NAT and MnSOD genotypes.
Publications
Pathway Polygenic Risk Scores (pPRS) for the Analysis of Gene-environment Interaction.
Authors: Gauderman W.J.
, Fu Y.
, Queme B.
, Kawaguchi E.
, Wang Y.
, Morrison J.
, Brenner H.
, Chan A.
, Gruber S.B.
, Keku T.
, et al.
.
Source: Biorxiv : The Preprint Server For Biology, 2024-12-19 00:00:00.0; , .
EPub date: 2024-12-19 00:00:00.0.
PMID: 39763728
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, Albanes D.
, Bishop D.T.
, Le Marchand L.
, Ulrich C.M.
, Peters U.
, Murphy G.
, Samadder N.J.
, et al.
.
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, Keku T.O.
, Sandler R.S.
.
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The association between diabetes, insulin use, and colorectal cancer among Whites and African Americans.
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, Keku T.O.
, Martin C.F.
, Galanko J.A.
, Sandler R.S.
.
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, Martin C.F.
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, Sinha R.
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EPub date: 2008-09-26 00:00:00.0.
PMID: 18675828
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