Skip to main content

Systematic search for enhancer elements and somatic allelic imbalance at seven low-penetrance colorectal cancer predisposition loci



Common single-nucleotide polymorphisms (SNPs) in ten chromosomal loci have been shown to predispose to colorectal cancer (CRC) in genome-wide association studies. A plausible biological mechanism of CRC susceptibility associated with genetic variation has so far only been proposed for three loci, each pointing to variants that affect gene expression through distant regulatory elements. In this study, we aimed to gain insight into the molecular basis of seven low-penetrance CRC loci tagged by rs4779584 at 15q13, rs10795668 at 10p14, rs3802842 at 11q23, rs4444235 at 14q22, rs9929218 at 16q22, rs10411210 at 19q13, and rs961253 at 20p12.


Possible somatic gain of the risk allele or loss of the protective allele was studied by analyzing allelic imbalance in tumour and corresponding normal tissue samples of heterozygous patients. Functional variants were searched from in silico predicted enhancer elements locating inside the CRC-associating linkage-disequilibrium regions.


No allelic imbalance targeting the SNPs was observed at any of the seven loci. Altogether, 12 SNPs that were predicted to disrupt potential transcription factor binding sequences were genotyped in the same population-based case-control series as the seven tagging SNPs originally. None showed association with CRC.


The results of the allelic imbalance analysis suggest that the seven CRC risk variants are not somatically selected for in the neoplastic progression. The bioinformatic approach was unable to pinpoint cancer-causing variants at any of the seven loci. While it is possible that many of the predisposition loci for CRC are involved in control of gene expression by targeting transcription factor binding sites, also other possibilities, such as regulatory RNAs, should be considered.

Peer Review reports


Ten chromosomal loci have thus far been shown to modestly increase colorectal cancer (CRC) risk, based on genome-wide association studies (GWASs) [19]. The tagging single-nucleotide polymorphisms (SNPs) with the strongest association signal in each locus were rs6983267 at 8q24 [13], rs4939827 at 18q21 [4], rs4779584 at 15q13 [5], rs16892766 at 8q23 [6], rs10795668 at 10p14 [6], rs3802842 at 11q23 [7, 8], rs4444235 at 14q22 [9], rs9929218 at 16q22 [9], rs10411210 at 19q13 [9], and rs961253 at 20p12 [9]. Each of the ten loci independently predispose to CRC with allelic odds ratios (ORs) of <1.3 and risk allele frequencies range between 7-90% in the general population [10].

GWASs are based on genotyping SNPs which tag linkage disequilibrium (LD) blocks in the genome, thus capturing a high proportion of common genetic variation. Hence, usually the associating tag SNPs are not themselves causal but rather are in LD with disease-causing variants. We have previously demonstrated that the tag SNP rs6983267 at 8q24 directly disrupts a TCF-4 transcription factor binding site and enhances Wnt signalling in the colon [11]. This was supported by a simultaneous study showing a physical interaction between rs6983267 region and MYC proto-oncogene [12]. Furthermore, allelic imbalance (AI) at 8q24 seen in colorectal tumours favors the risk allele G of rs6983267, suggesting that the locus is somatically selected for in tumourigenesis [13]. At 18q21, a novel variant that correlates with rs4939827 reduces SMAD7 expression, leading to aberrant TGFβ (transforming growth factor beta) signalling [14]. Finally, rs16888589 at the 8q23 CRC locus was shown to influence EIF3 H expression by physically interacting with the promoter [15]. Unlike at 8q24, no significant difference in the alleles targeted by imbalance was detected in rs4939827 at 18q21 [4, 14] nor in rs16892766 at 8q23 [15]. It is therefore likely that many low-penetrance cancer susceptibility loci may be explained by subtle changes in distant regulatory elements, and these changes can also play a role in the somatic tumour development. Based on the genes that locate inside or near the CRC-associating regions, including GREM1 at 15q13 and BMP4 at 14q22, alterations in TGFβ-superfamily signalling appear to be at the basis of several loci [10].

Possible biological mechanisms underlying CRC predisposition are yet to be discovered in the seven low-penetrance loci at 15q13, 10p14, 11q23, 14q22, 16q22, 19q13, and 20p12, which is the focus of this study. First, possible somatic selection of the risk alleles was evaluated in heterozygous individuals by examining the tagging SNPs in tumour and corresponding normal tissues. The location of the SNPs at predicted enhancer elements was then investigated with an in silico tool. As none of the tagging SNPs were predicted to locate at transcription factor binding sites, the analysis was extended to the given LD regions. Putative functional variants were searched by genotyping all the known SNPs inside the associating LD regions that were predicted to disrupt transcription factor binding sites.


Study population

A population-based series of 1 042 CRC samples collected since 1994 from nine Finnish central hospitals was used in this study [16, 17]. Both germline DNA extracted from blood or normal colonic tissue and corresponding fresh-frozen tumour DNA were available. Information on histological tumour grade and Duke's stage was obtained from pathology reports. The 837 control DNA samples used in this study were anonymous healthy blood donors from the Finnish Red Cross Blood Transfusion Service. Samples and clinicopathologic data were obtained with informed consent and ethical review board approval in accordance with the declaration of Helsinki.

Allelic imbalance (AI) analysis

Allelic ratios were compared by sequencing tumour and respective normal tissue DNA in heterozygous patients, as described previously [13, 18, 19]. In brief, allele peak height ratios of <0.6 and >1.67 between normal and tumour samples were considered imbalance (Tumour(Allele1/Allele2)/Normal(Allele1/Allele2)). Tumour and normal samples were sequenced using Applied Biosystems BigDye v3.1 sequencing chemistry and ABI3730 Automatic DNA sequencer (Applied Biosystems, Foster City, CA, USA). Peak heights were manually measured from sequencing chromatograms using Chromas and Sequence Scanner (Applied Biosystems) softwares, based on which the allelic ratio was calculated. First, 90 tumour-normal pairs were analyzed. If any trend towards imbalance was observed, all the available heterozygote samples were analyzed. All the tumours were microscopically evaluated by a pathologist and at least 64% of the analyzed tumours contained ≥70% of carcinoma tissue.

Identification of SNPs at transcription factor binding sites

A computational tool called Enhancer Element Locator (EEL) [20, 21], that aligns genomic sequence from two species and predicts the location of putative transcription factor binding sequences and enhancer elements, was used. In the output, a score is given to each element based on conservation, clustering, and predicted affinity of the binding sites. One Mb of human and corresponding mouse sequence surrounding each SNP (500 kb of flanking sequence up- and downstream) was exported from the Ensembl database vs 54 Transcription factor binding-affinity matrices from the publicly available Jaspar database and those published elsewhere were used in the alignment [2224], that was done with default parameters. All the known SNPs that were predicted to locate directly at transcription factor binding sites were selected from enhancers that were inside the CRC-associating LD regions. We defined LD blocks using HapMap data chr15: 30 782 050 - 30 841 010 bps (59 kb; human genome build 36) in rs4779584 [5], chr10: 8 730 000 - 8 810 000 bps (80 kb) in rs10795668 [6], chr11: 110 640 000 - 110 690 000 bps (50 kb) in rs3802842 [8], chr14: 53 477 192 - 53 494 200 bps (17 kb) in rs4444235 [9], chr16: 67 286 613 - 67 396 803 bps (110 kb) in rs9929218 [9], chr19: 38 203 614 - 38 300 573 bps (97 kb) in rs10411210 [9], and chr20: 6 316 089 - 6 354 440 bps (38 kb) in rs961253 [9]. The analysis was restricted to such SNPs where the EEL score for the given element was ≥ 300.

Genotyping of SNPs in cases and controls

Genotyping was carried out using Sequenom MassArray iPlex Gold (Sequenom, San Diego, CA, USA) performed by the Institute for Molecular Medicine Finland FIMM Technology Centre, University of Helsinki. Each 96-well sample plate contained two negative water controls and two positive CEPH controls. The concordance between duplicate controls was 99,79% (479/480 genotypes). Twelve SNPs (rs11631292, rs62002613, rs17485426, ENSSNP10169878, rs1999638, rs12273224, rs45615536, rs10505287, rs57897735 rs10505283, rs2761880, and rs12893484) were successfully genotyped with MassArray. Three remaining SNPs (rs28768389, rs12899808, and rs34812868) were genotyped by direct genomic sequencing using Applied Biosystems BigDye v3.1 sequencing chemistry and ABI3730 Automatic DNA sequencer (Applied Biosystems).

Statistical analysis

All the analyses were performed with R software. Exact binomial test was used in allelic imbalance analysis. Allelic odds ratios, 95% confidence intervals, and P-values were calculated with Pearson's Chi-squared test. To adjust for multiple testing we applied a Bonferroni correction (not shown in Table 1). Fisher's exact test was used in the analysis of clinicopathological characteristics.

Table 1 Genotyping of 12 SNPS that locate in transcription factor binding sites in low-penetrance CRC loci


The tag SNPs of seven low-penetrance loci were sequenced in heterozygous tumour-normal pairs, in order to detect possible AI occurring in the neoplastic progression. The risk alleles were not significantly targeted by AI in any of the seven SNPs (Table 2). The frequency of overall imbalance (loss of either the risk or the neutral allele) ranged between 9 and 31% at the seven loci (Table 2). In rs10411210, ten tumours showed loss of the neutral allele and five tumours loss of the risk allele, however AI occurred altogether in only 9% of the tumours (Table 2). No significant differences were observed between the two AI groups in terms of Duke's stage (P = 0.3) or histological grade (P = 1.0).

Table 2 Results of allelic imbalance analysis in low-penetrance CRC loci

The LD regions containing the seven tag SNPs were further analyzed with EEL. None of the seven tag SNPs located in predicted transcription factor binding sites. Thirteen other SNPs in the LD regions located at predicted binding sites in elements with a score ≥ 300. Three out of seven loci (16q22, 19q13, and 20p12) contained no SNPs at transcription factor binding sites in elements with a score ≥ 300. One of the SNPs, rs11853552 at 15q13, was already previously genotyped by Jaeger et al. (2008) [5], and was therefore excluded from the analysis. The remaining 12 SNPs were genotyped in the same Finnish case-control series as the tag SNPs in previous studies (Table 1) [6, 8, 9]. None of the SNPs showed association with CRC (Table 1).

Three of the 12 SNPs (rs28768389, rs12899808, and rs34812868 in 15q13) were genotyped using sequencing and four additional polymorphisms that did not locate in any predicted binding sites were observed in the sequencing fragments. One of these SNPs, rs35614970 (A6/A3), showed significant association with CRC (OR 1.2, 95% CI 1.03-1.38, P = 0.02). The frequency of A6 was 0.705 in controls and 0.741 in cases. This association did not remain significant after correction for multiple testing (P = 0.21, Bonferroni correction for 13 SNPs). None of the other additional SNPs (rs11071928, rs34944927, and a novel C to T change at chr15: 30 806 922) showed association with CRC.


In this study, we exploited the same approach as for 8q24 to systematically analyze molecular basis of seven low-penetrance CRC loci where the cancer-causing variants have not yet been identified. This is the first time, to our knowledge, that rs4779584, rs10795668, rs4444235, rs9929218, rs10411210, and rs961253 have been analyzed for possible AI in colorectal tumours. Sequencing of fresh-frozen tumour material provides accurate data on possible loss of the neutral allele or gain of the risk allele. In case of selective imbalance, subsequent copy number analyses can reveal whether the role of a variant resembles that of a tumour suppressor or an oncogene, and guide further functional efforts. The 8q24 locus, where gain of the risk allele was observed in rs6983267 [11, 13], currently seems to be the only low-penetrance risk locus for CRC that is somatically enriched during tumourigenesis. Lack of imbalance favouring risk allele does not, however, preclude involvement in germline predisposition. It is therefore possible that some of the seven susceptibility variants analyzed in this study play a role in the early stages of neoplastic development, without providing further selective advantage in the somatic cancer progression.

Interestingly, 19q13 gain is common in both primary and metastatic CRC [25]. We did not, however, observe any significant difference in the alleles targeted by AI in rs10411210, nor association of neutral allele loss with more advanced disease stage. Loss of heterozygosity involving 10p14 has also been reported to occur in CRC [26] but we found no evidence of risk allele selection in rs10795668. Furthermore, deletion of 11q23-q24 is a frequent event in CRC, among other tumour types [27]. However, Tenesa et al. (2008) found no AI in favour of the risk allele in rs3802842 based on up to 43 CRCs [7], which is now confirmed by our analysis of 89 CRCs. Finally, although 18q loss is common in CRC [28], Broderick et al. (2007) observed no selection of the risk allele at rs4939827 in 248 CRC cases [4].

The location of rs6983267 at TCF-4 binding sequence was recently discovered using EEL [11], which prompted us to utilize this powerful tool also for the seven susceptibility loci. Transcription factor tissue specificities are incompletely understood, supporting the rationale of our unbiased approach of not restricting to colon-specific factors. Given that the tagging SNPs at the seven loci lie in noncoding regions, the most likely underlying mechanism is differential gene expression through enhancers or repressors. Although regulatory SNPs have been identified in the loci successfully fine-mapped so far, our study underscores the importance of considering also other mechanisms. For instance, sequence variation affecting noncoding regulatory RNAs, many of which have been linked to cancer-associated pathways, could explain some of the predisposition loci devoid of coding genes.


While successful in the 8q24 locus, the approach used in this study was unable to pinpoint causal variants in the seven low-penetrance CRC loci analyzed. Finding the underlying functional changes in the GWAS loci is a challenging, yet important, task in order to fully understand the biology behind common CRC susceptibility.


  1. 1.

    Tomlinson I, Webb E, Carvajal-Carmona L, Broderick P, Kemp Z, Spain S, Penegar S, Chandler I, Gorman M, Wood W, et al: A genome-wide association scan of tag SNPs identifies a susceptibility variant for colorectal cancer at 8q24.21. Nat Genet. 2007, 39 (8): 984-988. 10.1038/ng2085.

    CAS  Article  PubMed  Google Scholar 

  2. 2.

    Zanke BW, Greenwood CM, Rangrej J, Kusta R, Tenesa A, Farrington SM, Prendergast J, Olschwang S, Chiang T, Crowdy E, et al: Genome-wide association scan identifies a colorectal cancer susceptibility locus on chromosome 8q24. Nat Genet. 2007, 39 (8): 989-994. 10.1038/ng2089.

    CAS  Article  PubMed  Google Scholar 

  3. 3.

    Haiman CA, Le Marchand L, Yamamato J, Stram DO, Sheng X, Kolonel LN, Wu AH, Reich D, Henderson BE, et al: A common genetic risk factor for colorectal and prostate cancer. Nat Genet. 2007, 39 (8): 954-956. 10.1038/ng2098.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  4. 4.

    Broderick P, Carvajal-Carmona L, Pittman AM, Webb E, Howarth K, Rowan A, Lubbe S, Spain S, Sullivan K, Fielding S, et al: A genome-wide association study shows that common alleles of SMAD7 influence colorectal cancer risk. Nat Genet. 2007, 39 (11): 1315-1317. 10.1038/ng.2007.18.

    CAS  Article  PubMed  Google Scholar 

  5. 5.

    Jaeger E, Webb E, Howarth K, Carvajal-Carmona L, Rowan A, Broderick P, Walther A, Spain S, Pittman A, Kemp Z, et al: Common genetic variants at the CRAC1 (HMPS) locus on chromosome 15q13.3 influence colorectal cancer risk. Nat Genet. 2008, 40 (1): 26-28. 10.1038/ng.2007.41.

    CAS  Article  PubMed  Google Scholar 

  6. 6.

    Tomlinson IP, Webb E, Carvajal-Carmona L, Broderick P, Howarth K, Pittman AM, Spain S, Lubbe S, Walther A, Sullivan K, et al: A genome-wide association study identifies colorectal cancer susceptibility loci on chromosomes 10p14 and 8q23.3. Nat Genet. 2008, 40 (5): 623-630. 10.1038/ng.111.

    CAS  Article  PubMed  Google Scholar 

  7. 7.

    Tenesa A, Farrington SM, Prendergast JG, Porteous ME, Walker M, Haq N, Barnetson RA, Theodoratou E, Cetnarskyj R, Cartwright N, et al: Genome-wide association scan identifies a colorectal cancer susceptibility locus on 11q23 and replicates risk loci at 8q24 and 18q21. Nat Genet. 2008, 40 (5): 631-637. 10.1038/ng.133.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  8. 8.

    Pittman AM, Webb E, Carvajal-Carmona L, Howarth K, Di Bernardo MC, Broderick P, Spain S, Walther A, Price A, Sullivan K, et al: Refinement of the basis and impact of common 11q23.1 variation to the risk of developing colorectal cancer. Hum Mol Genet. 2008, 17 (23): 3720-3727. 10.1093/hmg/ddn267.

    CAS  Article  PubMed  Google Scholar 

  9. 9.

    Houlston RS, Webb E, Broderick P, Pittman AM, Di Bernardo MC, Lubbe S, Chandler I, Vijayakrishnan J, Sullivan K, Penegar S, et al: Meta-analysis of genome-wide association data identifies four new susceptibility loci for colorectal cancer. Nat Genet. 2008, 40 (12): 1426-1435. 10.1038/ng.262.

    CAS  Article  PubMed  Google Scholar 

  10. 10.

    Tenesa A, Dunlop MG: New insights into the aetiology of colorectal cancer from genome-wide association studies. Nat Rev Genet. 2009, 10 (6): 353-358. 10.1038/nrg2574.

    CAS  Article  PubMed  Google Scholar 

  11. 11.

    Tuupanen S, Turunen M, Lehtonen R, Hallikas O, Vanharanta S, Kivioja T, Björklund M, Wei G, Yan J, Niittymäki I, et al: The common colorectal cancer predisposition SNP rs6983267 at chromosome 8q24 confers potential to enhanced Wnt signaling. Nat Genet. 2009, 41 (8): 885-890. 10.1038/ng.406.

    CAS  Article  PubMed  Google Scholar 

  12. 12.

    Pomerantz MM, Ahmadiyeh N, Jia L, Herman P, Verzi MP, Doddapaneni H, Beckwith CA, Chan JA, Hills A, Davis M, et al: The 8q24 cancer risk variant rs6983267 shows long-range interaction with MYC in colorectal cancer. Nat Genet. 2009, 41 (8): 882-884. 10.1038/ng.403.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  13. 13.

    Tuupanen S, Niittymaki I, Nousiainen K, Vanharanta S, Mecklin JP, Nuorva K, Järvinen H, Hautaniemi S, Karhu A, Aaltonen LA: Allelic imbalance at rs6983267 suggests selection of the risk allele in somatic colorectal tumor evolution. Cancer Res. 2008, 68 (1): 14-17. 10.1158/0008-5472.CAN-07-5766.

    CAS  Article  PubMed  Google Scholar 

  14. 14.

    Pittman AM, Naranjo S, Webb E, et al: The colorectal cancer risk at 18q21 is caused by a novel variant altering SMAD7 expression. Genome Res. 2009, 19: 987-93. 10.1101/gr.092668.109.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  15. 15.

    Pittman AM, Naranjo S, Jalava SE, Twiss P, Ma Y, Olver B, Price A, Vijayakrishnan J, Qureshi M, Broderick P, et al: EIF3 H is the target of the colorectal cancer susceptibility variant at 8q23.3. PLoS Genet. 2010, 6 (9): e1001126-10.1371/journal.pgen.1001126.

    Article  PubMed  PubMed Central  Google Scholar 

  16. 16.

    Aaltonen LA, Salovaara R, Kristo P, Canzian F, Hemminki A, Peltomäki P, Chadwick RB, Kääriäinen H, Eskelinen M, Järvinen H, et al: Incidence of hereditary nonpolyposis colorectal cancer and the feasibility of molecular screening for the disease. N Engl J Med. 1998, 338 (21): 1481-1487. 10.1056/NEJM199805213382101.

    CAS  Article  PubMed  Google Scholar 

  17. 17.

    Salovaara R, Loukola A, Kristo P, Kääriäinen H, Ahtola H, Eskelinen M, Harkonen N, Julkunen R, Kangas E, Ojala S, et al: Population-based molecular detection of hereditary nonpolyposis colorectal cancer. J Clin Oncol. 2000, 18 (11): 2193-2200.

    CAS  PubMed  Google Scholar 

  18. 18.

    Canzian F, Salovaara R, Hemminki A, Kristo P, Chadwick RB, Aaltonen LA, de la Chapelle : Semiautomated assessment of loss of heterozygosity and replication error in tumors. Cancer Res. 1996, 56 (14): 3331-3337.

    CAS  PubMed  Google Scholar 

  19. 19.

    Pastinen T, Sladek R, Gurd S, Sammak A, Ge B, Lepage P, Lavergne K, Villeneuve A, Gaudin T, Brandstrom H, et al: A survey of genetic and epigenetic variation affecting human gene expression. Physiol Genomics. 2004, 16 (2): 184-193.

    CAS  Article  PubMed  Google Scholar 

  20. 20.

    Hallikas O, Palin K, Sinjushina N, Rautiainen R, Partanen J, Ukkonen E, Taipale J: Genome-wide prediction of mammalian enhancers based on analysis of transcription-factor binding affinity. Cell. 2006, 124 (1): 47-59. 10.1016/j.cell.2005.10.042.

    CAS  Article  PubMed  Google Scholar 

  21. 21.

    Palin K, Taipale J, Ukkonen E: Locating potential enhancer elements by comparative genomics using the EEL software. Nat Protoc. 2006, 1 (1): 368-374. 10.1038/nprot.2006.56.

    CAS  Article  PubMed  Google Scholar 

  22. 22.

    Bryne JC, Valen E, Tang MH, Marstrand T, Winther O, da Piedade I, Krogh A, Lenhard B, Sandelin A: JASPAR, the open access database of transcription factor-binding profiles: new content and tools in the 2008 update. Nucleic Acids Res. 2008, 36: D102-106. 10.1093/nar/gkm955.

    CAS  Article  PubMed  Google Scholar 

  23. 23.

    Badis G, Berger MF, Philippakis AA, Talukder S, Gehrke AR, Jaeger SA, Chan ET, Metzler G, Vedenko A, Chen X, et al: Diversity and complexity in DNA recognition by transcription factors. Science. 2009, 324 (5935): 1720-1723. 10.1126/science.1162327.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  24. 24.

    Wei GH, Badis G, Berger MF, Kivioja T, Palin K, Enge M, Bonke M, Jolma A, Varjosalo M, Gehrke AR, et al: Genome-wide analysis of ETS-family DNA-binding in vitro and in vivo. EMBO J. 2010, 29 (13): 2147-2160. 10.1038/emboj.2010.106.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  25. 25.

    Sayagués JM, Abad Mdel M, Melchor HB, Gutierrez ML, Gonzalez-Gonzalez M, Jensen E, Bengoechea O, Fonseca E, Orfao A, Munoz-Bellvis L: Intratumoral cytogenetic heterogeneity of sporadic colorectal carcinomas suggests several pathways to liver metastasis. J Pathol. 2010, 221 (3): 308-319.

    Article  PubMed  Google Scholar 

  26. 26.

    Shima H, Hiyama T, Tanaka S, Ito M, Kitadai Y, Yoshihara M, Arihiro K, Chayama K: Loss of heterozygosity on chromosome 10p14-p15 in colorectal carcinoma. Pathobiology. 2005, 72 (4): 220-224. 10.1159/000086792.

    CAS  Article  PubMed  Google Scholar 

  27. 27.

    Ong DC, Ho YM, Rudduck C, Chin K, Kuo WL, Lie DK, Chua CL, Tan PH, Eu KW, Seow-Choen F, et al: LARG at chromosome 11q23 has functional characteristics of a tumor suppressor in human breast and colorectal cancer. Oncogene. 2009, 28 (47): 4189-4200. 10.1038/onc.2009.266.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  28. 28.

    Gaasenbeek M, Howarth K, Rowan AJ, Gorman PA, Jones A, Chaplin T, Liu Y, Bicknell D, Davison EJ, Fiegler H, et al: Combined array-comparative genomic hybridization and single-nucleotide polymorphism-loss of heterozygosity analysis reveals complex changes and multiple forms of chromosomal instability in colorectal cancers. Cancer Res. 2006, 66 (7): 3471-3479. 10.1158/0008-5472.CAN-05-3285.

    CAS  Article  PubMed  Google Scholar 

Pre-publication history

  1. The pre-publication history for this paper can be accessed here:

Download references


We thank Sini Nieminen and Maarit Ohranen for technical assistance. This work was supported by the Academy of Finland (Centre of Excellence in Translational Genome-Scale Biology grant 6302352), the Finnish Cancer Society, and the Sigrid Juselius Foundation; and by grants to IN from the Paulo Foundation, the Finnish Cancer Society, and the Orion-Pharmos Research Foundation.

Author information



Corresponding author

Correspondence to Lauri A Aaltonen.

Additional information

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

IN drafted the manuscript, and together with ST participated in the design, carried out the experiments and analyzed the data, YL carried out the EEL analysis, IPMT acquired data, RSH acquired data and helped in writing the manuscript, HJ and JPM acquired patient samples and data, AK and LA were involved in the design and coordination and helped in writing the manuscript. All authors read and approved the manuscript.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Niittymäki, I., Tuupanen, S., Li, Y. et al. Systematic search for enhancer elements and somatic allelic imbalance at seven low-penetrance colorectal cancer predisposition loci. BMC Med Genet 12, 23 (2011).

Download citation


  • Transcription Factor Binding Site
  • Risk Allele
  • Allelic Imbalance
  • Neutral Allele
  • Predict Binding Site