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Updated: May 18, 2026

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CYP2E1 RsaI and 96-bp insertion genetic polymorphisms associated with risk for colorectal cancer
T D Silva1, A V Felipe, C A M Pimenta
1Setor de Oncologia, Disciplina de Gastroenterologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Individuals with the CYP2E1 RsaI c2 allele have an increased risk for colorectal cancer (CRC). The c2/c2 genotype specifically elevates the risk for rectal cancer, while other factors like smoking and diet showed no association.
Area of Science:
- Genetics
- Oncology
- Epidemiology
Background:
- Colorectal cancer (CRC) is a significant health concern.
- Genetic variations, lifestyle factors (alcohol, smoking, obesity), and diet are potential contributors to CRC risk.
- The CYP2E1 gene's role in carcinogen metabolism suggests a potential link to cancer development.
Purpose of the Study:
- To investigate the association between specific genetic polymorphisms in CYP2E1 (RsaI and 96-bp insertion) and lifestyle factors with colorectal cancer (CRC) risk.
- To determine if CYP2E1 genotypes modify the risk associated with alcoholism, cigarette smoking, obesity, and meat intake in CRC patients.
Main Methods:
- Case-control study matching 131 CRC patients with 206 healthy controls by gender and age.
- Assessment of lifestyle factors including meat intake, smoking, alcohol consumption, and body mass index.
- Genotyping for CYP2E1 RsaI (PCR-RFLP) and 96-bp insertion polymorphisms using DNA from peripheral blood.
Main Results:
- The CYP2E1 RsaI allele c2 was significantly associated with an increased risk of CRC (OR = 1.88).
- The CYP2E1 RsaI c2/c2 genotype showed a strong association with an increased risk of rectal cancer (OR = 3.23).
- No significant associations were found between smoking, alcohol, meat intake, or CYP2E1 polymorphisms and overall CRC risk, though the 96-bp insertion was marginally linked to undernourished CRC subjects.
Conclusions:
- The presence of the CYP2E1 RsaI c2 allele is a risk factor for developing colorectal cancer.
- The CYP2E1 RsaI c2/c2 genotype is specifically linked to an elevated risk of rectal cancer.
- Lifestyle factors like smoking, alcohol, and diet did not demonstrate a significant association with CRC risk in this study population.
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