Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians

Abstract In the US, the majority of cancer samples analyzed are from white people, leading to biases in racial and ethnic treatment outcomes. Colorectal cancer (CRC) incidence and mortality rates are high in Alabama African Americans (AAs) and Oklahoma American Indians (AIs). We hypothesized that di...

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Main Authors: Hiroshi Y. Yamada, Chao Xu, Kenneth L. Jones, Philip H. O’Neill, Madka Venkateshwar, Srikanth Chiliveru, Hyung-Gyoon Kim, Mark Doescher, Katherine T. Morris, Upender Manne, Chinthalapally V. Rao
Format: Article
Language:English
Published: Nature Portfolio 2023-08-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-023-00433-5
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author Hiroshi Y. Yamada
Chao Xu
Kenneth L. Jones
Philip H. O’Neill
Madka Venkateshwar
Srikanth Chiliveru
Hyung-Gyoon Kim
Mark Doescher
Katherine T. Morris
Upender Manne
Chinthalapally V. Rao
author_facet Hiroshi Y. Yamada
Chao Xu
Kenneth L. Jones
Philip H. O’Neill
Madka Venkateshwar
Srikanth Chiliveru
Hyung-Gyoon Kim
Mark Doescher
Katherine T. Morris
Upender Manne
Chinthalapally V. Rao
author_sort Hiroshi Y. Yamada
collection DOAJ
description Abstract In the US, the majority of cancer samples analyzed are from white people, leading to biases in racial and ethnic treatment outcomes. Colorectal cancer (CRC) incidence and mortality rates are high in Alabama African Americans (AAs) and Oklahoma American Indians (AIs). We hypothesized that differences between racial groups may partially explain these disparities. Thus, we compared transcriptomic profiles of CRCs of Alabama AAs, Oklahoma AIs, and white people from both states. Compared to CRCs of white people, CRCs of AAs showed (a) higher expression of cytokines and vesicle trafficking toward modulated antitumor-immune activity, and (b) lower expression of the ID1/BMP/SMAD axis, IL22RA1, APOBEC3, and Mucins; and AIs had (c) higher expression of PTGS2/COX2 (an NSAID target/pro-oncogenic inflammation) and splicing regulators, and (d) lower tumor suppressor activities (e.g., TOB2, PCGF2, BAP1). Therefore, targeting strategies designed for white CRC patients may be less effective for AAs/AIs. These findings illustrate needs to develop optimized interventions to overcome racial CRC disparities.
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spelling doaj.art-1e2a6a74e9fe42849e368681427ec2c42023-11-19T12:14:10ZengNature Portfolionpj Precision Oncology2397-768X2023-08-01711710.1038/s41698-023-00433-5Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American IndiansHiroshi Y. Yamada0Chao Xu1Kenneth L. Jones2Philip H. O’Neill3Madka Venkateshwar4Srikanth Chiliveru5Hyung-Gyoon Kim6Mark Doescher7Katherine T. Morris8Upender Manne9Chinthalapally V. Rao10Department of Internal Medicine, Hematology/Oncology Section, University of Oklahoma Health Sciences Center (OUHSC)Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center (OUHSC)Department of Cell Biology, University of Oklahoma Health Sciences Center (OUHSC)Harold Hamm Diabetes Center, University of Oklahoma Health Sciences Center (OUHSC)Department of Internal Medicine, Hematology/Oncology Section, University of Oklahoma Health Sciences Center (OUHSC)Department of Internal Medicine, Hematology/Oncology Section, University of Oklahoma Health Sciences Center (OUHSC)Department of Pathology, Heersink School of Medicine, University of Alabama at BirminghamCommunity Outreach and Engagement, Stephenson Cancer Center, University of Oklahoma Health Sciences Center (OUHSC)Department of Surgery, University of Oklahoma Health Sciences Center (OUHSC)Department of Pathology, Heersink School of Medicine, University of Alabama at BirminghamDepartment of Internal Medicine, Hematology/Oncology Section, University of Oklahoma Health Sciences Center (OUHSC)Abstract In the US, the majority of cancer samples analyzed are from white people, leading to biases in racial and ethnic treatment outcomes. Colorectal cancer (CRC) incidence and mortality rates are high in Alabama African Americans (AAs) and Oklahoma American Indians (AIs). We hypothesized that differences between racial groups may partially explain these disparities. Thus, we compared transcriptomic profiles of CRCs of Alabama AAs, Oklahoma AIs, and white people from both states. Compared to CRCs of white people, CRCs of AAs showed (a) higher expression of cytokines and vesicle trafficking toward modulated antitumor-immune activity, and (b) lower expression of the ID1/BMP/SMAD axis, IL22RA1, APOBEC3, and Mucins; and AIs had (c) higher expression of PTGS2/COX2 (an NSAID target/pro-oncogenic inflammation) and splicing regulators, and (d) lower tumor suppressor activities (e.g., TOB2, PCGF2, BAP1). Therefore, targeting strategies designed for white CRC patients may be less effective for AAs/AIs. These findings illustrate needs to develop optimized interventions to overcome racial CRC disparities.https://doi.org/10.1038/s41698-023-00433-5
spellingShingle Hiroshi Y. Yamada
Chao Xu
Kenneth L. Jones
Philip H. O’Neill
Madka Venkateshwar
Srikanth Chiliveru
Hyung-Gyoon Kim
Mark Doescher
Katherine T. Morris
Upender Manne
Chinthalapally V. Rao
Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians
npj Precision Oncology
title Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians
title_full Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians
title_fullStr Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians
title_full_unstemmed Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians
title_short Molecular disparities in colorectal cancers of White Americans, Alabama African Americans, and Oklahoma American Indians
title_sort molecular disparities in colorectal cancers of white americans alabama african americans and oklahoma american indians
url https://doi.org/10.1038/s41698-023-00433-5
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