Analysis of colorectal cancers in British Bangladeshi identifies early onset, frequent mucinous histotype and a high prevalence of RBFOX1 deletion

Research output: Contribution to journalArticlepeer-review


  • Neel Sengupta
  • Christopher Yau
  • Anuratha Sakthianandeswaren
  • Dmitri Mouradov
  • Peter Gibbs
  • Nirosha Suraweera
  • Guadalupe Polanco-Echeverry
  • Anil Ghosh
  • Mohamed Thaha
  • Shafi Ahmed
  • Roger Feakins
  • David Propper
  • Sina Dorudi
  • Oliver Sieber
  • Andrew Silver
  • Cecilia Lai

Colleges, School and Institutes


BACKGROUND: Prevalence of colorectal cancer (CRC) in the British Bangladeshi population (BAN) is low compared to British Caucasians (CAU). Genetic background may influence mutations and disease features.

METHODS: We characterized the clinicopathological features of BAN CRCs and interrogated their genomes using mutation profiling and high-density single nucleotide polymorphism (SNP) arrays and compared findings to CAU CRCs.

RESULTS: Age of onset of BAN CRC was significantly lower than for CAU patients (p=3.0 x 10-5) and this difference was not due to Lynch syndrome or the polyposis syndromes. KRAS mutations in BAN microsatellite stable (MSS) CRCs were comparatively rare (5.4%) compared to CAU MSS CRCs (25%; p=0.04), which correlates with the high percentage of mucinous histotype observed (31%) in the BAN samples. No BRAF mutations was seen in our BAN MSS CRCs (CAU CRCs, 12%; p=0.08). Array data revealed similar patterns of gains (chromosome 7 and 8q), losses (8p, 17p and 18q) and LOH (4q, 17p and 18q) in BAN and CAU CRCs. A small deletion on chromosome 16p13.2 involving the alternative splicing factor RBFOX1 only was found in significantly more BAN (50%) than CAU CRCs (15%) cases (p=0.04). Focal deletions targeting the 5' end of the gene were also identified. Novel RBFOX1 mutations were found in CRC cell lines and tumours; mRNA and protein expression was reduced in tumours.

CONCLUSIONS: KRAS mutations were rare in BAN MSS CRC and a mucinous histotype common. Loss of RBFOX1 may explain the anomalous splicing activity associated with CRC.


Original languageEnglish
Pages (from-to)1
JournalMolecular Cancer
Publication statusPublished - 2013


  • Adenocarcinoma, Mucinous, Adult, Aged, Aged, 80 and over, Bangladesh, Cell Line, Tumor, Colorectal Neoplasms, DNA Mutational Analysis, European Continental Ancestry Group, Female, Gene Deletion, Gene Dosage, Great Britain, Humans, Loss of Heterozygosity, Male, Middle Aged, Polymorphism, Single Nucleotide, Proto-Oncogene Proteins, Proto-Oncogene Proteins B-raf, RNA-Binding Proteins, Young Adult, ras Proteins