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Tumor Discovery                                                SNPs rs9929218 and rs6983267 in Kurdish CRC




            Table 5. Comparison of clinic‑pathological features between wild‑type and mutant SNPs (rs9929218 and rs6983267)
            Features           Wild‑type SNPs   Mutant SNPs    Test        Test statistics  p    p (multivariate
                                                                                               logistic regression)
            Age (years)         67.54% (±2.31)  65.18 (±3.07)  Mann–Whitney U-test  U=4325.5  1.0   0.890
            Gender (n)
             Male                   89           62          Chi-square      χ =3.24    0.072       0.112
                                                                              2
             Female                 97           42
            Anatomical sites (n)
             Colon                  136          90          Chi-square      χ =7.46    0.006*      0.049*
                                                                              2
             Rectum                 51           13
             Tumor size (cm)     3.48 (±0.33)  5.87 (±1.06)  Mann–Whitney U  U=277     <0.001*      0.038*
            Tumor grade (n)
             Low grade              124          50          Chi-square      χ =2.76    0.097        0.41
                                                                              2
             High grade             71           45
            Tumor stage (n)
             T2 or earlier          105          34          Chi-square      χ =24.55  <0.001*      0.031*
                                                                              2
             T3 or later            70           81
            Nodal stage (n)
                                                                              2
             N0                     60           11          Chi-square      χ =13.52   0.001*      0.027*
             N1                     83           30
             N2                     63           43
            TNM stage (n)
             Stages 1 and 2         52           33          Chi-square      χ =0.21    0.644       0.472
                                                                              2
             Stages 3 and 4         133          72
            Perineural invasion (n)
             Absent                 151          36          Chi-square      χ =45.89  <0.001*      0.015*
                                                                              2
             Present                42           61
            Vascular invasion (n)
             Absent                 98           54          Chi-square       χ =0.0     1.0        0.785
                                                                               2
             Present                89           49
            Note: *p<0.05 (two-tailed significance).
            Abbreviation: SNP: Single-nucleotide polymorphism.

            4. Discussion                                      for confounding factors such as age, sex, tumor grade,
                                                               and TNM staging, multivariate logistic regression did
            CRC is a multifactorial disease influenced by both   not support these associations (rs9929218:  p=0.194;
            genetic  and  environmental  factors.  Identifying  genetic   rs6983267:  p=0.271). These findings suggest that while
            polymorphisms associated with CRC susceptibility is
            crucial for understanding disease pathogenesis and   these SNPs may be more prevalent in CRC patients, their
            improving risk stratification. In this study, we investigated   associations with CRC susceptibility may be confounded
                                                               by other clinical variables.
            the clinical relevance of two SNPs – rs9929218 in CDH1
            and rs6983267 in the 8q24 region – among Kurdish CRC   The rs9929218 polymorphism in  CDH1 has been
            patients in Al-Sulaymaniyah province, Iraq. Our initial   previously  associated with  CRC risk,  particularly  in
            univariate analysis suggested a significant association   European populations.  CDH1 encodes E-cadherin, a key
                                                                                 4,7
            between both SNPs and CRC risk, with rs9929218     adhesion  protein  that regulates epithelial  integrity, and
            detected in 20.34% of CRC cases and 7% of controls   its dysregulation is implicated in tumor progression and
            (p=0.003), and rs6983267 found in 26.55% of CRC cases   metastasis. 17,18  Some studies have suggested that rs9929218
            and 11% of controls (p=0.002). However, after adjusting   may affect E-cadherin expression or function, thereby


            Volume 4 Issue 2 (2025)                         87                           doi: 10.36922/TD025110021
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