Genetic variation at 11q23.1 confers colorectal cancer risk by dysregulation of colonic tuft cell transcriptional activator – POU2AF2

Vidya Rajasekaran-Sutherland, Bradley T Harris, Ruby T Osborn, Claire Smillie, Kevin Donnelly, Marion Bacou, Edward Esiri-Bloom, Li-Yin Ooi, Morven Allan, Marion Walker, Stuart Reid, Alison Meynert, Graeme Grimes, James P Blackmur, Peter G Vaughan-Shaw, Philip J Law, Ceres Fernandez-Rozadilla, Ian Tomlinson, Richard S Houlston, Kevin B MyantFarhat VN Din, Maria Timofeeva, Malcolm G Dunlop, Susan M Farrington

Research output: Contribution to journalArticlepeer-review

Abstract

Background:
Common genetic variation at 11q23.1 is associated with colorectal cancer (CRC) risk, exerting local expression quantitative trait locus (cis-eQTL) effects on POU2AF2, COLCA1 and POU2AF3 genes. However, complex linkage disequilibrium and correlated expression has hindered elucidation of the mechanisms by which genetic variants impart underlying CRC risk.

Objective
Undertake an interdisciplinary approach to understand how variation at 11q23.1 locus imparts CRC risk.

Design:
We employ analysis of RNAseq, scRNAseq, ChIPseq and scATACseq data to identify, prioritise and characterise the genes which impart CRC risk. We further validate these findings using mouse models and demonstrate parallel effects in human colonic mucosa.

Results:
We establish rs3087967 as a prime eQTL variant at 11q23.1, co-localising with CRC risk. Furthermore, rs3087967 influences expression of 21 distant genes, thereby acting as a trans-eQTL hub for a gene-set highly enriched for tuft cell markers. Epigenomic analysis implicates POU2AF2 as controlling the tuft cell specific trans-genes, through POU2F3-correlated genomic regulation. Immunofluorescence confirms rs3087967 risk genotype (T) to be associated with a tuft cell deficit in the human colon. CRISPR-mediated deletion of the 11q23.1 risk locus genes in the mouse germline exacerbated the ApcMin/+ mouse phenotype upon abrogation of Pou2af2 expression specifically.

Conclusion:
We demonstrate that genotype at rs3087967 controls a portfolio of genes through mis-regulation of POU2AF2. POU2AF2 is the primary transcriptional activator of tuft cells with a tumour suppressive role in mouse models. We therefore implicate tuft cells as having a key tumour-protective role in the large bowel epithelium.
Original languageEnglish
Pages (from-to)787-803
JournalGut
Volume74
Issue number5
Early online date28 Nov 2024
DOIs
Publication statusPublished - 7 Apr 2025

Keywords / Materials (for Non-textual outputs)

  • colorectal
  • risk
  • single-cell
  • transcriptomics
  • accessibility
  • WGCNA
  • mouse-models
  • tuft cells
  • POU2AF2
  • POU2AF3
  • POU2F3

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