Peer-Reviewed Publication
Fam Cancer2026;25(4)September 17, 2026Journal Article

An update on APC I1307K homozygosity: observations from a large multigene panel testing cohort.

Leah Zaretsky1, Marcy E Richardson2, Taylor Coleman2, Carrie Horton2, Magan Trottier2, Maggie Feng3, Linda M Polfus2, Aimee L Lucas4
1Division of Medical Genetics and Genomics, Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Leah.Zaretsky@mssm.edu.
2Ambry Genetics, Aliso Viejo, CA, USA.
3WCG Clinical Inc, Cary, NC, USA.
4Division of Gastroenterology and Hepatology, Mount Sinai Morningside and Mount Sinai West, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Abstract

Numerous studies have demonstrated that Ashkenazi Jewish individuals heterozygous for APC c.3902T > A; p.Ile1307Lys have 1.7-fold increased odds of colorectal adenocarcinoma (CRC). The cancer risk for homozygotes is unknown, and published data is based on small sample sizes. Here, we aim to quantitatively evaluate the odds of CRC in homozygotes from a clinical diagnostic setting. Analyses comparin…

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