C-反应蛋白和发生结直肠癌的风险
Thomas P Erlinger1, Elizabeth A Platz, Nader Rifai
1Department of Medicine, Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Md 21205, USA. terlinge@jhmi.edu
JAMA
|February 6, 2004
概括
较高的C-反应蛋白 (CRP) 水平表明患结肠癌的风险较高. 这项研究表明,炎症是平均风险人群结肠癌发展的关键因素.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 生物标志物 生物标志物
背景情况:
- 炎症被怀疑是结直肠癌发展的一个因素.
- 对于平均风险人群,流行病学数据有限.
研究的目的:
- 调查C-反应蛋白 (CRP) 和发生结肠和直肠癌的风险之间的相关性.
主要方法:
- 对22887名成年人的前性,嵌套病例控制研究.
- 确定了172例结肠直肠癌病例,并与对照进行了匹配.
- 血CRP度在基线时被测量.
主要成果:
- 与对照组相比,结直肠癌患者的血CRP度较高.
- 升高的CRP显著与结肠癌的风险增加有关,特别是在非吸烟者中.
- 在调整后,日志CRP的1-SD增加与结肠癌风险增加35%有关.
结论:
- 血CRP度升高与随后的结肠癌发展有关.
- 研究结果支持炎症作为平均风险人群中结肠癌的危险因素.
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