在乳腺癌风险中循环的27-胆固醇,脂质和类固醇激素:多民族队列研究的嵌套病例对照研究
Mindy C DeRouen1,2, Juan Yang3, Yuqing Li3
1Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, 550 16th Street, San Francisco, CA, 94538, USA. mindy.hebert-derouen@ucsf.edu.
Breast cancer research : BCR
|August 14, 2023
概括
这项研究发现,27-基胆固醇 (27HC) 在绝经后妇女中显示出与乳腺癌风险的弱反相关性. 这种关联因种族而异,并且与较高的丸激素水平更为明显.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 胆固醇代谢物27-基胆固醇 (27HC) 涉及到乳腺癌的病因.
- 肥胖与绝经后乳腺癌有关,27HC可能会调解这种联系.
- 关于27HC和乳腺癌风险的流行病学数据有限,特别是在多样化的人口中.
研究的目的:
- 调查前诊断流通的27HC与乳腺癌风险之间的关联.
- 在绝经后妇女的多民族队列中检查这些关联.
- 为了探索27HC和类固醇激素之间的潜在相互作用.
主要方法:
- 在多民族队列研究中进行了一个嵌套的病例控制研究.
- 包括1470个乳腺癌病例和1470个匹配的对照.
- 使用多变量后勤回归和按种族/种族,人力资源地位和药物使用进行分层分析.
主要成果:
- 在27HC和整体乳腺癌风险 (OR0.80) 之间存在一个弱而非显著的反向关联.
- 对荷尔蒙受体阴性乳腺癌 (OR 0.46) 观察到不良关联.
- 显著的反向关联仅在具有最高丸激素水平 (OR 0.46) 的女性中发现.
结论:
- 这项基于美国的研究是首次检查循环27HC和乳腺癌风险.
- 报告了一个弱的反向关联,在种族/种族群体之间存在差异.
- 突出了丸激素水平在27HC-乳腺癌风险关系中的修饰作用.
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