遗传风险是否会改变皮肤查对黑色素瘤检测率的影响?
Nirmala Pandeya1,2, Jean Claude Dusingize1, Catherine M Olsen1,2
1Departments of Population Health and Computational Biology, QIMR Berghofer Medical Research Institute, QLD, Australia.
The British journal of dermatology
|September 8, 2023
概括
皮肤查增加了黑色素瘤的检测,但遗传风险不能解释这种差异. 较高的多基因分数 (PGS) 与黑色素瘤发病率的增加相关,独立于查行为.
科学领域:
- 皮肤病学 皮肤病学
- 遗传学 遗传学 是一个
- 流行病学 流行病学
背景情况:
- 皮肤查与较高的黑色素瘤检测率有关,引发了对过度诊断的担忧.
- 遗传倾向对这种关联的影响仍然不清楚.
研究的目的:
- 研究与遗传风险相关的黑色素瘤发病率.
- 为了在不同基因风险级别的查和未查个体之间比较黑色素瘤检测率.
主要方法:
- 对QSkin前性队列研究 (15,283名40-69岁参与者) 的分析.
- 计算黑色素瘤风险的多基因得分 (PGS).
- 皮肤检查中的黑色素瘤发病率和危险比率 (HR) 的比较.
主要成果:
- 黑色素瘤的发病率在较高的PGS时显著增加.
- 皮肤检查显示,在PGS三角动物中,与黑色素瘤检测的相关性略高,但差异没有统计学意义.
- 侵袭性黑色素瘤检测率显示,在查的个体中,最高的PGS三位数的更高估计率呈现出非显著的趋势.
结论:
- 遗传风险是黑色素瘤发病率的重要预测因素.
- 虽然基因风险与查行为有很弱的关联,但它并不能解释在查的人群中观察到的高黑色素瘤检测率.
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