大麻是否会增加癌症的风险? : 孟德尔随机化的证据
Dong Niu1,2,3, Chenchen Li1,2, Haoran Qu1,2
1Henan University of Chinese Medicine, 450000, City Zhengzhou, China.
Wiener klinische Wochenschrift
|November 10, 2023
概括
终身大麻使用可能会降低乳腺癌的风险,但大麻使用障碍会增加乳腺癌和肺癌的风险. 需要进一步的研究来理解这些癌症发病率的关联.
科学领域:
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 全球大麻使用量正在上升,但由于混变量,其与癌症风险的联系是复杂的.
- 了解这种关系对于公共卫生和临床指导至关重要.
研究的目的:
- 为了研究大麻使用和癌症发病率之间的关联,使用一种强大的两样本门德尔随机化 (MR) 方法.
- 区分普通大麻使用与大麻使用障碍对癌症风险的影响.
主要方法:
- 利用来自大型队列 (ICC,英国生物银行,23andMe,精神病基因组学联盟) 的全基因组协会研究 (GWAS) 数据.
- 采用两样本的门德尔随机化 (MR) 与反向差异加权,MR-Egger回归和加权中位数方法.
- 评估了终身大麻使用和大麻使用障碍与9种常见瘤之间的关系.
主要成果:
- 终身大麻使用与大多数癌症的风险没有关联,但显示了降低乳腺癌风险的趋势 (OR=0.981).
- 大麻使用障碍与乳腺癌 (OR=1.007) 和肺癌 (OR=1.122) 的风险增加显著相关.
结论:
- 研究结果表明,终身大麻使用对乳腺癌有潜在的保护作用.
- 大麻使用障碍似乎会增加患乳腺癌和肺癌的风险.
- 潜在的生物机制需要进一步研究.
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