乳腺癌风险中的全身炎症标志物和多基因风险评分之间的相互作用:英国生物银行的队列研究
Zixuan Yang1, Yanyu Zhang1, Mengjie Song1
1Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350122 China.
Cancer epidemiology
|November 17, 2023
概括
像CRP这样的全身炎症标志物会增加乳腺癌的风险. 这种风险在具有高遗传倾向的个体中较高,这表明了联合查的潜力.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
背景情况:
- 系统性炎症标志物越来越多地用于癌症预后.
- 关于它们在乳腺癌风险中的作用和与遗传风险得分的相互作用的数据有限.
研究的目的:
- 调查系统性炎症标志物与乳腺癌风险和死亡率之间的关联.
- 研究这些标志物与乳腺癌多基因风险评分 (PRS) 之间的相互作用.
主要方法:
- 分析了英国生物银行对202,403名女性的队列研究.
- 考克斯回归模型估计了乳腺癌发病率和死亡率的危险比率 (HR).
- 使用PRS进行了分层分析和相互作用试验 (RERI).
主要成果:
- 中性粒细胞与淋巴细胞比率 (NLR),系统性免疫炎症指数 (SII) 和C反应蛋白 (CRP) 的升高与乳腺癌风险增加相关.
- NLR和CRP显示与乳腺癌死亡率存在关联.
- 在高PRS组中观察到更强的关联,CRP和PRS之间存在显著的添加相互作用.
结论:
- NLR和CRP与乳腺癌风险和死亡率有关.
- CRP对乳腺癌风险的影响是由PRS调节的.
- 炎症标志物和PRS的联合使用可能会增强乳腺癌查.
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