咖啡摄入量,阿波利波蛋白B和胃癌,结肠直肠癌和食道癌之间的因果关系:单变和多变的门德尔随机化
Xingwu Liu1, Han Yu2, Guanyu Yan1
1Department of Gastroenterology, The First Hospital of China Medical University, Shenyang, China.
European journal of nutrition
|December 1, 2023
概括
遗传上较高的阿波利波蛋白B水平因果上会增加结直肠癌的风险. 在这项孟德尔随机化研究中,咖啡摄入量与胃癌,结肠直肠癌或食道癌没有因果关系.
科学领域:
- 流行病学 流行病学
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
背景情况:
- 观察性研究表明咖啡摄入量,阿波利波蛋白B和胃肠道癌症之间存在联系.
- 这些因素与癌症风险之间的因果关系尚不清楚.
研究的目的:
- 调查阿波利波蛋白B和咖啡摄入与胃,结肠直肠和食道癌症风险的潜在因果关系.
- 使用孟德尔的随机化来评估因果关系.
主要方法:
- 两个样本的孟德尔随机化分析.
- 来自英国生物银行 (咖啡,阿波利波蛋白B) 和FinnGen生物银行 (癌症) 的总结统计数据.
- 使用逆方差加权,MR-Egger,加权中位数和加权模式分析.
主要成果:
- 阿波蛋白B水平与胃癌 (OR=1.392) 和结直肠癌 (OR=1.188) 的风险增加有关.
- 在调整后,阿波利波蛋白B与胃癌风险之间的关联减少了.
- 没有发现有意义的因果关系证据,将咖啡摄入与胃,结肠直肠或食道癌症联系起来.
结论:
- 遗传上升的阿波利波蛋白B水平与结直肠癌的风险增加有关.
- 咖啡摄入量和研究的胃肠道癌症之间没有建立起因果关系.
相关概念视频
Cause and Effect
10.9K
While variables are sometimes correlated because one does cause the other, it could also be that some other factor, a confounding variable, is actually causing the systematic movement in our variables of interest. For instance, as sales in ice cream increase, so does the overall rate of crime. Is it possible that indulging in your favorite flavor of ice cream could send you on a crime spree? Or, after committing crime do you think you might decide to treat yourself to a cone?
10.9K
Cancer Prevention
6.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.2K
Mutagenicity and Carcinogenicity
1.3K
Mutagenicity and carcinogenicity refer to the ability of drugs to cause genetic defects and induce cancer, respectively. The International Agency for Research on Cancer (IARC) classifies agents into four groups based on their carcinogenic potential. Group 1 agents are known human carcinogens; group 2A agents are probably carcinogenic to humans; group 3 agents lack data to support their role in carcinogenesis; and group 4 includes agents for which data support that they are not likely to be...
1.3K
Causality in Epidemiology
428
Causality or causation is a fundamental concept in epidemiology, vital for understanding the relationships between various factors and health outcomes. Despite its importance, there's no single, universally accepted definition of causality within the discipline. Drawing from a systematic review, causality in epidemiology encompasses several definitions, including production, necessary and sufficient, sufficient-component, counterfactual, and probabilistic models. Each has its strengths and...
428
Cancer Survival Analysis
356
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
356
Factors Influencing Drug Absorption: Disease States and Pharmacology
532
Multiple disease states can significantly influence the oral drug absorption process by affecting blood flow and the functionality of the gastrointestinal (GI) system. Various GI diseases, including conditions that alter GI motility, such as diarrhea, decreased acid secretions (achlorhydria), and infections, have been associated with reduced drug absorption.
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
532


