连续包年吸烟和多基因风险评分对肺癌风险的相互作用:来自弗雷明汉心脏研究的前性结果
Meredith S Duncan1,2, Hector Diaz-Zabala3, James Jaworski4
1Department of Biostatistics, University of Kentucky, Lexington, Kentucky.
概括
吸烟和遗传学显著影响肺癌风险. 较重的吸烟减少了遗传风险.
科学领域:
- 遗传学和流行病学
- 癌症研究 癌症研究
- 公共卫生 公共卫生
背景情况:
- 吸烟是肺癌的主要原因,风险随着累积暴露 (包装年) 的增加而增加.
- 通过多基因风险评分 (PRS) 量化的遗传倾向也会影响肺癌易感性.
- 很少有研究全面评估了详细的吸烟史和肺癌PRS之间的相互作用.
研究的目的:
- 研究终身吸烟 (包装年) 与多基因风险评分 (PRS) 对肺癌风险的相互作用.
- 确定遗传风险如何改变吸烟强度和肺癌发展之间的关联.
主要方法:
- 来自弗雷明汉心脏研究原始和后代队伍的欧洲祖先参与者的分析.
- 使用基因型化数据和全基因组关联研究总结统计数据构建肺癌PRS.
- 应用Cox比例危险回归来评估风险和基因与环境的相互作用,调整共变量.
主要成果:
- 在抽烟的包年和PRS之间观察到对肺癌风险的显著亚乘法相互作用 (P = 0.09).
- 随着遗传风险的增加,吸烟的相对风险下降.
- 在PRS中每标准偏差增加的肺癌风险在从不吸烟者中最高,并且随着重度吸烟而下降.
结论:
- 在吸烟包年和对肺癌的遗传倾向之间存在亚乘数相互作用.
- 遗传因素和吸烟都是导致肺癌风险的重要因素.
- 持续吸烟带来了相当大的风险,无论一个人的遗传易感性如何.
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