社会,行为和临床风险因素与克隆性血液形成有关
Corey D Young1, Aubrey K Hubbard1, Pedro F Saint-Maurice1,2
1Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Bethesda, Maryland.
概括
吸烟和饮酒等生活方式因素与克隆性血液形成 (CH) 风险有关. 社会剥夺也会影响CH,可能导致罕见的血液癌症.
科学领域:
- 血液学 血液学 血液学
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
背景情况:
- 生活方式因素 (吸烟,酒精,血压,睡眠) 与癌症风险有关.
- 克隆性造血 (CH) 与增加的造血性癌症风险有关.
- 血液瘤可以作为一种临床前介质,以了解罕见的血液恶性瘤的风险因素.
研究的目的:
- 评估生活方式因素和CH类型之间的关联.
- 为了分析来自英国生物库参与者的横截面数据,没有血液恶性瘤.
主要方法:
- 英国生物库数据的多变量调整分析 (n=478,513).
- 评估生活方式因素,包括吸烟,饮酒,身体活动和体重指数.
- 研究与不同类型的CH的关联,包括马赛克染色体变异和不确定潜力的CH.
主要成果:
- 吸烟是多种CH型的强烈危险因素,其影响取决于剂量.
- 男性的社会剥夺与较低的Y染色体 (mLOY) 马赛克损失风险有关.
- 在女性中,中等/高酒精摄入量增加了X染色体马赛克损失的风险.
- 活跃的男性和高BMI的男性对mLOY的风险发生了变化.
结论:
- 社会剥夺,吸烟和饮酒与CH风险有关.
- 这些暴露可能导致常见的CH类型和罕见的血液癌症.
- 社会行为背景对于理解CH风险因素至关重要.
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