根据头癌的HPV状况,吸烟和饮酒:孟德尔的随机化研究
Abhinav Thakral1, John Jw Lee2,3, Tianzhichao Hou1
1Department of Biostatistics, Princess Margaret Cancer Centre-University Health Network, University of Toronto, Toronto, Ontario, Canada.
Nature communications
|September 7, 2024
概括
吸烟和饮酒显著增加了人类乳头瘤病毒 (HPV) 阳性和HPV阴性头角状细胞癌 (HNSCC) 的风险. 这些因素独立地提高癌症风险,影响HNSCC亚型的发展.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 遗传学 遗传学 是一个
背景情况:
- 头部和部状细胞癌 (HNSCC) 包括HPV阳性和HPV阴性亚型,具有不同的病因因素.
- 吸烟和酒精在这些HNSCC亚型的发展中的独立因果作用仍然不完全理解.
研究的目的:
- 调查吸烟和饮酒对患HPV阳性和HPV阴性HNSCC的风险的影响.
- 阐明吸烟和酒精对不同亚型HNSCC风险的独立贡献.
主要方法:
- 使用多变量门德尔随机化 (MR) 分析.
- 该研究包括3431例病例和3469例对照.
- 终身吸烟暴露 (综合吸烟指数) 和每周酒精消费 (每周饮料) 被评估为暴露.
主要成果:
- 增加终身吸烟暴露与HPV阴性HNSCC (OR=3.03) 和HPV阳性HNSCC (OR=2.73) 的风险增加有关.
- 每周饮酒量较高也与HPV阴性HNSCC (OR=7.72) 和HPV阳性HNSCC (OR=2.66) 的风险增加有关.
- 吸烟和酒精都显示出独立的关联,这两种HNSCC亚型的风险都较高.
结论:
- 吸烟和饮酒是HPV阳性和HPV阴性HNSCC的独立因果风险因素.
- 了解这些独特的风险因素概况对于针对HNSCC亚型的有针对性的预防和干预策略至关重要.
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