酒精消费,多基因风险评分,以及结直肠瘤风险
Ruojin Fu1,2, Xuechen Chen1,3, Teresa Seum1,2
1Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg 69120, Germany.
JNCI cancer spectrum
|February 3, 2025
概括
过度饮酒和高遗传倾向显著增加了晚期结直肠瘤的风险. 避免重度饮酒提供了与具有较低遗传风险得分相比的保护作用.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 过度饮酒是结肠直肠癌的一个已知的危险因素.
- 关于酒精摄入量和遗传倾向对结直肠癌发生阶段的综合影响的证据有限.
研究的目的:
- 研究酒精消费和遗传风险对结直肠瘤的个人和联合影响.
- 以基因风险等价物来量化酒精消费的影响.
主要方法:
- 利用了4662名德国查结肠镜计划参与者的数据.
- 通过逻辑回归评估了酒精消费,140位多基因风险评分和结直肠瘤之间的关联.
- 计算了基因风险等价值,以将酒精的影响与多基因风险得分差异进行比较.
主要成果:
- 中度和高度的酒精消费 (≥12 g/d) 与晚期结直肠瘤的风险增加有关 (ORs 1.28-1.44).
- 酒精摄入量高,再加上具有最高多基因风险的第三者,导致晚期瘤的风险增加了3.4倍.
- 高度饮酒的风险影响相当于多基因风险得分增加了26个百分点.
结论:
- 高饮酒量和高多基因风险评分都显著增加了晚期结直肠瘤的风险.
- 减少高酒精摄入量提供了实质性的预防性益处,相当于拥有较低的遗传风险概况.
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