癌症,遗传易感性和冠状动脉疾病风险:一项前性研究
Yidan Wang1,2, Shan Zhong1, Na Sun1
1Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin 150081, China.
American journal of preventive cardiology
|April 9, 2025
概括
癌症幸存者面临着冠状动脉疾病 (CAD) 的更高风险. 多基因风险评分 (PRS) 对CAD与癌症状况相互作用,放大CAD风险,特别是在具有高遗传倾向的人群中.
科学领域:
- 心血管医学 心血管医学
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 癌症幸存者患冠状动脉疾病 (CAD) 的风险较高.
- 通过多基因风险评分 (PRS) 量化的遗传倾向在CAD发育中起作用.
研究的目的:
- 研究癌症状况和CAD多基因风险评分 (PRS) 对CAD结局的综合影响.
- 为了确定CAD的遗传风险是否受到癌症史的改变.
主要方法:
- 利用来自464,193名参与者的英国生物库数据,识别癌症幸存者和CAD结果.
- 根据CAD-PRS (低,中等,高) 和癌症状态对参与者进行分类.
- 员工调整了考克斯模型,以评估对CAD发病率和死亡率的联合和相互作用影响.
主要成果:
- 较高的CAD-PRS与较高的CAD风险显著相关 (HR为高PRS的1.86).
- 与非癌症幸存者相比,癌症幸存者的CAD风险增加了1.16倍.
- 观察到CAD-PRS和癌症状况之间存在显著的乘法相互作用,癌症史放大了CAD的遗传风险.
结论:
- 癌症与较高的CAD风险有关.
- 正如CAD-PRS所指出的遗传因素,可能会进一步提高癌症幸存者的CAD风险,强调需要个性化风险评估和管理.
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