夜班工作和肺癌风险:一项前性队列研究,使用来自英国生物银行的调解分析
Xiangyuan Zheng1,2,3, Yi Feng1,2, Juan He1,2,4
1Department of Thoracic Surgery and Oncology, China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Sleep
|June 9, 2025
概括
夜班工作与更高的肺癌风险有关,特别是在吸烟者中. 确定了像前列腺素这样的关键生物媒介,为癌症发展提供了洞察力. 建议进行进一步的研究.
科学领域:
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
- 癌症研究 癌症研究
背景情况:
- 夜班工作是日益增长的职业暴露,影响全球数百万人.
- 以前的研究表明,夜班工作与癌症之间存在潜在联系,但机制尚不清楚.
- 了解这些关联对于公共卫生和工人安全至关重要.
研究的目的:
- 调查夜班工作与肺癌风险之间的关联.
- 在这种关系中探索生物媒介和基因环境相互作用.
- 确定在夜班工作者中导致肺癌的特定途径和风险因素.
主要方法:
- 在英国生物库数据 (278,650名参与者) 上使用了考克斯的比例危险模型.
- 评估当前的夜班状态,持续时间和频率与肺癌发病率.
- 进行了生活方式,免疫细胞和血蛋白质的调解分析;评估了多基因风险得分.
主要成果:
- 在夜班工作和肺癌风险之间发现了显著的剂量反应关系 (p-趋势 = .004).
- 吸烟被确定为夜班与肺癌相关性的重要调解者.
- 前列腺素 (PRSS8),ALPP和CEACAM5是关键调解剂,解释了超过25%的效果.
结论:
- 夜班工作,特别是与吸烟相结合,会增加肺癌的风险.
- 前列腺素,ALPP和CEACAM5被确定为重要的生物媒介.
- 这些发现需要进一步验证和探索针对风险人群的有针对性的预防策略.
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