多基因风险评分作为预测骨折或骨质疏松的前列腺癌患者接受抗雄激素缺乏治疗的骨折或骨质疏松的预测
Ying-Qiang Liu1,2, Li-Wen Chang3,4,5, Hui-Wen Yang6
1Department of Medical Education, Taichung Veterans General Hospital, Taichung, Taiwan.
Cancer medicine
|November 20, 2025
概括
多基因风险评分 (PRSs) 可以预测骨折和骨质疏松症风险在前列腺癌患者接受雄激素缺乏治疗 (ADT). 高PRS识别了需要早期干预骨健康的个体.
科学领域:
- 遗传学和基因组学 遗传学和基因组学
- 在瘤学瘤学.
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 单核酸多态 (SNP) 与骨折风险有关.
- 前列腺癌的雄激素剥夺疗法 (ADT) 增加了骨质疏松症和骨折风险.
- 多基因风险评分 (PRSs) 可以预测ADT患者的骨事件.
研究的目的:
- 评估PRS在接受ADT的前列腺癌患者骨事件的预测价值.
- 确定与骨折和骨质疏松风险增加相关的特定PRS.
- 告知个性化风险评估和早期干预策略.
主要方法:
- 招募了903名前列腺癌患者,分为ADT和非ADT组.
- 测试了九个与骨矿物质密度相关的PRS,分为四分之一.
- 使用考克斯比例危险回归来通过PRS四分位数分析骨事件风险.
主要成果:
- PGS002632,PGS002681和PGS001955显示了骨事件的高预测价值.
- 患有高PGS002632 (Q1) 的ADT患者的骨折风险明显更高 (HR=5.934).
- 与非ADT患者相比,ADT患者的高PRS预测骨事件风险增加.
结论:
- 在接受ADT的前列腺癌患者中,PRS是骨折和骨质疏松风险的潜在生物标志物.
- 这项研究支持对这个人群的骨健康进行个性化风险评估.
- 这些发现为早期干预提供了基础,包括骨保护策略.
相关概念视频
Bone Disorders
5.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.0K
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
374
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
374
Cancer Survival Analysis
633
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
633
Factors Affecting Protein-Drug Binding: Patient-Related Factors
291
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
291


