人工甜味剂与15种瘤的风险之间的因果关系:双向双样本孟德尔随机化分析
Haiyuan Yang1, Ye Liu1, Jie Peng1
1First Department of Breast Surgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Medicine
|December 2, 2025
概括
人工甜味剂 (AS) 摄入量对癌症风险产生双重影响. 服用AS可降低患乳腺癌,胃癌,结肠直肠癌,前列腺癌和癌的风险,但会增加患口腔癌,食道癌,卵巢癌和肺癌的风险.
科学领域:
- 营养流行病学 营养流行病学
- 遗传流行病学遗传流行病学
- 癌症研究 癌症研究
背景情况:
- 人工甜味剂 (AS) 是广泛使用的糖替代品.
- 了解AS对健康的长期影响,特别是癌症风险,至关重要.
- 之前对AS和癌症的研究已经产生了不一致的结果.
研究的目的:
- 研究人工甜味剂 (AS) 摄入量与各种癌症的风险之间的因果关系.
- 使用强大的孟德尔随机化方法进行因果推理.
- 评估AS摄入与15种不同类型癌症的关联.
主要方法:
- 采用了2个样本的门德尔随机化 (MR) 设计.
- 从大型全基因组关联研究 (GWAS) 中利用与AS摄入相关的遗传变异.
- 应用了五种分析技术 (IVW,MR-Egger,加权中位数,简单和加权模式) 和灵敏度分析.
主要成果:
- 在AS摄入量和11种癌症类型之间发现了因果关系.
- 摄入AS与乳腺癌,胃癌,结直肠癌,前列腺癌和癌的风险降低有关.
- 摄入AS与口腔,食道,卵巢和肺癌的风险增加有关.
- 敏感性分析表明没有显著的异质性或质性,支持结果的稳定性.
结论:
- 人工甜味剂的摄入对不同类型的癌症有不同的因果关系.
- 摄入AS可能会保护某些癌症,同时增加其他癌症的风险.
- 这些发现为AS消费和癌症病因之间存在复杂关系提供了证据.
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