血清尿酸与前列腺癌风险之间的关联:CTGF基因型的修饰作用
Randi Chen1, Timothy A Donlon1,2, Richard C Allsopp3
1Department of Research, Kuakini Japan-Hawaii Cancer Study, Kuakini Honolulu Heart Program, Center of Biomedical Research Excellence (COBRE) for Clinical and Translational Research on Aging, Kuakini Medical Center, Honolulu, Hawaii, United States of America.
Journal of clinical and translational research
|December 11, 2025
概括
高尿酸水平会增加CTGF-CC基因型男性的前列腺癌风险,但T等位基因携带者并非如此. 尿酸监测可能有助于降低CC基因型个体的风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 遗传学 遗传学 是一个
- 流行病学 流行病学
背景情况:
- 尿酸在前列腺癌发展中的作用尚不清楚,有相互矛盾的证据.
- 遗传变异可能会影响尿酸与前列腺癌风险之间的关系.
研究的目的:
- 调查尿酸水平与前列腺癌风险之间的关联是否受到结缔组织生长因子 (CTGF) rs9399005基因型的改变.
主要方法:
- 一组6259名日裔美国男性的前列腺癌发病率进行了跟踪.
- 超尿血症被定义为血清尿酸≥7.0 mg/dL.
- 考克斯比例危险模型被用于评估风险,考虑CTGF基因型 (CC与T).
主要成果:
- 在CTGF基因型和高尿路血症之间发现了显著的相互作用.
- 高尿路血症与前列腺癌风险增加仅在CTGF-CC基因型 (HR=1.91) 的男性中相关.
- 在具有CTGF-T基因型 (HR=0.77) 的高尿素血症男性中没有观察到增加的风险.
结论:
- 尿酸对前列腺癌风险的影响取决于CTGF基因型.
- 高尿路血症增加前列腺癌的风险,特别是在CTGF-CC类同位素中.
- 降低尿酸可能有利于预防CTGF-CC基因型男性的前列腺癌.
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