Cumulative effect of five genetic variants on prostate cancer risk in multiple study populations.

Cumulative effect of five genetic variants on prostate cancer risk in multiple study populations.
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DOI:
10.1002/pros.20793
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发表时间:
2008-09-01
期刊:
影响因子:
2.8
通讯作者:
Zheng, S. Lilly
Zheng, S. Lilly
中科院分区:
医学3区
文献类型:
--
作者:
Sun, Jielin;Chang, Bao-Li;Isaacs, Sarah D.;Wiley, Kathleen E.;Wiklund, Fredrik;Stattin, Par;Duggan, David;Carpten, John D.;Trock, Bruce J.;Partin, Alan W.;Walsh, Patrick C.;Gronberg, Henrik;Xu, Jianfeng;Isaacs, William B.;Zheng, S. Lilly

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最近在瑞典人群(CAPS)中报告了五种遗传变异和家族史对前列腺癌风险的强烈累积效应。我们进行了这项研究,以证实在两个美国研究人群中的发现,并进行综合分析,以获得更稳定的前列腺癌比值比(OR)估计值。我们在美国的两个研究人群中评估了8 q24处的三个SNP和17 q12和17q24.3处的一个SNP。第一个是约翰霍普金斯医院(JHH)的基于医院的病例对照研究人群,包括1,563名前列腺癌患者和576名对照受试者。第二个是国家癌症研究所癌症易感性遗传标记(CGEMS)计划,包括1,172名前列腺癌患者和1,157名对照受试者。我们证实了五种风险变体对前列腺癌风险的累积影响。基于来自JHH、CGEMS和CAPS的总共5,628例病例和3,514例对照,携带这五种风险变体中的1、2、3和4种或更多种的任何组合的男性的估计OR(95%CI)为1.41(1.20-1.67),1.88(1.59-2.22),2.36(1.95-2.85)和3.80(2.77-5.22)的前列腺癌相比,男性谁没有任何这五个风险变异。当包括家族史时,累积效应更强。这些结果为五种遗传风险变异对前列腺癌风险的累积效应提供了重要的证实。这六个危险因素的累积效应的更稳定的OR估计是对这种疾病的个体风险特征的重要一步。
A strong cumulative effect of five genetic variants and family history on prostate cancer risk was recently reported in a Swedish population (CAPS). We carried out this study to confirm the finding in two U.S. study populations and perform a combined analysis to obtain a more stable estimate of the Odds Ratio (OR) for prostate cancer. We evaluated three SNPs at 8q24 and one SNP each at 17q12 and 17q24.3 in two study populations in the U.S. The first was a hospital-based case-control study population at Johns Hopkins Hospital (JHH), including 1,563 prostate cancer patients and 576 control subjects. The second was the National Cancer Institute Cancer Genetic Markers of Susceptibility (CGEMS) Initiative, including 1,172 prostate cancer patients and 1,157 control subjects. We confirmed a cumulative effect of five risk variants on prostate cancer risk. Based on a total of 5,628 cases and 3,514 controls from JHH, CGEMS, and CAPS, men who carry any combination of 1, 2, 3, and 4 or more of these five risk variants have an estimated OR (95% CI) of 1.41 (1.20-1.67), 1.88 (1.59-2.22), 2.36 (1.95-2.85), and 3.80 (2.77-5.22) for prostate cancer, respectively, compared to men who do not have any of these five risk variants. When family history was included, the cumulative effect was stronger. These results provide an important confirmation for the cumulative effect of five genetic risk variants on prostate cancer risk. The more stable OR estimates of the cumulative effect of these six risk factors are a major step toward individual risk characterization for this disease.
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