Association between pre-diagnostic leukocyte mitochondrial DNA copy number and survival among colorectal cancer patients.

Association between pre-diagnostic leukocyte mitochondrial DNA copy number and survival among colorectal cancer patients.
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DOI:
10.1016/j.canep.2020.101778
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发表时间:
2020-10
影响因子:
2.6
通讯作者:
Nan H
Nan H
中科院分区:
医学3区
文献类型:
--
作者:
Yang K;Forman MR;Graham BH;Monahan PO;Giovannucci EL;De Vivo I;Chan AT;Nan H

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线粒体DNA拷贝数(mtDNAcn)被认为是线粒体功能和氧化应激的生物标志物。虽然以前的研究表明,在结直肠癌(CRC)诊断和CRC预后时的mtDNA之间存在潜在的关系,但结果并不一致,并且没有研究专门研究诊断前mtDNA与CRC生存率的关系。我们在护士健康研究和卫生专业人员随访研究中检查了587例患者诊断前白细胞mtDNAAcn(通过qPCR测量)与总体和CRC特异性生存率的相关性。构建考克斯模型以估计风险比(HR)和95%置信区间(95% CI)。在平均10.5年的随访中,确定了395例死亡; 180例死于CRC。总的来说,我们没有观察到mtDNAc与所有病例或癌症部位、级别或分期的总体或CRC特异性生存率之间的显著相关性。在一项探索性分层分析中,提示目前吸烟者中mtDNAn与总体死亡风险呈负相关[mtDNAn降低1 SD的HR(95%CI)= 1.50(0.98,2.32),P趋势=0.06]。在诊断时年龄≤ 70.5岁的患者中观察到mtDNAn降低和CRC特异性死亡风险降低[mtDNAn降低1 SD的HR(95% CI)= 0.71(0.52,0.97),P趋势= 0.03],从采血到诊断≤ 5年[mtDNAn降低1个SD的HR(95% CI)= 0.65(0.44,0.96),P趋势= 0.03]和那些消耗低炎症饮食的人[mtDNAn降低1 SD的HR(95%CI)= 0.61(0.42,0.88),P趋势= 0.009]。在诊断前白细胞mtDNAc n与总生存率或CRC特异性生存率之间没有显著关联,但探索性分析确定了潜在的亚组关联。
Mitochondrial DNA copy number (mtDNAcn) is considered a biomarker for mitochondrial function and oxidative stress. Although previous studies have suggested a potential relationship between mtDNAcn at the time of colorectal cancer (CRC) diagnosis and CRC prognosis, findings have been inconsistent, and no study has specifically investigated the association of pre-diagnostic mtDNAcn with CRC survival. We examined the association of pre-diagnostic leukocyte mtDNAcn (measured by qPCR) with overall and CRC-specific survival among 587 patients in Nurses’ Health Study and Health Professionals Follow-Up Study. Cox models were constructed to estimate hazard ratios (HRs) and 95% confidence intervals (95% CIs). During a mean follow-up of 10.5 years, 395 deaths were identified; 180 were due to CRC. Overall, we did not observe significant associations between mtDNAcn and either overall or CRC-specific survival among all cases or by cancer location, grade, or stage. In an exploratory stratified analysis, a suggestive inverse association of mtDNAcn and overall death risk appeared among current smokers [HR (95% CI) for 1 SD decrease in mtDNAcn = 1.50 (0.98, 2.32), P-trend=0.06]. Reduced mtDNAcn and lower CRC-specific death risk was observed among patients aged ≤ 70.5 at diagnosis [HR (95% CI) for 1 SD decrease of mtDNAcn = 0.71 (0.52, 0.97), P-trend = 0.03], ≤ 5 years from blood collection to diagnosis [HR (95% CI) for 1 SD decrease in mtDNAcn = 0.65 (0.44, 0.96), P-trend = 0.03] and those consuming a low-inflammatory diet [HR (95% CI) for 1 SD decrease in mtDNAcn = 0.61 (0.42, 0.88), P-trend = 0.009]. no significant associations between pre-diagnostic leukocyte mtDNAcn and either overall or CRC-specific survival appeared but exploratory analysis identified potential sub-group associations.
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