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与最常见的IgE特异性抗体相关的乳腺癌风险:希腊的一项病例对照研究。

Breast cancer risk in relation to most prevalent IgE specific antibodies: a case control study in Greece.

作者信息

Petridou E T, Chavelas C, Dikalioti S K, Dessypris N, Terzidis A, Nikoulis D I, Markopoulos C, Papadiamantis Y, Germenis A E

机构信息

Unit of Preventive Medicine, Department of Hygiene and Epidemiology and School of Medicine, University of Athens, Athens 11527, Greece.

出版信息

Anticancer Res. 2007 May-Jun;27(3B):1709-13.

PMID:17595802
Abstract

BACKGROUND

This study aims to explore the debatable role of allergy in breast cancer (BC) by using country-specific biological markers, namely levels of the most prevalent allergen-specific immunoglobulin E in Greece.

PATIENTS AND METHODS

Blood samples and clinical information were collected over a 30-month period from 103 women with histologically-confirmed BC and 103 controls from two university hospitals in Athens. Allergen-specific IgE, against the 12 prevailing allergens in Greece were determined; thereafter, a score comprising the sum of the individual values for this battery of serological IgE determinations was created. Bivariate and multiple logistic regression analyses were undertaken using case-control status as the outcome and IgE-scores as the predictor variable, controlling for socio-demographic, gynecological and lifestyle confounders.

RESULTS

The serum IgE score seemed to be positively related to BC (OR: approximately 1.73; CI: 0.95-3.14; p-value: 0.07). A positive correlation between serological evidence and allergic history among controls was also found (p-value: 0.06).

CONCLUSION

This investigation suggests an IgE-mediated allergic response among women with BC in comparison to their controls. The finding needs confirmation by immuno-epidemiological investigation to clarify the directionality of this association and whether laboratory-ascertained atopy can be considered as a risk-marker of susceptibility in the development of BC.

摘要

背景

本研究旨在通过使用特定国家的生物标志物,即希腊最常见的过敏原特异性免疫球蛋白E水平,探讨过敏在乳腺癌(BC)中存在争议的作用。

患者与方法

在30个月的时间里,从雅典两家大学医院收集了103名经组织学确诊为乳腺癌的女性和103名对照者的血液样本及临床信息。测定了针对希腊12种常见过敏原的过敏原特异性IgE;此后,创建了一个分数,该分数由这一系列血清学IgE测定的各个值之和组成。以病例对照状态为结果,IgE分数为预测变量,进行双变量和多因素逻辑回归分析,并控制社会人口统计学、妇科和生活方式混杂因素。

结果

血清IgE分数似乎与乳腺癌呈正相关(比值比:约1.73;可信区间:0.95 - 3.14;p值:0.07)。在对照者中还发现血清学证据与过敏史之间存在正相关(p值:0.06)。

结论

本研究表明,与对照者相比,乳腺癌女性中存在IgE介导的过敏反应。这一发现需要通过免疫流行病学调查来证实,以明确这种关联的方向性,以及实验室确定的特应性是否可被视为乳腺癌发生易感性的风险标志物。

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