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皮肤恶性黑色素瘤发病率的周期性模式:与日地物理活动的关联

Cyclic patterns of incidence rate for skin malignant melanoma: association with heliogeophysical activity.

作者信息

Dimitrov Borislav D, Rachkova Mariana I, Atanassova Penka A

机构信息

BORDANI, Alzano Lombardo (BG) 24022, Italy.

出版信息

J Zhejiang Univ Sci B. 2008 Jun;9(6):489-95. doi: 10.1631/jzus.B0820076.

Abstract

BACKGROUND

Our previous studies revealed cyclicity in the incidence rate of skin malignant melanoma (SMM; ICD9, Dx:172) in the Czech Republic (period T=7.50-7.63 years), UK (T=11.00 years) and Bulgaria (T=12.20 years). Incidences compared with the sunspot index Rz (lag-period dT=+2, +4, +6, +10 or +12 years) have indicated that maximal rates are most likely to appear on descending slopes of the 11-year solar cycle, i.e., out of phase. We summarized and explored more deeply these cyclic variations and discussed their possible associations with heliogeophysical activity (HGA) components exhibiting similar cyclicity.

METHODS

Annual incidences of SMM from 5 countries (Czech Republic, UK, Bulgaria, USA and Canada) over various time spans during the years 1964-1992 were analyzed and their correlations with cyclic Rz (sunspot number) and aa (planetary geomagnetic activity) indices were summarized. Periodogram regression analysis with trigonometric approximation and phase-correlation analysis were applied.

RESULTS

Previous findings on SMM for the Czech Republic, UK and Bulgaria have been validated, and cyclic patterns have been revealed for USA (T=8.63 years, P<0.05) and Canada (Ontario, T=9.91 years, P<0.10). Also, various 'hypercycles' were established (T=45.5, 42.0, 48.25, 34.5 and 26.5 years, respectively) describing long-term cyclic incidence patterns. The association of SMM for USA and Canada with Rz (dT=+6 and +7 years, respectively) and aa (dT=-10 and +9 years, respectively) was described. Possible interactions of cyclic non-photic influences (UV irradiation, Schumann resonance signal, low-frequency geomagnetic fluctuations) with brain waves absorbance, neuronal calcium dynamics, neuro-endocrine axis modulation, melatonin/serotonin disbalance and skin neuro-immunity impairment as likely causal pathways in melanoma appearance, were also discussed.

CONCLUSION

The above findings on cyclicity and temporal association of SMM with cyclic environmental factors could not only allow for better forecasting models but also lead to a better understanding of melanoma aetiology.

摘要

背景

我们之前的研究揭示了捷克共和国(周期T = 7.50 - 7.63年)、英国(T = 11.00年)和保加利亚(T = 12.20年)皮肤恶性黑色素瘤(SMM;国际疾病分类第九版,诊断代码:172)发病率的周期性。将发病率与太阳黑子指数Rz(滞后周期dT = +2、+4、+6、+10或+12年)进行比较后表明,最高发病率最有可能出现在11年太阳周期的下降阶段,即不同步。我们总结并更深入地探讨了这些周期性变化,并讨论了它们与表现出类似周期性的日地物理活动(HGA)成分的可能关联。

方法

分析了1964 - 1992年期间5个国家(捷克共和国、英国、保加利亚、美国和加拿大)不同时间段内SMM的年发病率,并总结了它们与周期性Rz(太阳黑子数)和aa(行星地磁活动)指数的相关性。应用了带有三角近似的周期图回归分析和相位相关分析。

结果

捷克共和国、英国和保加利亚关于SMM的先前研究结果得到了验证,并且揭示了美国(T = 8.63年,P < 0.05)和加拿大(安大略省,T = 9.91年,P < 0.10)的周期性模式。此外,还建立了各种“超周期”(分别为T = 45.5、42.0、48.25、34.5和26.5年)来描述长期的周期性发病模式。描述了美国和加拿大的SMM与Rz(分别为dT = +6和+7年)和aa(分别为dT = -10和+9年)的关联。还讨论了周期性非光影响(紫外线照射、舒曼共振信号、低频地磁波动)与脑电波吸收、神经元钙动力学、神经内分泌轴调节、褪黑素/血清素失衡以及皮肤神经免疫损伤之间可能的相互作用,这些可能是黑色素瘤出现的因果途径。

结论

上述关于SMM的周期性以及SMM与周期性环境因素的时间关联的研究结果,不仅可以形成更好的预测模型,还能有助于更好地理解黑色素瘤的病因。

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