Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02215, USA.
Clin Chem Lab Med. 2010 Feb;48(2):259-62. doi: 10.1515/CCLM.2010.049.
To date, no prospective epidemiological data are available, particularly in women, on mean leukocyte telomere length as a risk predictor.
Using leukocyte DNA samples collected at baseline in a prospective cohort of over 28,000 initially healthy women, we examined the relationship between mean leukocyte telomere repeat copy number to single gene copy number (TSR) in 134 incident cases of colorectal carcinoma (CRC), and 357 matched controls; all were Caucasian.
The observed log(e)-transformed TSRs were similar between cases and controls (p=0.79). Using an adjusted analysis, we found no evidence for an association of the log(e)-TSRs with CRC risk [adjusted odds ratio (OR)=0.943, 95% confidence interval (CI)=0.647-1.376, p=0.762]. Stratified analysis by median follow-up time, or postmenopausal status also showed similar null findings.
In concordance with our previous findings in Caucasian men, the present study in Caucasian women found no evidence for an association of mean leukocyte telomere length with risk of incident CRC, further suggesting that leukocyte telomere length may not be a useful indicator for risk assessment.
迄今为止,尚无关于白细胞端粒长度作为风险预测因子的前瞻性流行病学数据,特别是在女性中。
我们使用前瞻性队列中超过 28000 名最初健康女性在基线时收集的白细胞 DNA 样本,研究了 134 例结直肠癌(CRC)新发病例和 357 例匹配对照者的白细胞端粒重复序列拷贝数与单个基因拷贝数(TSR)之间的关系;所有参与者均为白种人。
观察到的病例和对照组之间的对数(e)-转化 TSR 相似(p=0.79)。使用调整分析,我们没有发现 log(e)-TSR 与 CRC 风险之间存在关联的证据[调整后的优势比(OR)=0.943,95%置信区间(CI)=0.647-1.376,p=0.762]。按中位随访时间或绝经后状态进行分层分析也得出了类似的阴性结果。
与我们之前在白种男性中的发现一致,本研究在白种女性中未发现白细胞端粒长度与 CRC 发病风险之间存在关联的证据,进一步表明白细胞端粒长度可能不是风险评估的有用指标。