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吸烟、性别和种族可预测结直肠癌中的体细胞 BRAF 突变。

Smoking, gender, and ethnicity predict somatic BRAF mutations in colorectal cancer.

机构信息

Environmental Health Sciences, School of Public Health, University of Michigan Medical School, Ann Arbor, MI 48109-2200, USA.

出版信息

Cancer Epidemiol Biomarkers Prev. 2010 Mar;19(3):838-43. doi: 10.1158/1055-9965.EPI-09-1112. Epub 2010 Mar 3.


DOI:10.1158/1055-9965.EPI-09-1112
PMID:20200438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2872124/
Abstract

Approximately 5% to 15% of all colorectal cancers (CRC) have an activating BRAF somatic mutation, which may be associated with a distinct risk profile compared with tumors without BRAF mutations. Here, we measured the prevalence and epidemiologic correlates of the BRAF V600E somatic mutation in cases collected as a part of a population-based case-control study of CRC in northern Israel. The prevalence of BRAF V600E was 5.0% in this population, and the mutation was more likely to be found in tumors from cases who were of Ashkenazi Jewish descent [odds ratio (OR), 1.87; 95% confidence interval (95% CI), 1.01-3.47], female (OR, 1.97; P = 1.17-3.31), and older (73.8 years versus 70.3 years; P < 0.001). These results were similar when restricting to only tumors with microsatellite instability. Whether smoking was associated with a BRAF somatic mutation depended on gender. Although men were less likely to have a tumor with a BRAF somatic mutation, men who smoked were much more likely to have a tumor with a somatic BRAF mutation (OR(interaction), 4.95; 95% CI, 1.18-20.83) than women who never smoked. We note the strong heterogeneity in the reported prevalence of the BRAF V600E mutation in studies of different ethnicities, with a lower prevalence in Israel than other Western populations but a higher prevalence among Jewish than non-Jewish Israeli cases. Epidemiologic studies of CRC should incorporate somatic characteristics to fully appreciate risk factors for this disease.

摘要

约 5%至 15%的结直肠癌(CRC)存在激活的 BRAF 体细胞突变,与没有 BRAF 突变的肿瘤相比,其可能具有独特的风险特征。在此,我们测量了以色列北部基于人群的 CRC 病例对照研究中收集的病例中 BRAF V600E 体细胞突变的流行率和流行病学相关性。在该人群中,BRAF V600E 的流行率为 5.0%,并且该突变更可能存在于源自阿什肯纳兹犹太血统病例的肿瘤中[比值比(OR),1.87;95%置信区间(95%CI),1.01-3.47]、女性(OR,1.97;P=1.17-3.31)和年龄较大(73.8 岁比 70.3 岁;P<0.001)。当仅限制在微卫星不稳定的肿瘤中时,这些结果是相似的。吸烟是否与 BRAF 体细胞突变相关取决于性别。尽管男性更不可能患有 BRAF 体细胞突变的肿瘤,但与从不吸烟的女性相比,吸烟的男性更有可能患有 BRAF 体细胞突变的肿瘤(OR(交互作用),4.95;95%CI,1.18-20.83)。我们注意到,不同种族的研究中 BRAF V600E 突变的报告流行率存在很大差异,以色列的流行率低于其他西方国家,但在以色列犹太人中比非犹太人更高。CRC 的流行病学研究应纳入体细胞特征,以充分了解该疾病的危险因素。

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[4]
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[5]
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[6]
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[7]
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[8]
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Ann Med Surg (Lond). 2020-10-23

[9]
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BMC Gastroenterol. 2019-11-5

[10]
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本文引用的文献

[1]
Clinicopathological and protein characterization of BRAF- and K-RAS-mutated colorectal cancer and implications for prognosis.

Int J Cancer. 2010-7-15

[2]
CpG island methylator phenotype, microsatellite instability, BRAF mutation and clinical outcome in colon cancer.

Gut. 2009-1

[3]
Pathologic predictors of microsatellite instability in colorectal cancer.

Am J Surg Pathol. 2009-1

[4]
Frequency and distinctive spectrum of KRAS mutations in never smokers with lung adenocarcinoma.

Clin Cancer Res. 2008-9-15

[5]
Ethnicity and risk for colorectal cancers showing somatic BRAF V600E mutation or CpG island methylator phenotype.

Cancer Epidemiol Biomarkers Prev. 2008-7

[6]
Mismatch repair polymorphisms and risk of colon cancer, tumour microsatellite instability and interactions with lifestyle factors.

Gut. 2009-5

[7]
Clinicopathological features of CpG island methylator phenotype-positive colorectal cancer and its adverse prognosis in relation to KRAS/BRAF mutation.

Pathol Int. 2008-2

[8]
Estrogen plus progestin use, microsatellite instability, and the risk of colorectal cancer in women.

Cancer Res. 2007-8-1

[9]
Association of smoking, CpG island methylator phenotype, and V600E BRAF mutations in colon cancer.

J Natl Cancer Inst. 2006-12-6

[10]
Risk of microsatellite-unstable colorectal cancer is associated jointly with smoking and nonsteroidal anti-inflammatory drug use.

Cancer Res. 2006-7-1

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