Environmental Health Sciences, School of Public Health, University of Michigan Medical School, Ann Arbor, MI 48109-2200, USA.
Cancer Epidemiol Biomarkers Prev. 2010 Mar;19(3):838-43. doi: 10.1158/1055-9965.EPI-09-1112. Epub 2010 Mar 3.
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.
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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