循环 25-羟维生素 D、1,25-二羟维生素 D 和维生素 D 通路基因与接受主动监测的局限性前列腺癌男性患者前列腺特异性抗原进展的相关性。

Associations of circulating 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, and vitamin D pathway genes with prostate-specific antigen progression in men with localized prostate cancer undergoing active monitoring.

机构信息

School of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, UK.

出版信息

Eur J Cancer Prev. 2013 Mar;22(2):121-5. doi: 10.1097/CEJ.0b013e3283584954.

Abstract

Current diagnostic tests cannot differentiate the majority of prostate cancers with a low likelihood of progression from the minority with more aggressive potential. We examined whether the measures of vitamin D were associated with prostate-specific antigen (PSA) doubling time in men undergoing active monitoring. We examined the associations of circulating 25-hydroxyvitamin D (25(OH)D), 1,25-dihydroxyvitamin D (1,25(OH)2D), and vitamin D pathway polymorphisms with PSA doubling time in 490 men undergoing active monitoring for localized prostate cancer within a UK population-based cohort study [mean follow-up 4.4 years (range: 0.3-7.6)]. Repeat PSA measurements were analyzed using multilevel models. There was no evidence that circulating 25(OH)D levels, 1,25(OH)2D levels, or vitamin D pathway polymorphisms were associated with postdiagnosis PSA doubling time. Stratifying the results by prostate cancer grade at diagnosis (high grade or low grade) did not alter the results. We found no evidence that either circulating 25(OH)D, 1,25(OH)2D, or vitamin D pathway polymorphisms were associated with PSA doubling time in men undergoing active monitoring for localized prostate cancer. Future studies should examine the associations of variation in vitamin D with clinical outcomes (metastases and death).

摘要

目前的诊断测试无法区分大多数进展可能性较低的前列腺癌与少数潜在侵袭性较强的前列腺癌。我们研究了维生素 D 水平是否与正在接受主动监测的男性的前列腺特异性抗原(PSA)倍增时间有关。我们研究了循环 25-羟维生素 D(25(OH)D)、1,25-二羟维生素 D(1,25(OH)2D)和维生素 D 途径多态性与英国人群队列研究中 490 名接受局部前列腺癌主动监测的男性的 PSA 倍增时间之间的关联[平均随访 4.4 年(范围:0.3-7.6)]。使用多层次模型分析重复 PSA 测量值。没有证据表明循环 25(OH)D 水平、1,25(OH)2D 水平或维生素 D 途径多态性与诊断后 PSA 倍增时间有关。按诊断时前列腺癌分级(高分级或低分级)分层结果并没有改变结果。我们没有发现循环 25(OH)D、1,25(OH)2D 或维生素 D 途径多态性与正在接受局部前列腺癌主动监测的男性的 PSA 倍增时间有关的证据。未来的研究应该检查维生素 D 变异与临床结局(转移和死亡)之间的关联。

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