Ben Qiwen, Liu Jun, Wang Weiyi, Guo Fang, Yao Weiyan, Zhong Jie, Yuan Yaozong
Department of Gastroenterology, Ruijin Hospital, Shanghai Jiaotong University, Shanghai, China.
Department of Integrative Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Oncotarget. 2017 Jun 21;8(33):54799-54808. doi: 10.18632/oncotarget.18592. eCollection 2017 Aug 15.
Although the relationship between non-O blood types and the risk of exocrine pancreatic cancer has been demonstrated, the association between ABO blood types and sporadic pancreatic neuroendocrine tumor (PNET) has not been reported thus far.
This hospital-based, case-control study included 387 patients with PNET and 542 age- and sex-matched controls. Unconditional multivariable logistic regression analysis was performed to estimate the adjusted odds ratios (AORs) and 95% confidence intervals (CIs). The relationship between ABO blood types and clinicopathologic features was also analyzed.
After adjusting for age, sex, smoking status, alcohol drinking, and first-degree family history of any cancer, the AORs (95% CI) of functional PNET were 0.87 (0.59-1.28) for blood type A, 0.86 (0.58-1.28) for blood type B, and 0.71 (0.39-1.26) for blood type AB compared with subjects with blood type O. A similar ABO blood-type distribution was observed among cases with non-functional PNETs compared with controls. On comparing blood type B with non-B blood type, cases with non-functional PNETs had marginally higher rates of lymph node invasion (P = 0.047), distant metastasis (P = 0.044), and advanced European Neuroendocrine Tumor Society Stage (P = 0.040).
There is no association between the ABO blood group and the development of functional and non-functional PNETs. The ABO blood types are not associated with the clinicopathologic features in patients with functional and non-functional PNETs.
尽管非O血型与外分泌性胰腺癌风险之间的关系已得到证实,但ABO血型与散发性胰腺神经内分泌肿瘤(PNET)之间的关联迄今尚未见报道。
这项基于医院的病例对照研究纳入了387例PNET患者和542例年龄及性别匹配的对照。进行无条件多变量逻辑回归分析以估计调整后的比值比(AOR)和95%置信区间(CI)。还分析了ABO血型与临床病理特征之间的关系。
在调整年龄、性别、吸烟状况、饮酒情况以及任何癌症的一级家族史后,与O血型受试者相比,功能性PNET的AOR(95%CI)在A型血为0.87(0.59 - 1.28),B型血为0.86(0.58 - 1.28),AB型血为0.71(0.39 - 1.26)。与对照组相比,非功能性PNET患者中观察到类似的ABO血型分布。将B型血与非B型血进行比较时,非功能性PNET患者的淋巴结侵犯率(P = 0.047)、远处转移率(P = 0.044)和欧洲神经内分泌肿瘤学会晚期(P = 0.040)略高。
ABO血型与功能性和非功能性PNET的发生之间无关联。ABO血型与功能性和非功能性PNET患者的临床病理特征无关。