Department of Occupational and Environmental Health, State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Environ Res. 2019 Dec;179(Pt A):108747. doi: 10.1016/j.envres.2019.108747. Epub 2019 Sep 16.
In this study, we conducted a prospective cohort study to investigate the joint effects of daily cooking duration with single nucleotide polymorphisms (SNPs) on lung cancer incidence.
A total of 33,868 individuals recruited in 2013 from Dongfeng-Tongji cohort study were included in our research, in which 5178 participants were genotyped. Daily cooking duration was accessed by questionnaire, and the incident lung cancer cases were confirmed. Fifteen lung cancer related SNPs were selected according to the previous reports. We used the multiple Cox regression models to evaluate the separate and joint effects of daily cooking duration and SNPs on lung cancer incidence.
Each 1-h increase in daily cooking duration was associated with a 17% elevated risk of lung cancer incidence [hazard ratio (HR) (95%CI) = 1.17(1.03, 1.33)]. Specifically, subjects with daily cooking duration >2 h/day had a 2.05-fold increased incident risk of lung cancer than those without cooking [HR(95%CI) = 2.05(1.20, 3.53)] (P = 0.011). The rs2395185 and rs3817963, both located at 6p21.32, were significantly associated with lung cancer incidence. Compared with no cooking subjects with rs2395185GG or rs3817963TT genotype, subjects with daily cooking >2 h/day and carrying rs2395185GT + TT genotypes had a 2.48-fold increased risk of lung cancer [HR(95%CI) = 2.48(1.03, 5.97)], and there were significant joint effects of rs3817963TC + CC with daily cooking 1-2 and >2 h/day [HR(95%CI) = 2.23(1.07, 4.64) and 2.22(1.05, 4.68), respectively].
Longer daily cooking duration, especially daily cooking >2 h/day, was associated with increased risk of lung cancer. There were significant joint effects of rs2395185 and rs3817963 with daily cooking duration on lung cancer incidence. This study offered a new indicator of cooking related pollution exposure and added new evidence for the joint effects of environment and genetic factors on lung cancer incidence.
本研究通过前瞻性队列研究,探讨每日烹饪时长与单核苷酸多态性(SNP)联合作用对肺癌发病的影响。
我们共纳入 2013 年东风-同济队列研究中的 33868 名参与者,其中 5178 名参与者进行了基因分型。通过问卷评估每日烹饪时长,确诊肺癌新发病例。根据既往报道,我们选择了 15 个肺癌相关 SNP。我们采用多因素 Cox 回归模型评估每日烹饪时长和 SNP 单独及联合作用对肺癌发病的影响。
与每日烹饪时长<1h 的参与者相比,每日烹饪时长每增加 1h,肺癌发病风险增加 17%[风险比(HR)(95%CI)=1.17(1.03,1.33)]。具体而言,每日烹饪时长>2h 的参与者肺癌发病风险是无烹饪参与者的 2.05 倍[HR(95%CI)=2.05(1.20,3.53)](P=0.011)。rs2395185 和 rs3817963 位于 6p21.32,与肺癌发病显著相关。与不烹饪且携带 rs2395185GG 或 rs3817963TT 基因型的参与者相比,每日烹饪时长>2h 且携带 rs2395185GT+TT 基因型的参与者肺癌发病风险增加 2.48 倍[HR(95%CI)=2.48(1.03,5.97)],且 rs3817963TC+CC 与每日烹饪 1-2h 和>2h 之间存在显著的交互作用[HR(95%CI)=2.23(1.07,4.64)和 2.22(1.05,4.68)]。
较长的每日烹饪时长,尤其是每日烹饪时长>2h,与肺癌发病风险增加相关。rs2395185 和 rs3817963 与每日烹饪时长对肺癌发病存在显著的交互作用。本研究提供了烹饪相关污染暴露的新指标,并为环境和遗传因素联合作用对肺癌发病的影响提供了新证据。