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胰岛素样生长因子是否能调节身高与 24 个部位癌症风险之间的关系?

Does insulin-like growth factor moderate the association between height and risk of cancer at 24 sites?

机构信息

Institute of Health and Wellbeing, University of Glasgow, Glasgow, G12 8RZ, UK.

Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, G12 8TA, UK.

出版信息

Br J Cancer. 2020 Nov;123(11):1697-1704. doi: 10.1038/s41416-020-01059-1. Epub 2020 Sep 14.

Abstract

BACKGROUND

Whether the association of height with cancers differs by insulin-like growth factors has not been fully elucidated. Therefore, this study aimed to investigate the sex-specific associations between height and 24 site-specific cancers and to assess whether the association differed by IGF-1.

METHODS

In total, 414,923 participants from the UK Biobank prospective cohort study were included. The association of height (per 5-cm increment) with incidence and mortality from 24 cancer sites was investigated by using Cox proportional hazard models.

RESULTS

The median follow-up was 6.0 years. In men, height was positively associated with incidence risk of all-cause cancer and at five sites (lung, lymphatic, leukaemia, non-Hodgkin lymphoma and melanoma). In women, it was associated with breast, melanoma, lymphatic, non-Hodgkin lymphoma and all-cause cancer. The association was stronger in women than men for all-cause cancer incidence. The strength of the association did not differ by IGF-1 concentration.

CONCLUSIONS

Adult height was associated with risk of several cancer sites. However, some of these associations were sex-specific. There was no strong evidence to support IGF-1 moderating the association between height and cancer.

摘要

背景

身高与癌症的相关性是否因胰岛素样生长因子而异尚未完全阐明。因此,本研究旨在调查身高与 24 个特定部位癌症之间的性别特异性关联,并评估这种关联是否因 IGF-1 而异。

方法

本研究共纳入了来自英国生物库前瞻性队列研究的 414923 名参与者。使用 Cox 比例风险模型研究了身高(每增加 5 厘米)与 24 个癌症部位的发病和死亡风险之间的关系。

结果

中位随访时间为 6.0 年。在男性中,身高与所有原因癌症和五个部位(肺、淋巴、白血病、非霍奇金淋巴瘤和黑色素瘤)的发病风险呈正相关。在女性中,身高与乳腺癌、黑色素瘤、淋巴、非霍奇金淋巴瘤和所有原因癌症相关。与男性相比,女性的全因癌症发病率与身高的相关性更强。IGF-1 浓度并未改变这种关联的强度。

结论

成人身高与某些癌症部位的发病风险相关。然而,其中一些关联是性别特异性的。没有强有力的证据支持 IGF-1 调节身高与癌症之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3707/7686481/5918fbf404d8/41416_2020_1059_Fig1_HTML.jpg

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