Suppr超能文献

体重指数与结直肠癌风险:一项孟德尔随机化研究。

Body mass index and colorectal cancer risk: A Mendelian randomization study.

机构信息

Division of Epidemiology, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.

Division of Cancer Medicine, Jikei University School of Medicine, Tokyo, Japan.

出版信息

Cancer Sci. 2021 Apr;112(4):1579-1588. doi: 10.1111/cas.14824. Epub 2021 Feb 25.

Abstract

Traditional observational studies have reported a positive association between higher body mass index (BMI) and the risk of colorectal cancer (CRC). However, evidence from other approaches to pursue the causal relationship between BMI and CRC is sparse. A two-sample Mendelian randomization (MR) study was undertaken using 68 single nucleotide polymorphisms (SNPs) from the Japanese genome-wide association study (GWAS) and 654 SNPs from the GWAS catalogue for BMI as sets of instrumental variables. For the analysis of SNP-BMI associations, we undertook a meta-analysis with 36 303 participants in the Japanese Consortium of Genetic Epidemiology studies (J-CGE), comprising normal populations. For the analysis of SNP-CRC associations, we utilized 7636 CRC cases and 37 141 controls from five studies in Japan, and undertook a meta-analysis. Mendelian randomization analysis of inverse-variance weighted method indicated that a one-unit (kg/m ) increase in genetically predicted BMI was associated with an odds ratio of 1.13 (95% confidence interval, 1.06-1.20; P value <.001) for CRC using the set of 68 SNPs, and an odds ratio of 1.07 (1.03-1.11, 0.001) for CRC using the set of 654 SNPs. Sensitivity analyses robustly showed increased odds ratios for CRC for every one-unit increase in genetically predicted BMI. Our MR analyses strongly support the evidence that higher BMI influences the risk of CRC. Although Asians are generally leaner than Europeans and North Americans, avoiding higher BMI seems to be important for the prevention of CRC in Asian populations.

摘要

传统的观察性研究报告称,较高的体重指数(BMI)与结直肠癌(CRC)的风险呈正相关。然而,其他方法研究 BMI 与 CRC 之间因果关系的证据很少。采用日本全基因组关联研究(GWAS)的 68 个单核苷酸多态性(SNP)和 BMI 的 GWAS 目录中的 654 个 SNP 作为工具变量,进行了两样本孟德尔随机化(MR)研究。对于 SNP-BMI 关联的分析,我们对来自日本遗传流行病学研究联合会(J-CGE)的 36303 名正常人群进行了 meta 分析。对于 SNP-CRC 关联的分析,我们利用了来自日本的五项研究中的 7636 例 CRC 病例和 37141 例对照,进行了 meta 分析。基于逆方差加权法的孟德尔随机化分析表明,用这 68 个 SNP 构建的工具变量集分析显示,每增加一个单位(kg/m )的遗传预测 BMI 与 CRC 的比值比为 1.13(95%置信区间,1.06-1.20;P 值<0.001),用这 654 个 SNP 构建的工具变量集分析显示,比值比为 1.07(1.03-1.11,0.001)。敏感性分析稳健地表明,遗传预测 BMI 每增加一个单位,CRC 的比值比均增加。我们的 MR 分析有力地支持了更高 BMI 会影响 CRC 风险的证据。尽管亚洲人通常比欧洲人和北美人更瘦,但在亚洲人群中,避免更高的 BMI 似乎对预防 CRC 很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8019210/5279fee0a82b/CAS-112-1579-g004.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验