Unit of Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Int J Cancer. 2023 Feb 15;152(4):697-704. doi: 10.1002/ijc.34284. Epub 2022 Sep 22.
Morning chronotype has been associated with a reduced risk of prostate and breast cancer. However, few studies have examined whether chronotype is associated with digestive tract cancer risk. We conducted a Mendelian randomization (MR) study to assess the associations of chronotype with major digestive tract cancers. A total of 317 independent genetic variants associated with chronotype at the genome-wide significance level (P < 5 × 10 ) were used as instrumental variables from a genome-wide meta-analysis of 449 734 individuals. Summary-level data on overall and six digestive tract cancers, including esophageal, stomach, liver, biliary tract, pancreatic and colorectal cancers, were obtained from the UK Biobank (11 952 cases) and FinnGen (7638 cases) study. Genetic liability to morning chronotype was associated with reduced risk of overall digestive tract cancer and cancers of stomach, biliary tract and colorectum in UK Biobank. The associations for the overall digestive tract, stomach and colorectal cancers were directionally replicated in FinnGen. In the meta-analysis of the two sources, genetic liability to morning chronotype was associated with a decreased risk of overall digestive tract cancer (odds ratio [OR] 0.94, 95% confidence interval [CI]: 0.90-0.98), stomach cancer (OR 0.84, 95% CI: 0.73-0.97) and colorectal cancer (OR 0.92, 95% CI: 0.87-0.98), but not with the other studied cancers. The associations were consistent in multivariable MR analysis with adjustment for genetically predicted sleep duration, short sleep, insomnia and body mass index. The study provided MR evidence of inverse associations of morning chronotype with digestive tract cancer, particularly stomach and colorectal cancers.
早晨型与前列腺癌和乳腺癌风险降低有关。然而,很少有研究探讨时型是否与消化道癌风险相关。我们进行了一项孟德尔随机化(MR)研究,以评估时型与主要消化道癌的关联。从 449734 人的全基因组荟萃分析中,共使用 317 个与时型相关的独立遗传变异作为工具变量,这些遗传变异在全基因组范围内达到显著水平(P<5×10-8)。来自英国生物库(11952 例)和芬兰基因(7638 例)研究的总体和六种消化道癌(包括食管癌、胃癌、肝癌、胆道癌、胰腺癌和结直肠癌)的汇总水平数据。在英国生物库中,早晨型的遗传易感性与总体消化道癌以及胃癌、胆道癌和结直肠癌的风险降低相关。在芬兰基因中,这些与总体消化道癌、胃癌和结直肠癌的关联呈方向性复制。在两个来源的荟萃分析中,早晨型的遗传易感性与总体消化道癌(比值比 [OR] 0.94,95%置信区间 [CI]:0.90-0.98)、胃癌(OR 0.84,95%CI:0.73-0.97)和结直肠癌(OR 0.92,95%CI:0.87-0.98)的风险降低相关,但与其他研究的癌症无关。在调整了遗传预测的睡眠时间、短睡眠、失眠和体重指数后,多变量 MR 分析中的关联仍然一致。该研究提供了 MR 证据,表明早晨型与消化道癌(尤其是胃癌和结直肠癌)呈负相关。
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