Guang An'men Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.
Sci Rep. 2024 Jan 23;14(1):1982. doi: 10.1038/s41598-024-52080-w.
Epidemiological studies have reported a positive association between chronic inflammation and cancer risk. However, the causal association between chronic inflammation and breast cancer (BC) risk remains unclear. Here, we performed a Mendelian randomization study to investigate the etiological role of chronic inflammation in BC risk. We acquired data regarding C-reactive protein (CRP), interleukin (IL)-1a, IL-1b, and IL-6 expression and BC related to single nucleotide polymorphisms (SNPs) from two larger consortia (the genome-wide association studies and the Breast Cancer Association Consortium). Next, we conducted the two-sample Mendelian randomization study to investigate the relationship of the abovementioned inflammatory factors with the incidence of BC. We found that genetically predicted CRP, IL-6, and IL-1a levels did not increase BC incidence (odds ratio (OR) 1.06, 95% confidence interval (CI) 0.98-1.12, P = 0.2059, OR 1.05, 95% CI 0.95-1.16, P = 0.3297 and OR 1.01, 95% CI 0.99-1.03, P = 0.2167). However, in subgroup analysis, genetically predicted IL-1b levels increased ER + BC incidence (OR 1.15, 95% CI 1.03-1.27, P = 0.0088). Our study suggested that genetically predicted IL-1b levels were found to increase ER + BC susceptibility. However, due to the support of only one SNP, heterogeneity and pleiotropy tests cannot be performed, which deserves further research.
流行病学研究报告称,慢性炎症与癌症风险之间存在正相关关系。然而,慢性炎症与乳腺癌(BC)风险之间的因果关系尚不清楚。在这里,我们进行了一项孟德尔随机化研究,以探讨慢性炎症在 BC 风险中的病因作用。我们从两个更大的联盟(全基因组关联研究和乳腺癌协会联盟)获得了有关 C 反应蛋白(CRP)、白细胞介素(IL)-1a、IL-1b 和 IL-6 表达与 BC 相关的单核苷酸多态性(SNP)的数据。接下来,我们进行了两样本孟德尔随机化研究,以调查上述炎症因子与 BC 发生率之间的关系。我们发现,遗传预测的 CRP、IL-6 和 IL-1a 水平不会增加 BC 的发病率(比值比(OR)1.06,95%置信区间(CI)0.98-1.12,P=0.2059,OR 1.05,95%CI 0.95-1.16,P=0.3297 和 OR 1.01,95%CI 0.99-1.03,P=0.2167)。然而,在亚组分析中,遗传预测的 IL-1b 水平增加了 ER+BC 的发病率(OR 1.15,95%CI 1.03-1.27,P=0.0088)。我们的研究表明,遗传预测的 IL-1b 水平被发现增加了 ER+BC 的易感性。然而,由于只有一个 SNP 的支持,无法进行异质性和多效性检验,这值得进一步研究。
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