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本文引用的文献

1
Sexually and non-sexually transmitted infections and the risk of prostate cancer: Results from the EPICAP study.性传播和非性传播感染与前列腺癌风险:EPICAP 研究结果。
Cancer Med. 2024 Jan;13(1):e6841. doi: 10.1002/cam4.6841. Epub 2024 Jan 4.
2
Metabolic changes in kidney stone disease.肾结石病的代谢变化。
Front Immunol. 2023 May 9;14:1142207. doi: 10.3389/fimmu.2023.1142207. eCollection 2023.
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The Role of Adipokines in Inflammatory Mechanisms of Obesity.脂肪细胞因子在肥胖炎症机制中的作用。
Int J Mol Sci. 2022 Nov 29;23(23):14982. doi: 10.3390/ijms232314982.
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Understanding the link between kidney stones and cancers of the upper urinary tract and bladder.了解肾结石与上尿路及膀胱癌之间的联系。
Am J Clin Exp Urol. 2022 Oct 15;10(5):277-298. eCollection 2022.
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Cholelithiasis increased prostate cancer risk: evidence from a case-control study and a meta-analysis.胆石症增加前列腺癌风险:病例对照研究和荟萃分析的证据。
BMC Urol. 2022 Oct 3;22(1):160. doi: 10.1186/s12894-022-01110-8.
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Blood lipid metabolism and the risk of gallstone disease: a multi-center study and meta-analysis.血脂代谢与胆石病风险:一项多中心研究和荟萃分析。
Lipids Health Dis. 2022 Mar 2;21(1):26. doi: 10.1186/s12944-022-01635-9.
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Global Trends in Incidence and Burden of Urolithiasis from 1990 to 2019: An Analysis of Global Burden of Disease Study Data.1990年至2019年全球尿石症发病率和负担趋势:全球疾病负担研究数据分析
Eur Urol Open Sci. 2022 Jan 3;35:37-46. doi: 10.1016/j.euros.2021.10.008. eCollection 2022 Jan.
8
Metabolic Syndrome Increases the Risk of Kidney Stone Disease: A Cross-Sectional and Longitudinal Cohort Study.代谢综合征增加肾结石疾病风险:一项横断面和纵向队列研究
J Pers Med. 2021 Nov 6;11(11):1154. doi: 10.3390/jpm11111154.
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Complicated pyelonephritis associated with chronic renal stone disease.复杂性肾盂肾炎合并慢性肾结石病。
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Incidence of extrahepatic cancers among individuals with chronic hepatitis B or C virus infection: A nationwide cohort study.慢性乙型或丙型肝炎病毒感染者的肝外癌症发病情况:一项全国性队列研究。
J Viral Hepat. 2020 Sep;27(9):896-903. doi: 10.1111/jvh.13304. Epub 2020 May 18.

肾脏和胆囊结石与前列腺癌风险:EPICAP研究结果

Kidney and gallbladder stones and the risk of prostate cancer: Results from the EPICAP study.

作者信息

Sawaya Melissa, Cordina-Duverger Emilie, Lamy Pierre-Jean, Trétarre Brigitte, Menegaux Florence

机构信息

UVSQ, Inserm, Gustave Roussy, CESP, Université Paris-Saclay, Villejuif, France.

Service de Recherche Clinique, Clinique Beau Soleil, Montpellier, France.

出版信息

PLoS One. 2025 Jan 17;20(1):e0317760. doi: 10.1371/journal.pone.0317760. eCollection 2025.

DOI:10.1371/journal.pone.0317760
PMID:39823409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11741565/
Abstract

BACKGROUND

Prostate cancer remains the most frequent cancer among men, representing a significant health burden. Despite its high morbidity and mortality rates, the etiology of prostate cancer remains relatively unknown, with only non-modifiable established risk factors. Chronic inflammation has emerged as a potential factor in prostate carcinogenesis. We investigated the role of kidney and gallbladder stones and the risk of prostate cancer.

METHODS

We used data from EPICAP, a population-based case-control study. A total of 819 diagnosed prostate cancer cases and 879 controls were face-to-face interviewed using a standardized questionnaire that collected information on personal medical history, including history of kidney and gallbladder stones. Odds Ratios (OR) and their 95% confidence interval (CI) were estimated using multivariate unconditional logistic regression.

RESULTS

Our study revealed intriguing patterns regarding kidney and gallbladder stones in relation to prostate cancer risk. The analysis indicated significant potential associations between kidney stones and the risk of prostate cancer (OR: 1.46 95% CI: 1.13-1.90), particularly in men with a history of kidney infection. Additionally, our data suggested a possible relationship between gallbladder stones and prostate cancer when considering triglyceride (OR: 2.27, 95% CI: 0.99-5.28), although further research is needed for a conclusive understanding.

CONCLUSIONS

Our results suggest an association between calculi and the risk of prostate cancer. Findings from this study underscore the need for a more comprehensive investigation to understand the role of chronic inflammation or metabolism and delineate the mechanisms underlying these potential associations in order to guide the development of targeted preventive strategies for aggressive prostate cancer.

摘要

背景

前列腺癌仍然是男性中最常见的癌症,构成了重大的健康负担。尽管其发病率和死亡率很高,但前列腺癌的病因仍然相对不明,仅有不可改变的既定风险因素。慢性炎症已成为前列腺癌发生的一个潜在因素。我们调查了肾结石和胆结石与前列腺癌风险的关系。

方法

我们使用了基于人群的病例对照研究EPICAP的数据。通过标准化问卷对总共819例确诊的前列腺癌病例和879名对照进行面对面访谈,该问卷收集了个人病史信息,包括肾结石和胆结石病史。使用多变量无条件逻辑回归估计比值比(OR)及其95%置信区间(CI)。

结果

我们的研究揭示了肾结石和胆结石与前列腺癌风险之间有趣的模式。分析表明肾结石与前列腺癌风险之间存在显著的潜在关联(OR:1.46,95%CI:1.13 - 1.90),特别是在有肾脏感染病史的男性中。此外,当考虑甘油三酯时,我们的数据表明胆结石与前列腺癌之间可能存在关系(OR:2.27,95%CI:0.99 - 5.28),不过需要进一步研究才能得出确定性的认识。

结论

我们的结果表明结石与前列腺癌风险之间存在关联。这项研究的结果强调需要进行更全面的调查,以了解慢性炎症或代谢的作用,并阐明这些潜在关联背后的机制,从而指导积极型前列腺癌靶向预防策略的制定。