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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.

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。

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