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饮食中抗氧化维生素摄入量、氧化应激损伤生物标志物与结直肠癌之间的因果关系:一项孟德尔随机化研究。

Causal link between dietary antioxidant vitamins intake, oxidative stress injury biomarkers and colorectal cancer: A Mendelian randomization study.

作者信息

Zhao Minghui, Ye Mujie, Zhao Yucui

机构信息

Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Department of Geriatric Gastroenterology, Institute of Neuroendocrine Tumor, Neuroendocrine Tumor Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Medicine (Baltimore). 2025 Feb 14;104(7):e41531. doi: 10.1097/MD.0000000000041531.

Abstract

Oxidative stress and reactive oxygen species play a pivotal role in carcinogenesis. Recent studies have indicated a potential reduction in cancer incidence associated with antioxidant intake; however, these results remain controversial. We performed 2-sample Mendelian randomization (MR) analysis to explore the causal relationship between dietary antioxidant vitamins (retinol, carotene, vitamin C, and vitamin E), oxidative stress injury biomarkers (GST, CAT, SOD, and GPX), and the risk of colorectal cancer (CRC). The genetic instrumental variants (IVs) that had previously shown significant association with dietary antioxidant vitamins and oxidative stress injury biomarkers were screened from the UK Biobank and relevant published studies. The genome-wide association study (GWAS) data for total colorectal, colon, and rectal cancer were obtained from the FinnGen cohort. The primary MR analysis employed the inverse-variance-weighted (IVW) method. Furthermore, sensitivity analysis was performed to assess heterogeneity and horizontal pleiotropy. The results revealed no significant causal associations between dietary antioxidant vitamins, oxidative stress injury biomarkers, and the risk of CRC. The odds ratios (ORs) were as follows: 1.22 (95% confidence interval (CI): 0.65-2.28, P = .53) for retinol, 0.77 (95% CI: 0.50-1.18, P = .24) for carotene, 0.82 (95% CI: 0.42-1.63, P = .58) for vitamin C, and 1.20 (95% CI: 0.86-1.68, P = .28) for vitamin E. Regarding oxidative stress injury biomarkers, the ORs were 0.99 (95% CI: 0.93-1.06, P = .88) for GST, 0.99 (95% CI: 0.93-1.05, P = .65) for CAT, 1.02 (95% CI: 0.95-1.09, P = .57) for SOD, and 1.01 (95% CI: 0.95-1.07, P = .76) for GPX. Likewise, stratified analysis by tumor site revealed no beneficial effects in colon and rectal cancers. Our findings indicate that elevated levels of diet-related antioxidant vitamins, as well as biomarkers of oxidative stress injury, do not provide a protective effect against CRC risk.

摘要

氧化应激和活性氧在致癌过程中起着关键作用。最近的研究表明,摄入抗氧化剂可能会降低癌症发病率;然而,这些结果仍存在争议。我们进行了两样本孟德尔随机化(MR)分析,以探讨膳食抗氧化维生素(视黄醇、胡萝卜素、维生素C和维生素E)、氧化应激损伤生物标志物(谷胱甘肽S-转移酶、过氧化氢酶、超氧化物歧化酶和谷胱甘肽过氧化物酶)与结直肠癌(CRC)风险之间的因果关系。从英国生物银行和相关已发表研究中筛选出先前显示与膳食抗氧化维生素和氧化应激损伤生物标志物有显著关联的基因工具变量(IVs)。从芬兰基因组队列获得了全结直肠癌、结肠癌和直肠癌的全基因组关联研究(GWAS)数据。主要的MR分析采用逆方差加权(IVW)方法。此外,进行了敏感性分析以评估异质性和水平多效性。结果显示,膳食抗氧化维生素、氧化应激损伤生物标志物与CRC风险之间无显著因果关联。优势比(OR)如下:视黄醇为1.22(95%置信区间(CI):0.65 - 2.28,P = 0.53),胡萝卜素为0.77(95%CI:0.50 - 1.18,P = 0.24),维生素C为0.82(95%CI:0.42 - 1.63,P = 0.58),维生素E为1.20(95%CI:0.86 - 1.68,P = 0.28)。关于氧化应激损伤生物标志物,谷胱甘肽S-转移酶的OR为0.99(95%CI:0.93 - 1.06,P = 0.88),过氧化氢酶的OR为0.99(95%CI:0.93 - 1.05,P = 0.65),超氧化物歧化酶的OR为1.02(95%CI:0.95 - 1.09,P = 0.57),谷胱甘肽过氧化物酶的OR为1.01(95%CI:0.95 - 1.07,P = 0.76)。同样,按肿瘤部位进行的分层分析显示对结肠癌和直肠癌无有益影响。我们的研究结果表明,与饮食相关的抗氧化维生素水平升高以及氧化应激损伤生物标志物并不能对CRC风险提供保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3417/11835131/37735adf1265/medi-104-e41531-g001.jpg

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