Kodama M, Murakami M, Kodama T
Kodama Research Institute of Preventive Medicine, Chikusaku Nagoya 464-0005, Japan.
Oncol Rep. 1998 Sep-Oct;5(5):1163-9. doi: 10.3892/or.5.5.1163.
We have been investigating the mathematical nature of intercancer linkage that underlies the mutual regulation of cancer risks between any 2 tumors in their variations in time and space. Applications of both sequential regression test and topological manipulation of age-adjusted incidence rate (AAIR) data set enabled us to prepare the oncogene (Onc) activation profile and the tumor suppressor gene (TSG) inactivation profile for each tumor. The purpose of this study was to investigate the relation between the changes of 2 cancer gene profiles and the sex discrimination of cancer risk in 7 human neoplasias. Results obtained are as follows: i) The sex discrimination of cancer risk could better be defined by the use of log-transformed AAIR data rather than of untransformed AAIR data. ii) The sex discrimination of cancer risk, as calculated with the AAIR data of 47 population units of the world, is as follows: a) breast cancer (Br), M:F=1:120.2; b) thyroid cancer (Thy), M:F=1:2. 64; c) colon cancer (Co), M:F=1.18:1; d) liver cancer (Li), M:F=2. 63:1; e) lung cancer (Lu), M:F=3.66:1; f) esophageal cancer (Eso), M:F=3.68:1; g) laryngeal cancer (Lar), M:F=7.26:1. iii) Female-dominant cancers were associated with inversion (Br) or defectiveness (Thy) of male oncogene profile, whereas male-dominant cancers were associated with inversion (Lar) or defectiveness (Li, Lu and Eso) of female Onc profiles. Sex-indifferent cancer, Co, was distinguished from other tumors by the emergence of defectiveness in the TSG profiles of both sexes. TSG defectiveness was also detectable in female (Br, Thy) and bisexual (Lu) tumors. iv) The Onc vs TSG interaction, as assessed in terms of r value of the reciprocal regression analysis, was increasing in its positivity rate from the top of the female-dominant family (Br) through the sex-indifferent tumor (Co) to the bottom of the male-dominant family (Lar). In conclusion, the emergence of sex discrimination of cancer risk was positively correlated to the extent of integrity of oncogene activation in the dominant gender relative to the recessive gender. Findings with 6 sex-discriminant tumors are discussed in their relevancy to tumorigenesis from the point of view of endocrinological epidemiology.
我们一直在研究癌间联系的数学本质,这种联系构成了任意两种肿瘤在时空变化中癌症风险相互调节的基础。序贯回归检验以及年龄调整发病率(AAIR)数据集的拓扑操作的应用,使我们能够为每种肿瘤编制癌基因(Onc)激活图谱和肿瘤抑制基因(TSG)失活图谱。本研究的目的是调查7种人类肿瘤中两种癌症基因图谱的变化与癌症风险的性别差异之间的关系。所得结果如下:i)使用对数转换后的AAIR数据比未转换的AAIR数据能更好地定义癌症风险的性别差异。ii)根据世界47个种群单位的AAIR数据计算出的癌症风险的性别差异如下:a)乳腺癌(Br),男:女 = 1:120.2;b)甲状腺癌(Thy),男:女 = 1:2.64;c)结肠癌(Co),男:女 = 1.18:1;d)肝癌(Li),男:女 = 2.63:1;e)肺癌(Lu),男:女 = 3.66:1;f)食管癌(Eso),男:女 = 3.68:1;g)喉癌(Lar),男:女 = 7.26:1。iii)女性主导型癌症与男性癌基因图谱的倒置(Br)或缺陷(Thy)相关,而男性主导型癌症与女性Onc图谱的倒置(Lar)或缺陷(Li、Lu和Eso)相关。性别无差异的癌症Co,通过两性TSG图谱中缺陷的出现与其他肿瘤区分开来。TSG缺陷在女性(Br、Thy)和两性(Lu)肿瘤中也可检测到。iv)根据倒数回归分析的r值评估,Onc与TSG的相互作用的阳性率从女性主导型家族顶部(Br)经性别无差异肿瘤(Co)到男性主导型家族底部(Lar)逐渐增加。总之,癌症风险性别差异的出现与显性性别相对于隐性性别的癌基因激活完整性程度呈正相关。从内分泌流行病学的角度讨论了6种性别差异肿瘤的研究结果与肿瘤发生的相关性。