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Brit J Cancer:Lynch综合征患者2型糖尿病、高胆固醇与结直肠癌风险增加有关

2019-09-28 xing.T MedSci原创

由此可见,对于Lynch综合征患者,自我报告的2型糖尿病和高胆固醇与结直肠癌的风险增加有关。

已知2型糖尿病、高总胆固醇和甘油三酸酯与普通人群大肠癌风险增加有关。这些关联对于大肠癌高风险的生殖系DNA错配修复基因突变(Lynch综合征)患者来说是未知的。

近日,肿瘤领域权威杂志British Journal of Cancer上发表了一篇研究文章,该研究在1998年至2012年期间从结肠癌家族登记处招募了2023名(56.4%的女性)携带错配修复基因突变的患者(737在MLH1突变,928在MSH2突变,230名在MSH6突变,106名在PMS2上突变,22名在EPCAM上突变)。研究人员使用加权Cox回归来估计自我报告的2型糖尿病、高胆固醇和甘油三酸酯与大肠癌风险之间相关性的危险因素(HR)和95%置信区间(CI)。

总体上,802名携带者被诊断为大肠癌,中位年龄为42岁。与没有这些疾病的个体相比,自我报告的2型糖尿病(HR为1.92; 95%CI为1.03–3.58)和高胆固醇(HR为1.76; 95%CI为1.23–2.52)患者患直肠癌的风险更高。没有证据表明高甘油三酸酯与直肠癌的风险有关。

由此可见,对于Lynch综合征患者,自我报告的2型糖尿病和高胆固醇与结直肠癌的风险增加有关。 

原始出处:

S. Ghazaleh Dashti.et al.Type 2 diabetes mellitus, blood cholesterol, triglyceride and colorectal cancer risk in Lynch syndrome.British Journal of Cancer.2019.https://www.nature.com/articles/s41416-019-0580-9

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    2019-11-29 林626林

    0

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    2020-03-25 sjq027
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    2019-09-28 misszhang

    谢谢MedSci提供最新的资讯

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