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加工肉类、红肉与癌症类型风险之间的关系:一项孟德尔随机化研究。

The relationship between processed meat, red meat, and risk of types of cancer: A Mendelian randomization study.

作者信息

Wu Kaiwen, Liu Lei, Shu Tao, Li Aoshuang, Xia Demeng, Sun Xiaobin

机构信息

School of Medicine, Southwest Jiaotong University, Department of Gastroenterology, The Third People's Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, Chengdu, China.

Medical Research Center, Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, Chengdu, China.

出版信息

Front Nutr. 2022 Sep 20;9:942155. doi: 10.3389/fnut.2022.942155. eCollection 2022.

Abstract

BACKGROUND

Observational studies have suggested processed and red meat may increase the risk of cancer. However, the causal effects and direction between them were still unclear. We conducted two-sample Mendelian randomization (MR) analysis to evaluate the causal effect of processed meat and red meat on the risk of nine common types of cancer, namely, lung, ovarian, endometrial, breast, kidney, gastric, prostate, skin, and oropharyngeal cancer.

METHODS

Genome-wide association studies (GWAS) for processed meat and red meat (pork, beef, and mutton) were obtained from the UK Biobank. GWAS of types of cancer in this study were extracted from the genetic consortia and the FinnGen consortium. The inverse variance weighted (IVW) was carried out as the main method for two-sample MR analysis. Sensitivity analyses were used to assess the robustness of the results.

RESULTS

Genetically predicted processed meat intake was causally associated with increased risk of lung cancer (OR [odds ratio] = 1.923, 95% CI = 1.084-3.409, = 0.025). There is no convincing evidence for the associations between genetically determined processed meat, red meat, and the risk of other cancers we studied.

CONCLUSION

Our results suggested that intake of processed meat may increase the risk of lung cancer. These findings provided no evidence to support that consumption of processed and red meat has a large effect on the risk of other cancers we studied. Further research is needed to clarify the results.

摘要

背景

观察性研究表明,加工肉和红肉可能会增加患癌风险。然而,它们之间的因果关系和方向仍不明确。我们进行了两样本孟德尔随机化(MR)分析,以评估加工肉和红肉对九种常见癌症(即肺癌、卵巢癌、子宫内膜癌、乳腺癌、肾癌、胃癌、前列腺癌、皮肤癌和口咽癌)风险的因果效应。

方法

加工肉和红肉(猪肉、牛肉和羊肉)的全基因组关联研究(GWAS)数据来自英国生物银行。本研究中各类癌症的GWAS数据从遗传联盟和芬兰基因联盟中提取。采用逆方差加权法(IVW)作为两样本MR分析的主要方法。通过敏感性分析评估结果的稳健性。

结果

基因预测的加工肉摄入量与肺癌风险增加存在因果关系(比值比[OR]=1.923,95%置信区间=1.084 - 3.409,P=0.025)。对于基因决定的加工肉、红肉与我们所研究的其他癌症风险之间的关联,没有令人信服的证据。

结论

我们的结果表明,摄入加工肉可能会增加患肺癌的风险。这些发现没有证据支持食用加工肉和红肉对我们所研究的其他癌症风险有很大影响。需要进一步研究以阐明结果。

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