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1000 Titel
  • Genetic risk impacts the association of menopausal hormone therapy with colorectal cancer risk
1000 Autor/in
  1. Tian, Yu |
  2. Lin, Yi |
  3. Qu, Conghui |
  4. Arndt, Volker |
  5. Baurley, James W. |
  6. Berndt, Sonja I. |
  7. Bien, Stephanie A. |
  8. Bishop, Tim |
  9. Brenner, Hermann |
  10. Buchanan, Daniel |
  11. Budiarto, Arif |
  12. Campbell, Peter T. |
  13. Carreras-Torres, Robert |
  14. Casey, Graham |
  15. Chan, Andrew |
  16. Chen, Rui |
  17. Chen, Xuechen |
  18. Conti, David |
  19. Díez-Obrero, Virginia |
  20. Dimou, Niki |
  21. Drew, David A. |
  22. Figueiredo, Jane C. |
  23. Gallinger, Steven |
  24. Giles, Graham G. |
  25. Gruber, Stephen |
  26. Gunter, Marc J. |
  27. Harlid, Sophia |
  28. Harrison, Tabitha A. |
  29. Hidaka, Akihisa |
  30. Hoffmeister, Michael |
  31. Huyghe, Jeroen |
  32. Jenkins, Mark A. |
  33. Jordahl, Kristina M. |
  34. Joshi, Amit D. |
  35. Keku, Temitope O. |
  36. Kawaguchi, Eric |
  37. Kim, Andre E. |
  38. Kundaje, Anshul |
  39. Larsson, Susanna |
  40. Marchand, Loic Le |
  41. Lewinger, Juan Pablo |
  42. Li, Li |
  43. Moreno, Victor |
  44. Morrison, John |
  45. Murphy, Neil |
  46. Nan, Hongmei |
  47. Nassir, Rami |
  48. Newcomb, Polly |
  49. Obón-Santacana, Mireia |
  50. Ogino, Shuji |
  51. Ose, Jennifer |
  52. Pardamean, Bens |
  53. Pellatt, Andrew |
  54. Peoples, Anita R. |
  55. Platz, Elizabeth |
  56. Potter, John D. |
  57. Prentice, Ross L. |
  58. Rennert, Gad |
  59. Ruiz-Narvaez, Edward |
  60. Sakoda, Lori C. |
  61. Schoen, Robert E. |
  62. Shcherbina, Anna |
  63. Stern, Mariana C. |
  64. Su, Yu-Ru |
  65. Thibodeau, Stephen N. |
  66. Thomas, Duncan C. |
  67. Tsilidis, Konstantinos K. |
  68. van Duijnhoven, Franzel J. B. |
  69. Van Guelpen, Bethany |
  70. Visvanathan, Kala |
  71. White, Emily |
  72. Wolk, Alicja |
  73. Woods, Michael O. |
  74. Wu, Anna H. |
  75. Peters, Ulrike |
  76. Gauderman, W. James |
  77. Hsu, Li |
  78. Chang-Claude, Jenny |
1000 Verlag Nature Publishing Group UK
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-04-01
1000 Erschienen in
1000 Quellenangabe
  • 130(10):1687-1696
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1038/s41416-024-02638-2 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11091089/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Menopausal hormone therapy (MHT), a common treatment to relieve symptoms of menopause, is associated with a lower risk of colorectal cancer (CRC). To inform CRC risk prediction and MHT risk-benefit assessment, we aimed to evaluate the joint association of a polygenic risk score (PRS) for CRC and MHT on CRC risk.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We used data from 28,486 postmenopausal women (11,519 cases and 16,967 controls) of European descent. A PRS based on 141 CRC-associated genetic variants was modeled as a categorical variable in quartiles. Multiplicative interaction between PRS and MHT use was evaluated using logistic regression. Additive interaction was measured using the relative excess risk due to interaction (RERI). 30-year cumulative risks of CRC for 50-year-old women according to MHT use and PRS were calculated.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The reduction in odds ratios by MHT use was larger in women within the highest quartile of PRS compared to that in women within the lowest quartile of PRS (<jats:italic>p</jats:italic>-value = 2.7 × 10<jats:sup>−8</jats:sup>). At the highest quartile of PRS, the 30-year CRC risk was statistically significantly lower for women taking any MHT than for women not taking any MHT, 3.7% (3.3%–4.0%) vs 6.1% (5.7%–6.5%) (difference 2.4%,<jats:italic>P</jats:italic>-value = 1.83 × 10<jats:sup>−14</jats:sup>); these differences were also statistically significant but smaller in magnitude in the lowest PRS quartile, 1.6% (1.4%–1.8%) vs 2.2% (1.9%–2.4%) (difference 0.6%,<jats:italic>P</jats:italic>-value = 1.01 × 10<jats:sup>−3</jats:sup>), indicating 4 times greater reduction in absolute risk associated with any MHT use in the highest compared to the lowest quartile of genetic CRC risk.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>MHT use has a greater impact on the reduction of CRC risk for women at higher genetic risk. These findings have implications for the development of risk prediction models for CRC and potentially for the consideration of genetic information in the risk-benefit assessment of MHT use.</jats:p></jats:sec>
1000 Sacherschließung
lokal Genetic Predisposition to Disease [MeSH]
lokal Female [MeSH]
lokal /692/699/67/2324
lokal Aged [MeSH]
lokal Postmenopause [MeSH]
lokal Risk Assessment [MeSH]
lokal Hormone Replacement Therapy/adverse effects [MeSH]
lokal Humans [MeSH]
lokal Middle Aged [MeSH]
lokal Risk Factors [MeSH]
lokal Estrogen Replacement Therapy/adverse effects [MeSH]
lokal Colorectal Neoplasms/epidemiology [MeSH]
lokal Menopause [MeSH]
lokal Article
lokal /692/699/67/1504/1885
lokal Colorectal Neoplasms/genetics [MeSH]
lokal Case-Control Studies [MeSH]
lokal /631/208/2489/68
lokal article
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0001-7218-5954|https://frl.publisso.de/adhoc/uri/TGluLCBZaQ==|https://frl.publisso.de/adhoc/uri/UXUsIENvbmdodWk=|https://orcid.org/0000-0001-9320-8684|https://frl.publisso.de/adhoc/uri/QmF1cmxleSwgSmFtZXMgVy4=|https://frl.publisso.de/adhoc/uri/QmVybmR0LCBTb25qYSBJLg==|https://frl.publisso.de/adhoc/uri/QmllbiwgU3RlcGhhbmllIEEu|https://orcid.org/0000-0002-8752-8785|https://orcid.org/0000-0002-6129-1572|https://orcid.org/0000-0003-2225-6675|https://frl.publisso.de/adhoc/uri/QnVkaWFydG8sIEFyaWY=|https://frl.publisso.de/adhoc/uri/Q2FtcGJlbGwsIFBldGVyIFQu|https://orcid.org/0000-0002-2925-734X|https://frl.publisso.de/adhoc/uri/Q2FzZXksIEdyYWhhbQ==|https://orcid.org/0000-0001-7284-6767|https://frl.publisso.de/adhoc/uri/Q2hlbiwgUnVp|https://orcid.org/0000-0003-2476-7110|https://orcid.org/0000-0002-2941-7833|https://frl.publisso.de/adhoc/uri/RMOtZXotT2JyZXJvLCBWaXJnaW5pYQ==|https://frl.publisso.de/adhoc/uri/RGltb3UsIE5pa2k=|https://frl.publisso.de/adhoc/uri/RHJldywgRGF2aWQgQS4=|https://frl.publisso.de/adhoc/uri/RmlndWVpcmVkbywgSmFuZSBDLg==|https://frl.publisso.de/adhoc/uri/R2FsbGluZ2VyLCBTdGV2ZW4=|https://frl.publisso.de/adhoc/uri/R2lsZXMsIEdyYWhhbSBHLg==|https://orcid.org/0000-0001-8656-7822|https://frl.publisso.de/adhoc/uri/R3VudGVyLCBNYXJjIEou|https://orcid.org/0000-0001-8540-6891|https://frl.publisso.de/adhoc/uri/SGFycmlzb24sIFRhYml0aGEgQS4=|https://frl.publisso.de/adhoc/uri/SGlkYWthLCBBa2loaXNh|https://orcid.org/0000-0002-8307-3197|https://orcid.org/0000-0001-6027-9806|https://frl.publisso.de/adhoc/uri/SmVua2lucywgTWFyayBBLg==|https://frl.publisso.de/adhoc/uri/Sm9yZGFobCwgS3Jpc3RpbmEgTS4=|https://frl.publisso.de/adhoc/uri/Sm9zaGksIEFtaXQgRC4=|https://frl.publisso.de/adhoc/uri/S2VrdSwgVGVtaXRvcGUgTy4=|https://frl.publisso.de/adhoc/uri/S2F3YWd1Y2hpLCBFcmlj|https://frl.publisso.de/adhoc/uri/S2ltLCBBbmRyZSBFLg==|https://frl.publisso.de/adhoc/uri/S3VuZGFqZSwgQW5zaHVs|https://orcid.org/0000-0003-0118-0341|https://frl.publisso.de/adhoc/uri/TWFyY2hhbmQsIExvaWMgTGU=|https://frl.publisso.de/adhoc/uri/TGV3aW5nZXIsIEp1YW4gUGFibG8=|https://frl.publisso.de/adhoc/uri/TGksIExp|https://orcid.org/0000-0002-2818-5487|https://frl.publisso.de/adhoc/uri/TW9ycmlzb24sIEpvaG4=|https://orcid.org/0000-0003-3347-8249|https://frl.publisso.de/adhoc/uri/TmFuLCBIb25nbWVp|https://orcid.org/0000-0001-9914-7851|https://orcid.org/0000-0001-8786-0043|https://frl.publisso.de/adhoc/uri/T2LDs24tU2FudGFjYW5hLCBNaXJlaWE=|https://orcid.org/0000-0002-3909-2323|https://frl.publisso.de/adhoc/uri/T3NlLCBKZW5uaWZlcg==|https://orcid.org/0000-0002-7404-9005|https://orcid.org/0000-0002-0127-9790|https://frl.publisso.de/adhoc/uri/UGVvcGxlcywgQW5pdGEgUi4=|https://orcid.org/0000-0003-3676-8954|https://frl.publisso.de/adhoc/uri/UG90dGVyLCBKb2huIEQu|https://frl.publisso.de/adhoc/uri/UHJlbnRpY2UsIFJvc3MgTC4=|https://frl.publisso.de/adhoc/uri/UmVubmVydCwgR2Fk|https://orcid.org/0000-0002-0339-5824|https://frl.publisso.de/adhoc/uri/U2Frb2RhLCBMb3JpIEMu|https://frl.publisso.de/adhoc/uri/U2Nob2VuLCBSb2JlcnQgRS4=|https://frl.publisso.de/adhoc/uri/U2hjaGVyYmluYSwgQW5uYQ==|https://frl.publisso.de/adhoc/uri/U3Rlcm4sIE1hcmlhbmEgQy4=|https://frl.publisso.de/adhoc/uri/U3UsIFl1LVJ1|https://frl.publisso.de/adhoc/uri/VGhpYm9kZWF1LCBTdGVwaGVuIE4u|https://frl.publisso.de/adhoc/uri/VGhvbWFzLCBEdW5jYW4gQy4=|https://frl.publisso.de/adhoc/uri/VHNpbGlkaXMsIEtvbnN0YW50aW5vcyBLLg==|https://frl.publisso.de/adhoc/uri/dmFuIER1aWpuaG92ZW4sIEZyYW56ZWwgSi4gQi4=|https://frl.publisso.de/adhoc/uri/VmFuIEd1ZWxwZW4sIEJldGhhbnk=|https://orcid.org/0000-0002-0582-8005|https://frl.publisso.de/adhoc/uri/V2hpdGUsIEVtaWx5|https://orcid.org/0000-0001-7387-6845|https://frl.publisso.de/adhoc/uri/V29vZHMsIE1pY2hhZWwgTy4=|https://frl.publisso.de/adhoc/uri/V3UsIEFubmEgSC4=|https://frl.publisso.de/adhoc/uri/UGV0ZXJzLCBVbHJpa2U=|https://frl.publisso.de/adhoc/uri/R2F1ZGVybWFuLCBXLiBKYW1lcw==|https://orcid.org/0000-0001-8168-4712|https://orcid.org/0000-0001-8919-1971
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