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Blood lipids and prostate cancer: a Mendelian randomization analysis

Authors: Bull, Caroline J; Bonilla, Carolina; Holly, Jeff MP; Perks, Claire M; Davies, Neil; Haycock, Philip; Yu, Oriana Hoi Yun; +36 Authors
APC: 1,738.08 EUR

Blood lipids and prostate cancer: a Mendelian randomization analysis

Abstract

AbstractGenetic risk scores were used as unconfounded instruments for specific lipid traits (Mendelian randomization) to assess whether circulating lipids causally influence prostate cancer risk. Data from 22,249 prostate cancer cases and 22,133 controls from 22 studies within the international PRACTICAL consortium were analyzed. Allele scores based on single nucleotide polymorphisms (SNPs) previously reported to be uniquely associated with each of low‐density lipoprotein (LDL), high‐density lipoprotein (HDL), and triglyceride (TG) levels, were first validated in an independent dataset, and then entered into logistic regression models to estimate the presence (and direction) of any causal effect of each lipid trait on prostate cancer risk. There was weak evidence for an association between the LDL genetic score and cancer grade: the odds ratio (OR) per genetically instrumented standard deviation (SD) in LDL, comparing high‐ (≥7 Gleason score) versus low‐grade (<7 Gleason score) cancers was 1.50 (95% CI: 0.92, 2.46; P = 0.11). A genetically instrumented SD increase in TGs was weakly associated with stage: the OR for advanced versus localized cancer per unit increase in genetic risk score was 1.68 (95% CI: 0.95, 3.00; P = 0.08). The rs12916‐T variant in 3‐hydroxy‐3‐methylglutaryl‐CoA reductase (HMGCR) was inversely associated with prostate cancer (OR: 0.97; 95% CI: 0.94, 1.00; P = 0.03). In conclusion, circulating lipids, instrumented by our genetic risk scores, did not appear to alter prostate cancer risk. We found weak evidence that higher LDL and TG levels increase aggressive prostate cancer risk, and that a variant in HMGCR (that mimics the LDL lowering effect of statin drugs) reduces risk. However, inferences are limited by sample size and evidence of pleiotropy.

Countries
United Kingdom, Australia, Poland, Australia, Denmark
Keywords

Male, 610, Research Support, ta3111, Polymorphism, Single Nucleotide, PRACTICAL consortium, N.I.H., statins, /dk/atira/pure/core/keywords/icep, Quantitative Trait, Quantitative Trait, Heritable, Meta-Analysis as Topic, Journal Article, Mendelian randomization, Odds Ratio, Humans, Biosciences, Genetic Predisposition to Disease, Polymorphism, Non-U.S. Gov't, Heritable, Genetic Association Studies, /dk/atira/pure/core/keywords/icep; name=ICEP, Neoplasm Staging, Prostate cancer, name=ICEP, Statins, Extramural, Clinical Cancer Research, Genetic Variation, Prostatic Neoplasms, Single Nucleotide, Mendelian Randomization Analysis, ta3122, prostate cancer, Lipids, Cholesterol, Case-Control Studies, Population Surveillance, Neoplasm Grading, Genome-Wide Association Study

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
77
Top 1%
Top 10%
Top 10%
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gold