膀胱癌的遗传易感性和环境危险因素:来自英国生物银行的证据。

IF 1.2 4区 医学 Q4 ONCOLOGY
Bladder Cancer Pub Date : 2025-09-17 eCollection Date: 2025-07-01 DOI:10.1177/23523735251370863
Laura Bukavina, Ilaha Isali, Sneha Parekh, Sarah Psutka, Nicole Uzzo, Steven Leonard, Adam Calaway, Sunil Patel, Petros Grivas, Angela Jia, Andres Correa, Jason R Brown, Alexander Kutikov, Lee Ponsky, Robert Uzzo, Mohit Sindhani, James Catto, Chen-Han Wilfred Wu, Philip H Abbosh
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引用次数: 0

摘要

目的:本研究旨在确定英国生物银行(UKB)队列中与膀胱癌(UBC)遗传易感性相关的特定基因型。它强调了环境暴露的影响和某些基因在UBC发展中的更广泛作用,为UBC易感性的遗传基础提供了全面的理解。实验设计:利用来自UKB的丰富数据-一项涉及全英国参与者的纵向研究-主要结果是UBC的存在,使用ICD-10和ICD-9代码确定。该研究采用了严格的全基因组关联研究(GWAS)方案、全表型关联(PheWAS)框架和基因水平的多效性分析。采用了质量控制措施,如单核苷酸多态性(SNP)缺失和次要等位基因频率阈值。使用UKB的高密度全基因组SNP数据集,基于Mavaddat评分进行多基因风险评分(PRS)评估。结果:我们的GWAS发现了UBC风险与遗传变异之间的显著关联,特别是在PSCA和TERT基因中。研究发现,UGT1A多态性对UBC有保护作用,尤其是在重度吸烟者中。PheWAS框架将ubc易感多态性与其他疾病(如前列腺癌)联系起来。结论:我们的GWAS发现了UBC风险与基因座间的遗传变异之间的显著关联,包括PSCA、TERT、TACC3和TMEM129。UGT1A变异对UBC的保护作用,特别是在烟草暴露方面,表明了在UBC管理中基于遗传的预防策略的潜力。在我们对来自英国(UK)的一大组患者的研究中,我们探讨了可能增加UBC发生可能性的遗传因素。我们发现某些基因变化提供了对UBC的保护,特别是在暴露于烟草烟雾的个体中。了解这些遗传因素可以改善预防和治疗UBC的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic susceptibility and environmental risk factors in bladder cancer: Evidence from the UK biobank.

Purpose: This study aims to identify specific genotypes within the UK Biobank (UKB) cohort contributing to a genetic predisposition for bladder cancer (UBC). It highlighted the impact of environmental exposures and the broader role of certain genes in UBC development, offering a comprehensive understanding of the genetic basis for UBC susceptibility.

Experimental design: Leveraging the rich data from the UKB- a longitudinal study involving participants across the UK-the primary outcome was the presence of UBC, determined using ICD-10 and ICD-9 codes. The study employed rigorous Genome-Wide Association Study (GWAS) protocols, Phenome-Wide Association (PheWAS) frameworks, and gene-level pleiotropy analyses. Quality control measures were applied, such as single-nucleotide polymorphisms (SNP) missingness and minor allele frequency thresholds. Polygenic Risk Score (PRS) evaluations were also conducted based on the Mavaddat score using UKB's high-density genome-wide SNP dataset.

Results: Our GWAS identified significant associations between UBC risk and genetic variants, notably in the PSCA and TERT genes. The UGT1A polymorphism was found to be protective against UBC, particularly in heavy smokers. The PheWAS framework linked UBC-predisposition polymorphisms to other conditions, such as prostate cancer.

Conclusions: Our GWAS identified significant associations between UBC risk and genetic variants across loci, including PSCA, TERT, TACC3 and TMEM129. The protective effect of the UGT1A variant against UBC, especially concerning tobacco exposure, suggests the potential for genetic-based preventive strategies in UBC management.Patient summary In our study of a large group from the United Kingdom (UK), we explored genetic factors that might increase the likelihood of developing UBC. We discovered that certain genetic changes offer protection against UBC, particularly in individuals exposed to tobacco smoke. Understanding these genetic factors could improve strategies for preventing and treating UBC.

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来源期刊
Bladder Cancer
Bladder Cancer Medicine-Urology
CiteScore
1.60
自引率
0.00%
发文量
35
期刊介绍: Bladder Cancer is an international multidisciplinary journal to facilitate progress in understanding the epidemiology/etiology, genetics, molecular correlates, pathogenesis, pharmacology, ethics, patient advocacy and survivorship, diagnosis and treatment of tumors of the bladder and upper urinary tract. The journal publishes research reports, reviews, short communications, and letters-to-the-editor. The journal is dedicated to providing an open forum for original research in basic science, translational research and clinical medicine that expedites our fundamental understanding and improves treatment of tumors of the bladder and upper urinary tract.
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