环境暴露与淋巴瘤风险:一项使用金毛猎犬终生研究队列的嵌套病例对照研究。

Kristofer R Luethcke, Lauren A Trepanier, Ashleigh N Tindle, Julia D Labadie
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摘要

淋巴瘤是影响金毛猎犬的第二大常见癌症,被认为是遗传和环境因素复杂相互作用的结果。本巢式病例对照研究的目的是调查参与金毛终身研究的金毛寻回犬中潜在环境污染源与淋巴瘤风险之间的关系。49只患有非皮肤淋巴瘤的金毛寻回犬和98只没有癌症病史的金毛寻回犬,根据年龄、性别和中性状态进行匹配,从金毛寻回犬终生研究队列中选择。确定了每只狗的主要住所与九个潜在环境污染源之间的地理距离。此外,还评估了每只狗居住的县和主人报告的二手烟暴露情况的年平均臭氧和空气中细颗粒物水平。环境污染源包括化工厂、市政垃圾场、制造厂、焚烧厂、铁路路堤轨道、垃圾填埋场、燃煤电厂、高压输电线路和核电站。使用条件逻辑回归来估计每个感兴趣暴露的优势比(ORs)和95%置信区间(ci)。通过亚组分析来评估1)多中心淋巴瘤犬、2)b细胞淋巴瘤犬和3)t细胞淋巴瘤犬之间的相关性是否存在差异。在评估所有病例时,没有变量达到统计学显著性。然而,累积暴露负担(家庭接近3个或更多污染源)在多中心淋巴瘤亚组中接近显著性(or = 2.60, 95%CI 0.99-6.86, p值= 0.053)。B细胞亚组和t细胞亚组之间出现了模式,但没有达到统计学意义。正在进行的研究是有必要的,以确定不同的环境机制是否可能驱动B细胞和t细胞淋巴瘤的免疫表型,这与先前报道的亚型患病率的区域差异一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Environmental exposures and lymphoma risk: a nested case-control study using the Golden Retriever Lifetime Study cohort.

Environmental exposures and lymphoma risk: a nested case-control study using the Golden Retriever Lifetime Study cohort.

Lymphoma is the second most common cancer affecting Golden Retrievers and is hypothesized to arise through a complex interaction of genetic and environmental factors. The aim of this nested case-control study was to investigate the association between potential environmental pollutant sources and lymphoma risk among Golden Retrievers participating in the Golden Retriever Lifetime Study. Forty-nine Golden Retrievers with non-cutaneous lymphoma and 98 Golden Retrievers without a history of cancer matched by age, sex and neuter status were selected from the Golden Retriever Lifetime Study cohort. Geographic proximity between each dog's primary residence and nine potential sources of environmental pollution was determined. In addition, the average annual ozone and airborne fine particulate matter levels for each dog's county of residence and owner-reported secondhand smoke exposure were evaluated. Environmental pollution sources of interest included chemical plants, municipal dumps, manufacturing plants, incineration plants, railroad embankment tracks, landfills, coal plants, high-voltage transmission lines, and nuclear power plants. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for each exposure of interest. Subgroup analyses were conducted to evaluate whether associations differed among 1) dogs with multicentric lymphoma, 2) dogs with B-cell lymphoma, and 3) dogs with T-cell lymphoma. No variables reached statistical significance when evaluating all cases together. However, cumulative exposure burden (household proximity to 3 or more pollution sources) approached significance within the multicentric lymphoma subgroup (OR = 2.60, 95%CI 0.99-6.86, p-value = 0.053). Patterns emerged among B- and T-cell subgroups, but none reached statistical significance. Ongoing research is warranted to discern if different environmental mechanisms may be driving B- and T-cell lymphoma immunophenotypes, consistent with previously reported regional differences in subtype prevalence.

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