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Circulating 25-hydroxyvitamin D and survival outcomes of colorectal cancer: evidence from population-based prospective cohorts and Mendelian randomisation

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机构: [1]Centre for Global Health, Usher Institute, University of Edinburgh, Edinburgh, UK [2]Department of Oncology, West China School of Public Health and West China Fourth Hospital,Sichuan University, Chengdu, China [3]School of Public Health and the Second Affiliated Hospital, Zhejiang University, Hangzhou, China [4]Department of Public Health and PrimaryCare, Institute of Population Health, Trinity College Dublin, Dublin, Republic of Ireland [5]Cancer Research UK Edinburgh Centre, Institute of Genetics and Cancer, University ofEdinburgh, Edinburgh, UK [6]Danish Institute for Advanced Study (DIAS), Department of Public Health, University of Southern Denmark, Odense, Denmark
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To investigate the association between circulating 25-hydroxyvitamin D (25-OHD) and colorectal cancer (CRC) survival outcomes.We conducted analyses among the Study of Colorectal Cancer in Scotland (SOCCS) and the UK Biobank (UKBB). Both cancer-specific survival (CSS) and overall survival (OS) outcomes were examined. The 25-OHD levels were categorised into three groups, and multi-variable Cox-proportional hazard models were applied to estimate hazard ratios (HRs). We performed individual-level Mendelian randomisation (MR) through the generated polygenic risk scores (PRS) of 25-OHD and summary-level MR using the inverse-variance weighted (IVW) method.We observed significantly poorer CSS (HR = 0.65,95%CI = 0.55-0.76,P = 1.03 × 10-7) and OS (HR = 0.66,95%CI = 0.58-0.75,P = 8.15 × 10-11) in patients with the lowest compared to those with the highest 25-OHD after adjusting for covariates. These associations remained across patients with varied tumour sites and stages. However, we found no significant association between 25-OHD PRS and either CSS (HR = 0.98,95%CI = 0.80-1.19,P = 0.83) or OS (HR = 1.07,95%CI = 0.91-1.25,P = 0.42). Furthermore, we found no evidence for causal effects by conducting summary-level MR analysis for either CSS (IVW:HR = 1.04,95%CI = 0.85-1.28,P = 0.70) or OS (IVW:HR = 1.10,95%CI = 0.93-1.31,P = 0.25).This study supports the observed association between lower circulating 25-OHD and poorer survival outcomes for CRC patients. Whilst the genotype-specific association between better outcomes and higher 25-OHD is intriguing, we found no support for causality using MR approaches.© 2024. The Author(s).

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学
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第一作者机构: [1]Centre for Global Health, Usher Institute, University of Edinburgh, Edinburgh, UK
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通讯机构: [1]Centre for Global Health, Usher Institute, University of Edinburgh, Edinburgh, UK [5]Cancer Research UK Edinburgh Centre, Institute of Genetics and Cancer, University ofEdinburgh, Edinburgh, UK
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