Potential causal links of long-term exposure to PM 2.5 and its chemical components with the risk of nasopharyngeal carcinoma recurrence: A 10-year cohort study in South China

There is a lack of evidence from cohort studies on the causal association of long-term exposure to ambient fine particulate matter (PM ) and its chemical components with the risk of nasopharyngeal carcinoma (NPC) recurrence. Based on a 10-year prospective cohort of 1184 newly diagnosed NPC patients,...

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Veröffentlicht in:International journal of cancer 2024-11, Vol.155 (9), p.1558-1566
Hauptverfasser: Sun, Xurui, Lin, Xiao, Yao, Jijin, Tian, Tian, Li, Zhiqiang, Chen, Shimin, Hu, Weihua, Jiang, Jie, Tang, Hui, Cai, Huanle, Guo, Tong, Chen, Xudan, Chen, Zhibing, Zhang, Man, Sun, Yongqing, Lin, Shao, Qu, Yanji, Deng, Xinlei, Lin, Ziqiang, Xia, Liangping, Jin, Yanan, Zhang, Wangjian
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container_issue 9
container_start_page 1558
container_title International journal of cancer
container_volume 155
creator Sun, Xurui
Lin, Xiao
Yao, Jijin
Tian, Tian
Li, Zhiqiang
Chen, Shimin
Hu, Weihua
Jiang, Jie
Tang, Hui
Cai, Huanle
Guo, Tong
Chen, Xudan
Chen, Zhibing
Zhang, Man
Sun, Yongqing
Lin, Shao
Qu, Yanji
Deng, Xinlei
Lin, Ziqiang
Xia, Liangping
Jin, Yanan
Zhang, Wangjian
description There is a lack of evidence from cohort studies on the causal association of long-term exposure to ambient fine particulate matter (PM ) and its chemical components with the risk of nasopharyngeal carcinoma (NPC) recurrence. Based on a 10-year prospective cohort of 1184 newly diagnosed NPC patients, we comprehensively evaluated the potential causal links of ambient PM and its chemical components including black carbon (BC), organic matter (OM), sulfate (SO ), nitrate (NO ), and ammonium (NH ) with the recurrence risk of NPC using a marginal structural Cox model adjusted with inverse probability weighting. We observed 291 NPC patients experiencing recurrence during the 10-year follow-up and estimated a 33% increased risk of NPC recurrence (hazard ratio [HR]: 1.33, 95% confidence interval [CI]: 1.02-1.74) following each interquartile range (IQR) increase in PM exposure. Each IQR increment in BC, NH , OM, NO , and SO was associated with HRs of 1.36 (95%CI: 1.13-1.65), 1.35 (95%CI: 1.07-1.70), 1.33 (95%CI: 1.11-1.59), 1.32 (95%CI: 1.06-1.64), 1.31 (95%CI: 1.08-1.57). The elderly, patients with no family history of cancer, no smoking history, no drinking history, and those with severe conditions may exhibit a greater likelihood of NPC recurrence following exposure to PM and its chemical components. Additionally, the effect estimates of the five components are greater among patients who were exposed to high concentration than in the full cohort of patients. Our study provides solid evidence for a potential relationship between long-term exposure to PM and its components and the risk of NPC recurrence.
doi_str_mv 10.1002/ijc.35047
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Based on a 10-year prospective cohort of 1184 newly diagnosed NPC patients, we comprehensively evaluated the potential causal links of ambient PM and its chemical components including black carbon (BC), organic matter (OM), sulfate (SO ), nitrate (NO ), and ammonium (NH ) with the recurrence risk of NPC using a marginal structural Cox model adjusted with inverse probability weighting. We observed 291 NPC patients experiencing recurrence during the 10-year follow-up and estimated a 33% increased risk of NPC recurrence (hazard ratio [HR]: 1.33, 95% confidence interval [CI]: 1.02-1.74) following each interquartile range (IQR) increase in PM exposure. Each IQR increment in BC, NH , OM, NO , and SO was associated with HRs of 1.36 (95%CI: 1.13-1.65), 1.35 (95%CI: 1.07-1.70), 1.33 (95%CI: 1.11-1.59), 1.32 (95%CI: 1.06-1.64), 1.31 (95%CI: 1.08-1.57). The elderly, patients with no family history of cancer, no smoking history, no drinking history, and those with severe conditions may exhibit a greater likelihood of NPC recurrence following exposure to PM and its chemical components. Additionally, the effect estimates of the five components are greater among patients who were exposed to high concentration than in the full cohort of patients. 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Based on a 10-year prospective cohort of 1184 newly diagnosed NPC patients, we comprehensively evaluated the potential causal links of ambient PM and its chemical components including black carbon (BC), organic matter (OM), sulfate (SO ), nitrate (NO ), and ammonium (NH ) with the recurrence risk of NPC using a marginal structural Cox model adjusted with inverse probability weighting. We observed 291 NPC patients experiencing recurrence during the 10-year follow-up and estimated a 33% increased risk of NPC recurrence (hazard ratio [HR]: 1.33, 95% confidence interval [CI]: 1.02-1.74) following each interquartile range (IQR) increase in PM exposure. Each IQR increment in BC, NH , OM, NO , and SO was associated with HRs of 1.36 (95%CI: 1.13-1.65), 1.35 (95%CI: 1.07-1.70), 1.33 (95%CI: 1.11-1.59), 1.32 (95%CI: 1.06-1.64), 1.31 (95%CI: 1.08-1.57). 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Based on a 10-year prospective cohort of 1184 newly diagnosed NPC patients, we comprehensively evaluated the potential causal links of ambient PM and its chemical components including black carbon (BC), organic matter (OM), sulfate (SO ), nitrate (NO ), and ammonium (NH ) with the recurrence risk of NPC using a marginal structural Cox model adjusted with inverse probability weighting. We observed 291 NPC patients experiencing recurrence during the 10-year follow-up and estimated a 33% increased risk of NPC recurrence (hazard ratio [HR]: 1.33, 95% confidence interval [CI]: 1.02-1.74) following each interquartile range (IQR) increase in PM exposure. Each IQR increment in BC, NH , OM, NO , and SO was associated with HRs of 1.36 (95%CI: 1.13-1.65), 1.35 (95%CI: 1.07-1.70), 1.33 (95%CI: 1.11-1.59), 1.32 (95%CI: 1.06-1.64), 1.31 (95%CI: 1.08-1.57). The elderly, patients with no family history of cancer, no smoking history, no drinking history, and those with severe conditions may exhibit a greater likelihood of NPC recurrence following exposure to PM and its chemical components. Additionally, the effect estimates of the five components are greater among patients who were exposed to high concentration than in the full cohort of patients. Our study provides solid evidence for a potential relationship between long-term exposure to PM and its components and the risk of NPC recurrence.</abstract><cop>United States</cop><pmid>38863244</pmid><doi>10.1002/ijc.35047</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4934-4165</orcidid><orcidid>https://orcid.org/0000-0001-9655-6385</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Air Pollutants - adverse effects
Air Pollutants - analysis
Air Pollution - adverse effects
China - epidemiology
Cohort Studies
Environmental Exposure - adverse effects
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nasopharyngeal Carcinoma - epidemiology
Nasopharyngeal Carcinoma - etiology
Nasopharyngeal Neoplasms - epidemiology
Nasopharyngeal Neoplasms - etiology
Neoplasm Recurrence, Local - epidemiology
Particulate Matter - adverse effects
Prospective Studies
Risk Factors
title Potential causal links of long-term exposure to PM 2.5 and its chemical components with the risk of nasopharyngeal carcinoma recurrence: A 10-year cohort study in South China
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