A prospective study of plasma inflammatory markers and risk of colorectal cancer in men

Background: Chronic inflammation may mediate risk of colorectal cancer (CRC); however, the association between circulating inflammatory markers and risk of CRC has been inconsistent. Methods: We prospectively evaluated the association of plasma C-reactive protein (CRP), interleukin-6 (IL-6), and the...

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Veröffentlicht in:British journal of cancer 2013-05, Vol.108 (9), p.1891-1898
Hauptverfasser: Song, M, Wu, K, Ogino, S, Fuchs, C S, Giovannucci, E L, Chan, A T
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container_end_page 1898
container_issue 9
container_start_page 1891
container_title British journal of cancer
container_volume 108
creator Song, M
Wu, K
Ogino, S
Fuchs, C S
Giovannucci, E L
Chan, A T
description Background: Chronic inflammation may mediate risk of colorectal cancer (CRC); however, the association between circulating inflammatory markers and risk of CRC has been inconsistent. Methods: We prospectively evaluated the association of plasma C-reactive protein (CRP), interleukin-6 (IL-6), and the soluble tumour necrosis factor receptor 2 (sTNFR-2) with incident CRC among 274 cases and 532 matched controls nested in the Health Professionals Follow-up Study. Results: Multivariate relative risk (RR) of CRC comparing the extreme quartiles of plasma IL-6 was 1.54 (95% confidence interval (CI), 0.99–2.40; P trend =0.02). However, after excluding cases diagnosed within 2 years of blood draw, this association was not statistically significant (RR=1.26, 95% CI, 0.78–2.05; P trend =0.21). In analyses restricted to cases diagnosed at least 2 years after blood draw, the association of IL-6 with CRC appeared to differ by body mass index such that the significantly positive association was only present among lean individuals ( P interaction =0.03). We did not observe any significant association between CRP or sTNFR-2 and CRC. Conclusion: Plasma inflammatory markers are not generally associated with risk of CRC among men. However, the possibility that plasma IL-6 is associated with increased risk of CRC among lean men requires further investigation.
doi_str_mv 10.1038/bjc.2013.172
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Methods: We prospectively evaluated the association of plasma C-reactive protein (CRP), interleukin-6 (IL-6), and the soluble tumour necrosis factor receptor 2 (sTNFR-2) with incident CRC among 274 cases and 532 matched controls nested in the Health Professionals Follow-up Study. Results: Multivariate relative risk (RR) of CRC comparing the extreme quartiles of plasma IL-6 was 1.54 (95% confidence interval (CI), 0.99–2.40; P trend =0.02). However, after excluding cases diagnosed within 2 years of blood draw, this association was not statistically significant (RR=1.26, 95% CI, 0.78–2.05; P trend =0.21). In analyses restricted to cases diagnosed at least 2 years after blood draw, the association of IL-6 with CRC appeared to differ by body mass index such that the significantly positive association was only present among lean individuals ( P interaction =0.03). We did not observe any significant association between CRP or sTNFR-2 and CRC. Conclusion: Plasma inflammatory markers are not generally associated with risk of CRC among men. However, the possibility that plasma IL-6 is associated with increased risk of CRC among lean men requires further investigation.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2013.172</identifier><identifier>PMID: 23591192</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/420/256/2515 ; 692/53 ; 692/699/67/1504/1885 ; 692/700/478/174 ; Adult ; Aged ; Biological and medical sciences ; Biomarkers, Tumor - blood ; Biomedical and Life Sciences ; Biomedicine ; Blood &amp; organ donations ; Body Mass Index ; C-Reactive Protein - analysis ; Cancer Research ; Colorectal cancer ; Colorectal Neoplasms - blood ; Cytokines ; Drug Resistance ; Epidemiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hospitals ; Human subjects ; Humans ; Inflammation ; Inflammation - blood ; Interleukin-6 - blood ; Laboratories ; Lifestyles ; Male ; Medical personnel ; Medical records ; Medical research ; Medical sciences ; Middle Aged ; Molecular Medicine ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Nonsteroidal anti-inflammatory drugs ; Oncology ; Plasma ; Prospective Studies ; Proteins ; Public health ; Questionnaires ; Receptors, Tumor Necrosis Factor, Type II - blood ; Risk ; Risk Assessment ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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Methods: We prospectively evaluated the association of plasma C-reactive protein (CRP), interleukin-6 (IL-6), and the soluble tumour necrosis factor receptor 2 (sTNFR-2) with incident CRC among 274 cases and 532 matched controls nested in the Health Professionals Follow-up Study. Results: Multivariate relative risk (RR) of CRC comparing the extreme quartiles of plasma IL-6 was 1.54 (95% confidence interval (CI), 0.99–2.40; P trend =0.02). However, after excluding cases diagnosed within 2 years of blood draw, this association was not statistically significant (RR=1.26, 95% CI, 0.78–2.05; P trend =0.21). In analyses restricted to cases diagnosed at least 2 years after blood draw, the association of IL-6 with CRC appeared to differ by body mass index such that the significantly positive association was only present among lean individuals ( P interaction =0.03). We did not observe any significant association between CRP or sTNFR-2 and CRC. 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Abdomen</subject><subject>Hospitals</subject><subject>Human subjects</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Inflammation - blood</subject><subject>Interleukin-6 - blood</subject><subject>Laboratories</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Oncology</subject><subject>Plasma</subject><subject>Prospective Studies</subject><subject>Proteins</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Receptors, Tumor Necrosis Factor, Type II - blood</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Stomach. Duodenum. Small intestine. 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Methods: We prospectively evaluated the association of plasma C-reactive protein (CRP), interleukin-6 (IL-6), and the soluble tumour necrosis factor receptor 2 (sTNFR-2) with incident CRC among 274 cases and 532 matched controls nested in the Health Professionals Follow-up Study. Results: Multivariate relative risk (RR) of CRC comparing the extreme quartiles of plasma IL-6 was 1.54 (95% confidence interval (CI), 0.99–2.40; P trend =0.02). However, after excluding cases diagnosed within 2 years of blood draw, this association was not statistically significant (RR=1.26, 95% CI, 0.78–2.05; P trend =0.21). In analyses restricted to cases diagnosed at least 2 years after blood draw, the association of IL-6 with CRC appeared to differ by body mass index such that the significantly positive association was only present among lean individuals ( P interaction =0.03). We did not observe any significant association between CRP or sTNFR-2 and CRC. Conclusion: Plasma inflammatory markers are not generally associated with risk of CRC among men. However, the possibility that plasma IL-6 is associated with increased risk of CRC among lean men requires further investigation.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23591192</pmid><doi>10.1038/bjc.2013.172</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/420/256/2515
692/53
692/699/67/1504/1885
692/700/478/174
Adult
Aged
Biological and medical sciences
Biomarkers, Tumor - blood
Biomedical and Life Sciences
Biomedicine
Blood & organ donations
Body Mass Index
C-Reactive Protein - analysis
Cancer Research
Colorectal cancer
Colorectal Neoplasms - blood
Cytokines
Drug Resistance
Epidemiology
Gastroenterology. Liver. Pancreas. Abdomen
Hospitals
Human subjects
Humans
Inflammation
Inflammation - blood
Interleukin-6 - blood
Laboratories
Lifestyles
Male
Medical personnel
Medical records
Medical research
Medical sciences
Middle Aged
Molecular Medicine
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Nonsteroidal anti-inflammatory drugs
Oncology
Plasma
Prospective Studies
Proteins
Public health
Questionnaires
Receptors, Tumor Necrosis Factor, Type II - blood
Risk
Risk Assessment
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumor necrosis factor-TNF
Tumors
title A prospective study of plasma inflammatory markers and risk of colorectal cancer in men
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