Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis
BACKGROUND: Endogenous sex hormones may contribute to higher colorectal cancer incidence rates in men compared to women, but despite an increased number of studies, clear evidence is lacking. METHODS: We conducted a comprehensive nested case-control study of circulating concentrations of sex hormone...
Published in: | Cancer Epidemiology, Biomarkers & Prevention |
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Format: | Article in Journal/Newspaper |
Language: | English |
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American Association for Cancer Research
2022
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Online Access: | http://hdl.handle.net/10044/1/94851 https://doi.org/10.1158/1055-9965.EPI-21-0996 |
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ftimperialcol:oai:spiral.imperial.ac.uk:10044/1/94851 2023-05-15T17:44:58+02:00 Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis Harbs, J Rinaldi, S Gicquiau, A Keski-Rahkonen, P Mori, N Liu, X Kaaks, R Katzke, V Schulze, MB Agnoli, C Tumino, R Bueno-de-Mesquita, B Crous-Bou, M Sanchez, M-J Aizpurua, A Chirlaque-López, MD Barricarte Gurrea, A Travis, RC Watts, EL Christakoudi, S Tsilidis, KK Weiderpass, E Gunter, MJ Van Guelpen, B Murphy, N Harlid, S United States 2022-01-21 http://hdl.handle.net/10044/1/94851 https://doi.org/10.1158/1055-9965.EPI-21-0996 eng eng American Association for Cancer Research Cancer Epidemiology, Biomarkers and Prevention 1055-9965 http://hdl.handle.net/10044/1/94851 doi:10.1158/1055-9965.EPI-21-0996 © 2022 The Author(s). This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs International 4.0 License. https://creativecommons.org/licenses/by-nc-nd/4.0/ CC-BY-NC-ND 803 793 Case-Control Studies Colonic Neoplasms Estradiol Female Gonadal Steroid Hormones Humans Logistic Models Male Prospective Studies Risk Factors Sex Hormone-Binding Globulin Testosterone 11 Medical and Health Sciences Epidemiology Journal Article 2022 ftimperialcol https://doi.org/10.1158/1055-9965.EPI-21-0996 2022-04-28T22:41:03Z BACKGROUND: Endogenous sex hormones may contribute to higher colorectal cancer incidence rates in men compared to women, but despite an increased number of studies, clear evidence is lacking. METHODS: We conducted a comprehensive nested case-control study of circulating concentrations of sex hormones, sex hormone precursors and sex hormone binding globulin (SHBG) in relation to subsequent colon cancer risk in European men. Concentrations were measured using liquid chromatography-tandem mass spectrometry in prospectively collected plasma samples from 690 cases and 690 matched controls from the European Prospective Investigation into Cancer and Nutrition (EPIC) and the Northern Sweden Health and Disease Study (NSHDS) cohorts. Multivariable conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CI). In addition, we conducted a meta-analysis of previous studies on men. RESULTS: Circulating levels of testosterone (OR = 0.68, 95% CI = 0.51-0.89) and SHBG (OR = 0.77, 95% CI = 0.62-0.96) were inversely associated with colon cancer risk. For free testosterone, there was a nonsignificant inverse association (OR = 0.83, 95% CI = 0.58-1.18). In a dose-response meta-analysis of endogenous sex hormone levels, inverse associations with colorectal/colon cancer risk were found for testosterone (RR per 100 ng/dL = 0.98, 95% CI = 0.96-1.00, I2 = 22%) and free testosterone (RR per 10 ng/mL = 0.98, 95% CI = 0.95-1.00, I2 = 0%). CONCLUSIONS: Our results provide suggestive evidence for the association between testosterone, SHBG and male colon cancer development. IMPACT: Additional support for the involvement of sex hormones in male colon cancer. Article in Journal/Newspaper Northern Sweden Imperial College London: Spiral Cancer Epidemiology, Biomarkers & Prevention 31 4 793 803 |
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Open Polar |
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Imperial College London: Spiral |
op_collection_id |
ftimperialcol |
language |
English |
topic |
Case-Control Studies Colonic Neoplasms Estradiol Female Gonadal Steroid Hormones Humans Logistic Models Male Prospective Studies Risk Factors Sex Hormone-Binding Globulin Testosterone 11 Medical and Health Sciences Epidemiology |
spellingShingle |
Case-Control Studies Colonic Neoplasms Estradiol Female Gonadal Steroid Hormones Humans Logistic Models Male Prospective Studies Risk Factors Sex Hormone-Binding Globulin Testosterone 11 Medical and Health Sciences Epidemiology Harbs, J Rinaldi, S Gicquiau, A Keski-Rahkonen, P Mori, N Liu, X Kaaks, R Katzke, V Schulze, MB Agnoli, C Tumino, R Bueno-de-Mesquita, B Crous-Bou, M Sanchez, M-J Aizpurua, A Chirlaque-López, MD Barricarte Gurrea, A Travis, RC Watts, EL Christakoudi, S Tsilidis, KK Weiderpass, E Gunter, MJ Van Guelpen, B Murphy, N Harlid, S Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
topic_facet |
Case-Control Studies Colonic Neoplasms Estradiol Female Gonadal Steroid Hormones Humans Logistic Models Male Prospective Studies Risk Factors Sex Hormone-Binding Globulin Testosterone 11 Medical and Health Sciences Epidemiology |
description |
BACKGROUND: Endogenous sex hormones may contribute to higher colorectal cancer incidence rates in men compared to women, but despite an increased number of studies, clear evidence is lacking. METHODS: We conducted a comprehensive nested case-control study of circulating concentrations of sex hormones, sex hormone precursors and sex hormone binding globulin (SHBG) in relation to subsequent colon cancer risk in European men. Concentrations were measured using liquid chromatography-tandem mass spectrometry in prospectively collected plasma samples from 690 cases and 690 matched controls from the European Prospective Investigation into Cancer and Nutrition (EPIC) and the Northern Sweden Health and Disease Study (NSHDS) cohorts. Multivariable conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CI). In addition, we conducted a meta-analysis of previous studies on men. RESULTS: Circulating levels of testosterone (OR = 0.68, 95% CI = 0.51-0.89) and SHBG (OR = 0.77, 95% CI = 0.62-0.96) were inversely associated with colon cancer risk. For free testosterone, there was a nonsignificant inverse association (OR = 0.83, 95% CI = 0.58-1.18). In a dose-response meta-analysis of endogenous sex hormone levels, inverse associations with colorectal/colon cancer risk were found for testosterone (RR per 100 ng/dL = 0.98, 95% CI = 0.96-1.00, I2 = 22%) and free testosterone (RR per 10 ng/mL = 0.98, 95% CI = 0.95-1.00, I2 = 0%). CONCLUSIONS: Our results provide suggestive evidence for the association between testosterone, SHBG and male colon cancer development. IMPACT: Additional support for the involvement of sex hormones in male colon cancer. |
format |
Article in Journal/Newspaper |
author |
Harbs, J Rinaldi, S Gicquiau, A Keski-Rahkonen, P Mori, N Liu, X Kaaks, R Katzke, V Schulze, MB Agnoli, C Tumino, R Bueno-de-Mesquita, B Crous-Bou, M Sanchez, M-J Aizpurua, A Chirlaque-López, MD Barricarte Gurrea, A Travis, RC Watts, EL Christakoudi, S Tsilidis, KK Weiderpass, E Gunter, MJ Van Guelpen, B Murphy, N Harlid, S |
author_facet |
Harbs, J Rinaldi, S Gicquiau, A Keski-Rahkonen, P Mori, N Liu, X Kaaks, R Katzke, V Schulze, MB Agnoli, C Tumino, R Bueno-de-Mesquita, B Crous-Bou, M Sanchez, M-J Aizpurua, A Chirlaque-López, MD Barricarte Gurrea, A Travis, RC Watts, EL Christakoudi, S Tsilidis, KK Weiderpass, E Gunter, MJ Van Guelpen, B Murphy, N Harlid, S |
author_sort |
Harbs, J |
title |
Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
title_short |
Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
title_full |
Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
title_fullStr |
Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
title_full_unstemmed |
Circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
title_sort |
circulating sex hormone levels and colon cancer risk in men: a nested case-control study and meta-analysis |
publisher |
American Association for Cancer Research |
publishDate |
2022 |
url |
http://hdl.handle.net/10044/1/94851 https://doi.org/10.1158/1055-9965.EPI-21-0996 |
op_coverage |
United States |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
803 793 |
op_relation |
Cancer Epidemiology, Biomarkers and Prevention 1055-9965 http://hdl.handle.net/10044/1/94851 doi:10.1158/1055-9965.EPI-21-0996 |
op_rights |
© 2022 The Author(s). This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs International 4.0 License. https://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.1158/1055-9965.EPI-21-0996 |
container_title |
Cancer Epidemiology, Biomarkers & Prevention |
container_volume |
31 |
container_issue |
4 |
container_start_page |
793 |
op_container_end_page |
803 |
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1766147655378927616 |