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Influence of obesity-related risk factors in the aetiology of glioma

机译:肥胖相关危险因素对神经胶质瘤病因的影响

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摘要

Background Obesity and related factors have been implicated as possible aetiological factors for the development of glioma in epidemiological observation studies. We used genetic markers in a Mendelian randomisation framework to examine whether obesity-related traits influence glioma risk. This methodology reduces bias from confounding and is not affected by reverse causation. Methods Genetic instruments were identified for 10 key obesity-related risk factors, and their association with glioma risk was evaluated using data from a genome-wide association study of 12,488 glioma patients and 18,169 controls. The estimated odds ratio of glioma associated with each of the genetically defined obesity-related traits was used to infer evidence for a causal relationship. Results No convincing association with glioma risk was seen for genetic instruments for body mass index, waist-to-hip ratio, lipids, type-2 diabetes, hyperglycaemia or insulin resistance. Similarly, we found no evidence to support a relationship between obesity-related traits with subtypes of glioma–glioblastoma (GBM) or non-GBM tumours. Conclusions This study provides no evidence to implicate obesity-related factors as causes of glioma.
机译:背景在流行病学观察研究中,肥胖和相关因素被认为是胶质瘤发展的可能病因。我们在孟德尔随机化框架中使用了遗传标记,以检查肥胖相关性状是否影响神经胶质瘤风险。这种方法减少了混淆造成的偏见,并且不受反向因果关系的影响。方法确定了与肥胖相关的10个关键危险因素的遗传仪器,并使用来自12488名神经胶质瘤患者和18169名对照的全基因组关联研究的数据评估了它们与神经胶质瘤风险的相关性。与每个与遗传相关的肥胖相关性状相关的神经胶质瘤的估计优势比被用来推断因果关系的证据。结果体重指数,腰臀比,血脂,2型糖尿病,高血糖症或胰岛素抵抗的遗传学工具与胶质瘤风险没有令人信服的关联。同样,我们没有发现证据支持与肥胖相关的性状与神经胶质瘤-成胶质细胞瘤(GBM)或非GBM肿瘤亚型之间的关系。结论这项研究没有提供证据证明肥胖相关因素是神经胶质瘤的病因。

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