Smoking and alcohol by HPV status in head and neck cancer: a Mendelian randomization study
HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to...
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| Vydáno v: | Nature communications Ročník 15; číslo 1; s. 7835 - 9 |
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| Hlavní autoři: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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London
Nature Publishing Group UK
07.09.2024
Nature Publishing Group Nature Portfolio |
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| ISSN: | 2041-1723, 2041-1723 |
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| Abstract | HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24,
P
= 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36,
P
= 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4,
P
= 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68,
P
= 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes.
Head and neck squamous cell carcinoma can occur with and without the presence of HPV infection. Here, the authors utilise Mendelian randomization to assess the causal effects of smoking and alcohol on HPV-positive and HPV-negative head and neck cancer development. |
|---|---|
| AbstractList | HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes. HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes. Head and neck squamous cell carcinoma can occur with and without the presence of HPV infection. Here, the authors utilise Mendelian randomization to assess the causal effects of smoking and alcohol on HPV-positive and HPV-negative head and neck cancer development. HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes. Head and neck squamous cell carcinoma can occur with and without the presence of HPV infection. Here, the authors utilise Mendelian randomization to assess the causal effects of smoking and alcohol on HPV-positive and HPV-negative head and neck cancer development. Abstract HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes. HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes.HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes. |
| ArticleNumber | 7835 |
| Author | Davies, Joel C. Bierut, Laura Alemany, Laia Olshan, Andrew Xu, Wei Agudo, Antonio Waterboer, Tim Lagiou, Pagona Richiardi, Lorenzo Espin-Garcia, Osvaldo Smith-Byrne, Karl Healy, Claire M. Ness, Andrew R. De Almeida, John Lagiou, Areti Bratman, Scott V. Diergaarde, Brenda Holcatova, Ivana Gormley, Mark Thakral, Abhinav Hayes, D. Neil Spreafico, Anna Macfarlane, Gary J. Dudding, Tom Huang, Sophie Hung, Rayjean J. Hou, Tianzhichao Conway, David I. Ahrens, Wolfgang Brown, M. Catherine Brennan, Paul Canova, Cristina Virani, Shama Sanderson, Eleanor Nygard, Mari Goldstein, David P. Liu, Geoffrey Hueniken, Katrina Znaor, Ariana Lee, John JW Polesel, Jerry |
| Author_xml | – sequence: 1 givenname: Abhinav surname: Thakral fullname: Thakral, Abhinav organization: Department of Biostatistics, Princess Margaret Cancer Centre-University Health Network, University of Toronto – sequence: 2 givenname: John JW orcidid: 0000-0002-3364-9960 surname: Lee fullname: Lee, John JW email: Jongwook.lee@utoronto.ca organization: Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Department of Otolaryngology - Head and Neck Surgery, Sinai Health System – sequence: 3 givenname: Tianzhichao surname: Hou fullname: Hou, Tianzhichao organization: Department of Biostatistics, Princess Margaret Cancer Centre-University Health Network, University of Toronto – sequence: 4 givenname: Katrina surname: Hueniken fullname: Hueniken, Katrina organization: Department of Biostatistics, Princess Margaret Cancer Centre-University Health Network, University of Toronto – sequence: 5 givenname: Tom orcidid: 0000-0003-3756-040X surname: Dudding fullname: Dudding, Tom organization: MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, University of Bristol Dental School, 1 Trinity Walk, Avon Street – sequence: 6 givenname: Mark orcidid: 0000-0001-5733-6304 surname: Gormley fullname: Gormley, Mark organization: MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, University of Bristol Dental School, 1 Trinity Walk, Avon Street – sequence: 7 givenname: Shama orcidid: 0000-0002-1163-432X surname: Virani fullname: Virani, Shama organization: Genomic Epidemiology Branch, International Agency for Research on Cancer, World Health Organization – sequence: 8 givenname: Andrew surname: Olshan fullname: Olshan, Andrew organization: Department of Epidemiology, University of North Carolina – sequence: 9 givenname: Brenda surname: Diergaarde fullname: Diergaarde, Brenda organization: Department of Human Genetics, School of Public Health, University of Pittsburgh, and UPMC Hillman Cancer Center – sequence: 10 givenname: Andrew R. surname: Ness fullname: Ness, Andrew R. organization: University Hospitals Bristol and Weston NHS Foundation Trust National Institute for Health Research Bristol Biomedical Research Centre, University of Bristol – sequence: 11 givenname: Tim orcidid: 0000-0002-0616-6963 surname: Waterboer fullname: Waterboer, Tim organization: Infections and Cancer Epidemiology, German Cancer Research Center (DKFZ) – sequence: 12 givenname: Karl orcidid: 0000-0002-1932-7463 surname: Smith-Byrne fullname: Smith-Byrne, Karl organization: Genomic Epidemiology Branch, International Agency for Research on Cancer, World Health Organization – sequence: 13 givenname: Paul surname: Brennan fullname: Brennan, Paul organization: Genomic Epidemiology Branch, International Agency for Research on Cancer, World Health Organization – sequence: 14 givenname: D. 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Catherine organization: Princess Margaret Cancer Centre, University Health Network – sequence: 17 givenname: Sophie surname: Huang fullname: Huang, Sophie organization: Princess Margaret Cancer Centre, University Health Network, Department of Radiation Oncology, University of Toronto – sequence: 18 givenname: Scott V. surname: Bratman fullname: Bratman, Scott V. organization: Princess Margaret Cancer Centre, University Health Network, Department of Radiation Oncology, University of Toronto – sequence: 19 givenname: Anna orcidid: 0000-0002-3034-3042 surname: Spreafico fullname: Spreafico, Anna organization: Princess Margaret Cancer Centre, University Health Network, Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto – sequence: 20 givenname: John surname: De Almeida fullname: De Almeida, John organization: Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Princess Margaret Cancer Centre, University Health Network – sequence: 21 givenname: Joel C. surname: Davies fullname: Davies, Joel C. organization: Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Department of Otolaryngology - Head and Neck Surgery, Sinai Health System – sequence: 22 givenname: Laura orcidid: 0000-0002-9952-4810 surname: Bierut fullname: Bierut, Laura organization: Department of Psychiatry, Washington University School of Medicine – sequence: 23 givenname: Gary J. surname: Macfarlane fullname: Macfarlane, Gary J. organization: Epidemiology Group, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen – sequence: 24 givenname: Pagona surname: Lagiou fullname: Lagiou, Pagona organization: Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian, University of Athens – sequence: 25 givenname: Areti surname: Lagiou fullname: Lagiou, Areti organization: Department of Public and Community Health, School of Public Health, University of West Attica – sequence: 26 givenname: Jerry orcidid: 0000-0001-9381-1520 surname: Polesel fullname: Polesel, Jerry organization: Unit of Cancer Epidemiology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS – sequence: 27 givenname: Antonio surname: Agudo fullname: Agudo, Antonio organization: Cancer Epidemiology Research Programme, Catalan Institute of Oncology, L’Hospitalet de Llobregat, Barcelona, Spain; 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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39244563$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | 45/43 631/67/1536 631/67/2324 Alcohol Alcohol Drinking - adverse effects Alcohols Cancer Case-Control Studies Female Head & neck cancer Head and neck carcinoma Head and Neck Neoplasms - epidemiology Head and Neck Neoplasms - genetics Head and Neck Neoplasms - virology Human papillomavirus Humanities and Social Sciences Humans Male Mendelian Randomization Analysis Middle Aged multidisciplinary Multivariable control Papillomaviridae - genetics Papillomavirus Infections - epidemiology Papillomavirus Infections - virology Polymorphism, Single Nucleotide Randomization Risk Factors Science Science (multidisciplinary) Smoking Smoking - adverse effects Squamous cell carcinoma Squamous Cell Carcinoma of Head and Neck - epidemiology Squamous Cell Carcinoma of Head and Neck - genetics Squamous Cell Carcinoma of Head and Neck - virology |
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| Title | Smoking and alcohol by HPV status in head and neck cancer: a Mendelian randomization study |
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