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Genetically predicted circulating C-reactive protein concentration and colorectal cancer survival: a Mendelian randomization consortium study

Background: A positive association between circulating C-reactive protein (CRP) and colorectal cancer survival was reported in observational studies, which are susceptible to unmeasured confounding and reverse causality. We used a Mendelian randomization approach to evaluate the association between...

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Main Authors: Hua, Xinwei (Author) , Dai, James Y. (Author) , Lindström, Sara (Author) , Harrison, Tabitha A. (Author) , Lin, Yi (Author) , Alberts, Steven R. (Author) , Alwers, Elizabeth (Author) , Berndt, Sonja I. (Author) , Brenner, Hermann (Author) , Buchanan, Daniel D. (Author) , Campbell, Peter T. (Author) , Casey, Graham (Author) , Chang-Claude, Jenny (Author) , Gallinger, Steven (Author) , Giles, Graham G. (Author) , Goldberg, Richard M. (Author) , Gunter, Marc J. (Author) , Hoffmeister, Michael (Author) , Jenkins, Mark A. (Author) , Joshi, Amit D. (Author) , Ma, Wenjie (Author) , Milne, Roger L. (Author) , Murphy, Neil (Author) , Pai, Rish K. (Author) , Sakoda, Lori C. (Author) , Schoen, Robert E. (Author) , Shi, Qian (Author) , Slattery, Martha L. (Author) , Song, Mingyang (Author) , White, Emily (Author) , Marchand, Loic Le (Author) , Chan, Andrew T. (Author) , Peters, Ulrike (Author) , Newcomb, Polly A. (Author)
Format: Article (Journal)
Language:English
Published: May 10, 2021
In: Cancer epidemiology, biomarkers & prevention
Year: 2021, Volume: 30, Issue: 7, Pages: 1349-1358
ISSN:1538-7755
DOI:10.1158/1055-9965.EPI-20-1848
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1158/1055-9965.EPI-20-1848
Verlag, lizenzpflichtig, Volltext: https://cebp.aacrjournals.org/content/30/7/1349
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Author Notes:Xinwei Hua, James Y. Dai, Sara Lindström, Tabitha A. Harrison, Yi Lin, Steven R. Alberts, Elizabeth Alwers, Sonja I. Berndt, Hermann Brenner, Daniel D. Buchanan, Peter T. Campbell, Graham Casey, Jenny Chang-Claude, Steven Gallinger, Graham G. Giles, Richard M. Goldberg, Marc J. Gunter, Michael Hoffmeister, Mark A. Jenkins, Amit D. Joshi, Wenjie Ma, Roger L. Milne, Neil Murphy, Rish K. Pai, Lori C. Sakoda, Robert E. Schoen, Qian Shi, Martha L. Slattery, Mingyang Song, Emily White, Loic Le Marchand, Andrew T. Chan, Ulrike Peters, and Polly A. Newcomb

MARC

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520 |a Background: A positive association between circulating C-reactive protein (CRP) and colorectal cancer survival was reported in observational studies, which are susceptible to unmeasured confounding and reverse causality. We used a Mendelian randomization approach to evaluate the association between genetically predicted CRP concentrations and colorectal cancer-specific survival. - Methods: We used individual-level data for 16,918 eligible colorectal cancer cases of European ancestry from 15 studies within the International Survival Analysis of Colorectal Cancer Consortium. We calculated a genetic-risk score based on 52 CRP-associated genetic variants identified from genome-wide association studies. Because of the non-collapsibility of hazard ratios from Cox proportional hazards models, we used the additive hazards model to calculate hazard differences (HD) and 95% confidence intervals (CI) for the association between genetically predicted CRP concentrations and colorectal cancer-specific survival, overall and by stage at diagnosis and tumor location. Analyses were adjusted for age at diagnosis, sex, body mass index, genotyping platform, study, and principal components. - Results: Of the 5,395 (32%) deaths accrued over up to 10 years of follow-up, 3,808 (23%) were due to colorectal cancer. Genetically predicted CRP concentration was not associated with colorectal cancer-specific survival (HD, −1.15; 95% CI, −2.76 to 0.47 per 100,000 person-years; P = 0.16). Similarly, no associations were observed in subgroup analyses by stage at diagnosis or tumor location. - Conclusions: Despite adequate power to detect moderate associations, our results did not support a causal effect of circulating CRP concentrations on colorectal cancer-specific survival. - Impact: Future research evaluating genetically determined levels of other circulating inflammatory biomarkers (i.e., IL6) with colorectal cancer survival outcomes is needed. 
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