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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Limburg, Paul J. Limsui, David Vierkant, Robert A. Tillmans, Lori S. Wang, Alice H. Lynch, Charles F. Anderson, Kristin E. French, Amy J. Haile, Robert W. Harnack, Lisa J. Potter, John D. Slager, Susan L. Smyrk, Thomas C. Thibodeau, Stephen N. Cerhan, James R. |
| Spatial Coverage | Iowa |
| Description | Country affiliation: United States Author Affiliation: Limburg PJ ( Division of Gastroenterology & Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. limburg.paul@mayo.edu) |
| Abstract | BACKGROUND: Postmenopausal hormone (PMH) therapy represents a controversial colorectal cancer (CRC) preventive intervention. Because colorectal carcinogenesis is a heterogeneous process, we evaluated associations between PMH therapy and incident CRC in relation to KRAS mutation status in a population-based cohort of older women [Iowa Women's Health Study (IWHS)]. METHODS: The IWHS enrolled 41,836 randomly selected women, ages 55 to 69 years, in 1986. PMH therapy and other exposure data were recorded at baseline. Tissue samples from prospectively identified CRC cases (n = 507) were analyzed for somatic KRAS mutations (exon 2, codons 12 and 13). Multivariable Cox regression models were fit to estimate relative risks (RR) and 95% confidence intervals (CI). RESULTS: PMH therapy (ever vs. never) was inversely associated with KRAS mutation-negative (RR = 0.83; 95% CI, 0.66-1.06; P = 0.14) and KRAS mutation-positive (RR = 0.82; 95% CI, 0.58-1.16; P = 0.27) tumors, although the observed risk estimates were not statistically significant. When anatomic subsite was additionally considered, the strongest association was found for KRAS mutation-negative, distal colorectal tumors (RR = 0.64; 95% CI, 0.43-0.96; P = 0.03). CONCLUSIONS: To our knowledge, we provide the first report of KRAS-defined CRC risks associated with PMH therapy. These data suggest that PMH therapy may reduce CRC risk through mechanisms beyond KRAS mutation status but might provide greater benefits for KRAS mutation-negative than mutation-positive tumors (at least in the distal colorectum). IMPACT: Findings from this prospective cohort study provide novel insights about the molecular biology of PMH therapy-related CRC risk reduction. |
| File Format | HTM / HTML |
| ISSN | 10559965 |
| e-ISSN | 15387755 |
| DOI | 10.1158/1055-9965.EPI-11-1168 |
| Journal | Cancer Epidemiology Biomarkers & Prevention |
| Issue Number | 4 |
| Volume Number | 21 |
| Language | English |
| Publisher | American Association for Cancer Research |
| Publisher Date | 2012-04-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Cancer epidemiology Colorectal Neoplasms Etiology Genetics Estrogen Replacement Therapy Adverse Effects Mutation Postmenopause Drug Effects Proto-oncogene Proteins Ras Proteins Epidemiology Iowa Prognosis Prospective Studies Proto-oncogene Proteins P21(ras) Risk Factors Seer Program Randomized Controlled Trial Research Support, N.i.h., Extramural |
| Content Type | Text |
| Resource Type | Article |
| Subject | Epidemiology Oncology |
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