Abstract:
BACKGROUND:To prospectively examine the association between diabetes and risk of prostate cancer defined by clinical and molecular features. METHODS:A total of 49,392 men from the Health Professionals Follow-up Study (HPFS) were followed from 1986 to 2014. Data on self-reported diabetes were collected at baseline and updated biennially. Clinical features of prostate cancer included localised, advanced, lethal, low-grade, intermediate-grade, and high-grade. Molecular features included TMPRSS2: ERG and PTEN subtypes. Cox proportional hazards regression models were used to evaluate the association between diabetes and incidence of subtype-specific prostate cancer. RESULTS:During 28 years of follow-up, we documented 6733 incident prostate cancer cases. Relative to men free from diabetes, men with diabetes had lower risks of total (HR: 0.82, 95% CI: 0.75-0.90), localised (HR: 0.82, 95% CI: 0.74-0.92), low-and intermediate-grade prostate cancer (HR: 0.77, 95% CI: 0.66-0.90; HR: 0.77, 95% CI: 0.65-0.91, respectively). For molecular subtypes, the HRs for ERG-negative and ERG-positive cases were 0.63 (0.42-0.95) and 0.72 (0.46-1.12); and for PTEN-intact and PTEN-loss cases were 0.69 (0.48-0.98) and 0.52 (0.19-1.41), respectively. CONCLUSION:Besides providing advanced evidence for the inverse association between diabetes and prostate cancer, this study is the first to report associations between diabetes and ERG/PTEN defined prostate cancers.
journal_name
Br J Cancerjournal_title
British journal of cancerauthors
Feng X,Song M,Preston MA,Ma W,Hu Y,Pernar CH,Stopsack KH,Ebot EM,Fu BC,Zhang Y,Li N,Dai M,Liu L,Giovannucci EL,Mucci LAdoi
10.1038/s41416-020-0910-ysubject
Has Abstractpub_date
2020-08-01 00:00:00pages
657-665issue
4eissn
0007-0920issn
1532-1827pii
10.1038/s41416-020-0910-yjournal_volume
123pub_type
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journal_title:British journal of cancer
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pub_type: 杂志文章
doi:10.1038/s41416-020-01084-0
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pub_type: 临床试验,杂志文章
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更新日期:1995-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:1984-02-01 00:00:00
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journal_title:British journal of cancer
pub_type: 杂志文章
doi:10.1038/bjc.1983.205
更新日期:1983-09-01 00:00:00
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doi:10.1038/sj.bjc.6602390
更新日期:2005-02-28 00:00:00
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journal_title:British journal of cancer
pub_type: 杂志文章
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更新日期:1995-05-01 00:00:00
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journal_title:British journal of cancer
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更新日期:2005-05-23 00:00:00