Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study

IMPORTANCE The causal direction and magnitude of the association between telomere length and incidence of cancer and non-neoplastic diseases is uncertain owing to the susceptibility of observational studies to confounding and reverse causation. OBJECTIVE To conduct a Mendelian randomization study, u...

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Autores: Haycock, Philip C., Burgess, Stephen, Nounu, Aayah, Zheng, Jie, Okoli, George N., Bowden, Jack, Wade, Kaitlin H., Timpson, Nicholas J., Evans, David M., Willeit, Peter, Aviv, Abraham, Litchfield, Kevin, Thompson, Philip J., Ma, Shwu-Fan, Brown, W. Mark, Petukhova, Lynn, Zeng, Chenjie, Paternoster, Lavinia, Wolpin, Brian M., Betz, Regina C., Rotter, Jerome I., Lee, Jeffrey E., Svenson, Ulrika, Carreras-Torres, Robert, McKay, James D., Arking, Dan E., Hillary, Ryan P., Ashar, Foram N., Sotoodehnia, Nona, Freedman, Neal D., Johansson, Mattias, Li, Yong, Aben, Katja K., Low, Siew-Kee, Comeau, Mary E., Taylor, Philip R., Kubo, Michiaki, Hibberd, Martin Lloyd, Fan, Xing, Zhang, Xuejun, Zhu, Caihong, Sangiovanni, John Paul, Tumino, Rosario, Hunt, Steven, O'Mara, Tracy A., Smith, George Davey, Ferreira, Manuel A., Law, Matthew H., Noth, Imre, Fogh, Isabella, Cotch, Mary Frances, Jensen, Richard A., Munz, Matthias, Eeles, Rosalind A., Hemani, Gibran, Gunter, Marc J., Abnet, Christian C., Trichopoulou, Antonia, Speliotes, Elizabeth, Spurdle, Amanda B., Severi, Gianluca, Martin, Nicholas G., Zheng, Wei, Iles, Mark M., Shu, Xiao-Ou, Yang, Qiong, Reis, Andre, Kahali, Bratati, Uebe, Steffen, Garcia Barcelo, Mercè, Pooley, Karen A., Stolzenberg-Solomon, Rachael Z., Bown, Matthew J., Kim, Jong-Won, Bracci, Paige M., Kiemeney, Lambertus A. L. M., Samani, Nilesh J., Bei, Jin-Xin, Zeng, Yi-Xin, Wong, Tien Yin, Försti, Asta, Chen, Wei V., Kurian, Kathreena M., Chen, Bowang, Wade, Tracey D., Ellinghaus, David, Cha, Pei-Chieng, Fang, Shenying, Baas, Annette F., Overvad, Kim, Nakamura, Yusuke, Elmore, James R., Klein, Alison P., Ellis, Hayley Patricia, Cox, David G., Delattre, Olivier, Bowdler, Lisa M., Mirabeau, Olivier, Ollila, Hanna M., Thompson, Deborah J., Skibola, Christine F., Cheng, Ching-Yu, Brennan, Paul, Soranzo, Nicole, Lin, Kuang, Telomeres Mendelian Randomization Collaboration, Tang, Clara S., Vermeulen, Sita H., Powell, John F., Worrall, Bradford B., Montgomery, Grant W., Morrison, Alanna C., Mangino, Massimo, Levy, Daniel, Amundadottir, Laufey, Kimura, Masayuki, Hwang, Shih-Jen, Spector, Tim D., Neale, Rachel E., Onland-Moret, N. Charlotte, Woo, Daniel, Sasaki, Tsukasa, Flores, Carlos, Fischer, Annegret, Rij, Andre Van, Rice, Kenneth, Relton, Caroline L., Martin, Richard M., Su, Wen-Hui, Franke, Andre, Barr, Graham, Gordon, Scott, Yerges-Armstrong, Laura M., Gaunt, Tom R., Chang, Yu-Sun, Nyholt, Dale R., Gaborieau, Valérie, Markus, Hugh Stephen, Hung, Rayjean J., Amos, Christopher I., Manichaikul, Ani W., Otowa, Takeshi, Rosand, Jonathan, Han, Fang, Langefeld, Carl D., Dommisch, Henrik, Wang, Feijie, Maris, John M., Christiano, Angela M., Lund, Eiliv, Duell, Eric J., Canzian, Federico, Mijatovic, Vladan, Han, Jiali, Kawamura, Yoshiya, Chang, Kai-Ping, Ralston, Stuart H., Hui, Jennie, Xie, Gang, Foo, Jia Nee, Sapkota, Yadav, T'hof, Femke N.G. van, Schwartz, David A., Tromp, Gerard, Fingerlin, Tasha E., Jones, Gregory T., Cho, Michael H., Kuivaniemi, Helena, Scelo, Ghislaine, Wiencke, John K., Albagha, Omar, Schaefer, Arne S., Walsh, Kyle M., Hüffmeier, Ulrike, Landi, Stefano, Hokanson, John E., Olson, Sara H., Gallinger, Steven, Smith, Nicholas L., Li, Donghui, Thompson, Susan D., Petersen, Gloria M., Risch, Harvey A., Zondervan, Krina T., Abecasis, Gonçalo R., Heel, David A. van, Felix, Janine F., Davila, Sonia, Liu, Jianjun, Hunt, Karen, Lee, Chaeyoung, Jonas, Jost B., Silverman, Edwin K., Wrensch, Margaret, Rice, Terri, Lin, Xu, Turnbull, Clare, Standl, Marie, Siminovitch, Katherine
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2017
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/124398
Acceso en línea:https://hdl.handle.net/2445/124398
Access Level:acceso abierto
Palabra clave:Nucleòtids
Càncer
Nucleotides
Cancer
id ES_cac8c81beda0bdb2e83889e0cd69fa3b
oai_identifier_str oai:diposit.ub.edu:2445/124398
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
title Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
spellingShingle Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
Haycock, Philip C.
Nucleòtids
Càncer
Nucleotides
Cancer
title_short Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
title_full Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
title_fullStr Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
title_full_unstemmed Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
title_sort Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization Study
dc.creator.none.fl_str_mv Haycock, Philip C.
Burgess, Stephen
Nounu, Aayah
Zheng, Jie
Okoli, George N.
Bowden, Jack
Wade, Kaitlin H.
Timpson, Nicholas J.
Evans, David M.
Willeit, Peter
Aviv, Abraham
Litchfield, Kevin
Thompson, Philip J.
Ma, Shwu-Fan
Brown, W. Mark
Petukhova, Lynn
Zeng, Chenjie
Paternoster, Lavinia
Wolpin, Brian M.
Betz, Regina C.
Rotter, Jerome I.
Lee, Jeffrey E.
Svenson, Ulrika
Carreras-Torres, Robert
McKay, James D.
Arking, Dan E.
Hillary, Ryan P.
Ashar, Foram N.
Sotoodehnia, Nona
Freedman, Neal D.
Johansson, Mattias
Li, Yong
Aben, Katja K.
Low, Siew-Kee
Comeau, Mary E.
Taylor, Philip R.
Kubo, Michiaki
Hibberd, Martin Lloyd
Fan, Xing
Zhang, Xuejun
Zhu, Caihong
Sangiovanni, John Paul
Tumino, Rosario
Hunt, Steven
O'Mara, Tracy A.
Smith, George Davey
Ferreira, Manuel A.
Law, Matthew H.
Noth, Imre
Fogh, Isabella
Cotch, Mary Frances
Jensen, Richard A.
Munz, Matthias
Eeles, Rosalind A.
Hemani, Gibran
Gunter, Marc J.
Abnet, Christian C.
Trichopoulou, Antonia
Speliotes, Elizabeth
Spurdle, Amanda B.
Severi, Gianluca
Martin, Nicholas G.
Zheng, Wei
Iles, Mark M.
Shu, Xiao-Ou
Yang, Qiong
Reis, Andre
Kahali, Bratati
Uebe, Steffen
Garcia Barcelo, Mercè
Pooley, Karen A.
Stolzenberg-Solomon, Rachael Z.
Bown, Matthew J.
Kim, Jong-Won
Bracci, Paige M.
Kiemeney, Lambertus A. L. M.
Samani, Nilesh J.
Bei, Jin-Xin
Zeng, Yi-Xin
Wong, Tien Yin
Försti, Asta
Chen, Wei V.
Kurian, Kathreena M.
Chen, Bowang
Wade, Tracey D.
Ellinghaus, David
Cha, Pei-Chieng
Fang, Shenying
Baas, Annette F.
Overvad, Kim
Nakamura, Yusuke
Elmore, James R.
Klein, Alison P.
Ellis, Hayley Patricia
Cox, David G.
Delattre, Olivier
Bowdler, Lisa M.
Mirabeau, Olivier
Ollila, Hanna M.
Thompson, Deborah J.
Skibola, Christine F.
Cheng, Ching-Yu
Brennan, Paul
Soranzo, Nicole
Lin, Kuang
Telomeres Mendelian Randomization Collaboration
Tang, Clara S.
Vermeulen, Sita H.
Powell, John F.
Worrall, Bradford B.
Montgomery, Grant W.
Morrison, Alanna C.
Mangino, Massimo
Levy, Daniel
Amundadottir, Laufey
Kimura, Masayuki
Hwang, Shih-Jen
Spector, Tim D.
Neale, Rachel E.
Onland-Moret, N. Charlotte
Woo, Daniel
Sasaki, Tsukasa
Flores, Carlos
Fischer, Annegret
Rij, Andre Van
Rice, Kenneth
Relton, Caroline L.
Martin, Richard M.
Su, Wen-Hui
Franke, Andre
Barr, Graham
Gordon, Scott
Yerges-Armstrong, Laura M.
Gaunt, Tom R.
Chang, Yu-Sun
Nyholt, Dale R.
Gaborieau, Valérie
Markus, Hugh Stephen
Hung, Rayjean J.
Amos, Christopher I.
Manichaikul, Ani W.
Otowa, Takeshi
Rosand, Jonathan
Han, Fang
Langefeld, Carl D.
Dommisch, Henrik
Wang, Feijie
Maris, John M.
Christiano, Angela M.
Lund, Eiliv
Duell, Eric J.
Canzian, Federico
Mijatovic, Vladan
Han, Jiali
Kawamura, Yoshiya
Chang, Kai-Ping
Ralston, Stuart H.
Hui, Jennie
Xie, Gang
Foo, Jia Nee
Sapkota, Yadav
T'hof, Femke N.G. van
Schwartz, David A.
Tromp, Gerard
Fingerlin, Tasha E.
Jones, Gregory T.
Cho, Michael H.
Kuivaniemi, Helena
Scelo, Ghislaine
Wiencke, John K.
Albagha, Omar
Schaefer, Arne S.
Walsh, Kyle M.
Hüffmeier, Ulrike
Landi, Stefano
Hokanson, John E.
Olson, Sara H.
Gallinger, Steven
Smith, Nicholas L.
Li, Donghui
Thompson, Susan D.
Petersen, Gloria M.
Risch, Harvey A.
Zondervan, Krina T.
Abecasis, Gonçalo R.
Heel, David A. van
Felix, Janine F.
Davila, Sonia
Liu, Jianjun
Hunt, Karen
Lee, Chaeyoung
Jonas, Jost B.
Silverman, Edwin K.
Wrensch, Margaret
Rice, Terri
Lin, Xu
Turnbull, Clare
Standl, Marie
Siminovitch, Katherine
author Haycock, Philip C.
author_facet Haycock, Philip C.
Burgess, Stephen
Nounu, Aayah
Zheng, Jie
Okoli, George N.
Bowden, Jack
Wade, Kaitlin H.
Timpson, Nicholas J.
Evans, David M.
Willeit, Peter
Aviv, Abraham
Litchfield, Kevin
Thompson, Philip J.
Ma, Shwu-Fan
Brown, W. Mark
Petukhova, Lynn
Zeng, Chenjie
Paternoster, Lavinia
Wolpin, Brian M.
Betz, Regina C.
Rotter, Jerome I.
Lee, Jeffrey E.
Svenson, Ulrika
Carreras-Torres, Robert
McKay, James D.
Arking, Dan E.
Hillary, Ryan P.
Ashar, Foram N.
Sotoodehnia, Nona
Freedman, Neal D.
Johansson, Mattias
Li, Yong
Aben, Katja K.
Low, Siew-Kee
Comeau, Mary E.
Taylor, Philip R.
Kubo, Michiaki
Hibberd, Martin Lloyd
Fan, Xing
Zhang, Xuejun
Zhu, Caihong
Sangiovanni, John Paul
Tumino, Rosario
Hunt, Steven
O'Mara, Tracy A.
Smith, George Davey
Ferreira, Manuel A.
Law, Matthew H.
Noth, Imre
Fogh, Isabella
Cotch, Mary Frances
Jensen, Richard A.
Munz, Matthias
Eeles, Rosalind A.
Hemani, Gibran
Gunter, Marc J.
Abnet, Christian C.
Trichopoulou, Antonia
Speliotes, Elizabeth
Spurdle, Amanda B.
Severi, Gianluca
Martin, Nicholas G.
Zheng, Wei
Iles, Mark M.
Shu, Xiao-Ou
Yang, Qiong
Reis, Andre
Kahali, Bratati
Uebe, Steffen
Garcia Barcelo, Mercè
Pooley, Karen A.
Stolzenberg-Solomon, Rachael Z.
Bown, Matthew J.
Kim, Jong-Won
Bracci, Paige M.
Kiemeney, Lambertus A. L. M.
Samani, Nilesh J.
Bei, Jin-Xin
Zeng, Yi-Xin
Wong, Tien Yin
Försti, Asta
Chen, Wei V.
Kurian, Kathreena M.
Chen, Bowang
Wade, Tracey D.
Ellinghaus, David
Cha, Pei-Chieng
Fang, Shenying
Baas, Annette F.
Overvad, Kim
Nakamura, Yusuke
Elmore, James R.
Klein, Alison P.
Ellis, Hayley Patricia
Cox, David G.
Delattre, Olivier
Bowdler, Lisa M.
Mirabeau, Olivier
Ollila, Hanna M.
Thompson, Deborah J.
Skibola, Christine F.
Cheng, Ching-Yu
Brennan, Paul
Soranzo, Nicole
Lin, Kuang
Telomeres Mendelian Randomization Collaboration
Tang, Clara S.
Vermeulen, Sita H.
Powell, John F.
Worrall, Bradford B.
Montgomery, Grant W.
Morrison, Alanna C.
Mangino, Massimo
Levy, Daniel
Amundadottir, Laufey
Kimura, Masayuki
Hwang, Shih-Jen
Spector, Tim D.
Neale, Rachel E.
Onland-Moret, N. Charlotte
Woo, Daniel
Sasaki, Tsukasa
Flores, Carlos
Fischer, Annegret
Rij, Andre Van
Rice, Kenneth
Relton, Caroline L.
Martin, Richard M.
Su, Wen-Hui
Franke, Andre
Barr, Graham
Gordon, Scott
Yerges-Armstrong, Laura M.
Gaunt, Tom R.
Chang, Yu-Sun
Nyholt, Dale R.
Gaborieau, Valérie
Markus, Hugh Stephen
Hung, Rayjean J.
Amos, Christopher I.
Manichaikul, Ani W.
Otowa, Takeshi
Rosand, Jonathan
Han, Fang
Langefeld, Carl D.
Dommisch, Henrik
Wang, Feijie
Maris, John M.
Christiano, Angela M.
Lund, Eiliv
Duell, Eric J.
Canzian, Federico
Mijatovic, Vladan
Han, Jiali
Kawamura, Yoshiya
Chang, Kai-Ping
Ralston, Stuart H.
Hui, Jennie
Xie, Gang
Foo, Jia Nee
Sapkota, Yadav
T'hof, Femke N.G. van
Schwartz, David A.
Tromp, Gerard
Fingerlin, Tasha E.
Jones, Gregory T.
Cho, Michael H.
Kuivaniemi, Helena
Scelo, Ghislaine
Wiencke, John K.
Albagha, Omar
Schaefer, Arne S.
Walsh, Kyle M.
Hüffmeier, Ulrike
Landi, Stefano
Hokanson, John E.
Olson, Sara H.
Gallinger, Steven
Smith, Nicholas L.
Li, Donghui
Thompson, Susan D.
Petersen, Gloria M.
Risch, Harvey A.
Zondervan, Krina T.
Abecasis, Gonçalo R.
Heel, David A. van
Felix, Janine F.
Davila, Sonia
Liu, Jianjun
Hunt, Karen
Lee, Chaeyoung
Jonas, Jost B.
Silverman, Edwin K.
Wrensch, Margaret
Rice, Terri
Lin, Xu
Turnbull, Clare
Standl, Marie
Siminovitch, Katherine
author_role author
author2 Burgess, Stephen
Nounu, Aayah
Zheng, Jie
Okoli, George N.
Bowden, Jack
Wade, Kaitlin H.
Timpson, Nicholas J.
Evans, David M.
Willeit, Peter
Aviv, Abraham
Litchfield, Kevin
Thompson, Philip J.
Ma, Shwu-Fan
Brown, W. Mark
Petukhova, Lynn
Zeng, Chenjie
Paternoster, Lavinia
Wolpin, Brian M.
Betz, Regina C.
Rotter, Jerome I.
Lee, Jeffrey E.
Svenson, Ulrika
Carreras-Torres, Robert
McKay, James D.
Arking, Dan E.
Hillary, Ryan P.
Ashar, Foram N.
Sotoodehnia, Nona
Freedman, Neal D.
Johansson, Mattias
Li, Yong
Aben, Katja K.
Low, Siew-Kee
Comeau, Mary E.
Taylor, Philip R.
Kubo, Michiaki
Hibberd, Martin Lloyd
Fan, Xing
Zhang, Xuejun
Zhu, Caihong
Sangiovanni, John Paul
Tumino, Rosario
Hunt, Steven
O'Mara, Tracy A.
Smith, George Davey
Ferreira, Manuel A.
Law, Matthew H.
Noth, Imre
Fogh, Isabella
Cotch, Mary Frances
Jensen, Richard A.
Munz, Matthias
Eeles, Rosalind A.
Hemani, Gibran
Gunter, Marc J.
Abnet, Christian C.
Trichopoulou, Antonia
Speliotes, Elizabeth
Spurdle, Amanda B.
Severi, Gianluca
Martin, Nicholas G.
Zheng, Wei
Iles, Mark M.
Shu, Xiao-Ou
Yang, Qiong
Reis, Andre
Kahali, Bratati
Uebe, Steffen
Garcia Barcelo, Mercè
Pooley, Karen A.
Stolzenberg-Solomon, Rachael Z.
Bown, Matthew J.
Kim, Jong-Won
Bracci, Paige M.
Kiemeney, Lambertus A. L. M.
Samani, Nilesh J.
Bei, Jin-Xin
Zeng, Yi-Xin
Wong, Tien Yin
Försti, Asta
Chen, Wei V.
Kurian, Kathreena M.
Chen, Bowang
Wade, Tracey D.
Ellinghaus, David
Cha, Pei-Chieng
Fang, Shenying
Baas, Annette F.
Overvad, Kim
Nakamura, Yusuke
Elmore, James R.
Klein, Alison P.
Ellis, Hayley Patricia
Cox, David G.
Delattre, Olivier
Bowdler, Lisa M.
Mirabeau, Olivier
Ollila, Hanna M.
Thompson, Deborah J.
Skibola, Christine F.
Cheng, Ching-Yu
Brennan, Paul
Soranzo, Nicole
Lin, Kuang
Telomeres Mendelian Randomization Collaboration
Tang, Clara S.
Vermeulen, Sita H.
Powell, John F.
Worrall, Bradford B.
Montgomery, Grant W.
Morrison, Alanna C.
Mangino, Massimo
Levy, Daniel
Amundadottir, Laufey
Kimura, Masayuki
Hwang, Shih-Jen
Spector, Tim D.
Neale, Rachel E.
Onland-Moret, N. Charlotte
Woo, Daniel
Sasaki, Tsukasa
Flores, Carlos
Fischer, Annegret
Rij, Andre Van
Rice, Kenneth
Relton, Caroline L.
Martin, Richard M.
Su, Wen-Hui
Franke, Andre
Barr, Graham
Gordon, Scott
Yerges-Armstrong, Laura M.
Gaunt, Tom R.
Chang, Yu-Sun
Nyholt, Dale R.
Gaborieau, Valérie
Markus, Hugh Stephen
Hung, Rayjean J.
Amos, Christopher I.
Manichaikul, Ani W.
Otowa, Takeshi
Rosand, Jonathan
Han, Fang
Langefeld, Carl D.
Dommisch, Henrik
Wang, Feijie
Maris, John M.
Christiano, Angela M.
Lund, Eiliv
Duell, Eric J.
Canzian, Federico
Mijatovic, Vladan
Han, Jiali
Kawamura, Yoshiya
Chang, Kai-Ping
Ralston, Stuart H.
Hui, Jennie
Xie, Gang
Foo, Jia Nee
Sapkota, Yadav
T'hof, Femke N.G. van
Schwartz, David A.
Tromp, Gerard
Fingerlin, Tasha E.
Jones, Gregory T.
Cho, Michael H.
Kuivaniemi, Helena
Scelo, Ghislaine
Wiencke, John K.
Albagha, Omar
Schaefer, Arne S.
Walsh, Kyle M.
Hüffmeier, Ulrike
Landi, Stefano
Hokanson, John E.
Olson, Sara H.
Gallinger, Steven
Smith, Nicholas L.
Li, Donghui
Thompson, Susan D.
Petersen, Gloria M.
Risch, Harvey A.
Zondervan, Krina T.
Abecasis, Gonçalo R.
Heel, David A. van
Felix, Janine F.
Davila, Sonia
Liu, Jianjun
Hunt, Karen
Lee, Chaeyoung
Jonas, Jost B.
Silverman, Edwin K.
Wrensch, Margaret
Rice, Terri
Lin, Xu
Turnbull, Clare
Standl, Marie
Siminovitch, Katherine
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dc.subject.none.fl_str_mv Nucleòtids
Càncer
Nucleotides
Cancer
topic Nucleòtids
Càncer
Nucleotides
Cancer
description IMPORTANCE The causal direction and magnitude of the association between telomere length and incidence of cancer and non-neoplastic diseases is uncertain owing to the susceptibility of observational studies to confounding and reverse causation. OBJECTIVE To conduct a Mendelian randomization study, using germline genetic variants as instrumental variables, to appraise the causal relevance of telomere length for risk of cancer and non-neoplastic diseases. DATA SOURCES Genomewide association studies (GWAS) published up to January 15, 2015. STUDY SELECTION GWAS of noncommunicable diseases that assayed germline genetic variation and did not select cohort or control participants on the basis of preexisting diseases. Of 163 GWAS of noncommunicable diseases identified, summary data from 103 were available. DATA EXTRACTION AND SYNTHESIS Summary association statistics for single nucleotide polymorphisms (SNPs) that are strongly associated with telomere length in the general population. MAIN OUTCOMES AND MEASURES Odds ratios (ORs) and 95% confidence intervals (CIs) for disease per standard deviation (SD) higher telomere length due to germline genetic variation. RESULTS Summary data were available for 35 cancers and 48 non-neoplastic diseases, corresponding to 420 081 cases (median cases, 2526 per disease) and 1 093 105 controls (median, 6789 per disease). Increased telomere length due to germline genetic variation was generally associated with increased risk for site-specific cancers. The strongest associations (ORs [ 95% CIs] per 1-SD change in genetically increased telomere length) were observed for glioma, 5.27 (3.15-8.81); serous low-malignant-potential ovarian cancer, 4.35 (2.39-7.94); lung adenocarcinoma, 3.19 (2.40-4.22); neuroblastoma, 2.98 (1.92-4.62); bladder cancer, 2.19 (1.32-3.66); melanoma, 1.87 (1.55-2.26); testicular cancer, 1.76 (1.02-3.04); kidney cancer, 1.55 (1.08-2.23); and endometrial cancer, 1.31 (1.07-1.61). Associations were stronger for rarer cancers and at tissue sites with lower rates of stem cell division. There was generally little evidence of association between genetically increased telomere length and risk of psychiatric, autoimmune, inflammatory, diabetic, and other non-neoplastic diseases, except for coronary heart disease (OR, 0.78 [ 95% CI, 0.67-0.90]), abdominal aortic aneurysm (OR, 0.63 [ 95% CI, 0.49-0.81]), celiac disease (OR, 0.42 [ 95% CI, 0.28-0.61]) and interstitial lung disease (OR, 0.09 [ 95% CI, 0.05-0.15]). CONCLUSIONS AND RELEVANCE It is likely that longer telomeres increase risk for several cancers but reduce risk for some non-neoplastic diseases, including cardiovascular diseases.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/124398
url https://hdl.handle.net/2445/124398
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1001/jamaoncol.2016.5945
Jama Oncology, 2017, vol. 3, num. 5, p. 636-651
https://doi.org/10.1001/jamaoncol.2016.5945
dc.rights.none.fl_str_mv (c) American Medical Association, 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) American Medical Association, 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv American Medical Association
publisher.none.fl_str_mv American Medical Association
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869419509818851328
spelling Association Between Telomere Length And Risk Of Cancer And Non-neoplastic Diseases: A Mendelian Randomization StudyHaycock, Philip C.Burgess, StephenNounu, AayahZheng, JieOkoli, George N.Bowden, JackWade, Kaitlin H.Timpson, Nicholas J.Evans, David M.Willeit, PeterAviv, AbrahamLitchfield, KevinThompson, Philip J.Ma, Shwu-FanBrown, W. MarkPetukhova, LynnZeng, ChenjiePaternoster, LaviniaWolpin, Brian M.Betz, Regina C.Rotter, Jerome I.Lee, Jeffrey E.Svenson, UlrikaCarreras-Torres, RobertMcKay, James D.Arking, Dan E.Hillary, Ryan P.Ashar, Foram N.Sotoodehnia, NonaFreedman, Neal D.Johansson, MattiasLi, YongAben, Katja K.Low, Siew-KeeComeau, Mary E.Taylor, Philip R.Kubo, MichiakiHibberd, Martin LloydFan, XingZhang, XuejunZhu, CaihongSangiovanni, John PaulTumino, RosarioHunt, StevenO'Mara, Tracy A.Smith, George DaveyFerreira, Manuel A.Law, Matthew H.Noth, ImreFogh, IsabellaCotch, Mary FrancesJensen, Richard A.Munz, MatthiasEeles, Rosalind A.Hemani, GibranGunter, Marc J.Abnet, Christian C.Trichopoulou, AntoniaSpeliotes, ElizabethSpurdle, Amanda B.Severi, GianlucaMartin, Nicholas G.Zheng, WeiIles, Mark M.Shu, Xiao-OuYang, QiongReis, AndreKahali, BratatiUebe, SteffenGarcia Barcelo, MercèPooley, Karen A.Stolzenberg-Solomon, Rachael Z.Bown, Matthew J.Kim, Jong-WonBracci, Paige M.Kiemeney, Lambertus A. L. M.Samani, Nilesh J.Bei, Jin-XinZeng, Yi-XinWong, Tien YinFörsti, AstaChen, Wei V.Kurian, Kathreena M.Chen, BowangWade, Tracey D.Ellinghaus, DavidCha, Pei-ChiengFang, ShenyingBaas, Annette F.Overvad, KimNakamura, YusukeElmore, James R.Klein, Alison P.Ellis, Hayley PatriciaCox, David G.Delattre, OlivierBowdler, Lisa M.Mirabeau, OlivierOllila, Hanna M.Thompson, Deborah J.Skibola, Christine F.Cheng, Ching-YuBrennan, PaulSoranzo, NicoleLin, KuangTelomeres Mendelian Randomization CollaborationTang, Clara S.Vermeulen, Sita H.Powell, John F.Worrall, Bradford B.Montgomery, Grant W.Morrison, Alanna C.Mangino, MassimoLevy, DanielAmundadottir, LaufeyKimura, MasayukiHwang, Shih-JenSpector, Tim D.Neale, Rachel E.Onland-Moret, N. CharlotteWoo, DanielSasaki, TsukasaFlores, CarlosFischer, AnnegretRij, Andre VanRice, KennethRelton, Caroline L.Martin, Richard M.Su, Wen-HuiFranke, AndreBarr, GrahamGordon, ScottYerges-Armstrong, Laura M.Gaunt, Tom R.Chang, Yu-SunNyholt, Dale R.Gaborieau, ValérieMarkus, Hugh StephenHung, Rayjean J.Amos, Christopher I.Manichaikul, Ani W.Otowa, TakeshiRosand, JonathanHan, FangLangefeld, Carl D.Dommisch, HenrikWang, FeijieMaris, John M.Christiano, Angela M.Lund, EilivDuell, Eric J.Canzian, FedericoMijatovic, VladanHan, JialiKawamura, YoshiyaChang, Kai-PingRalston, Stuart H.Hui, JennieXie, GangFoo, Jia NeeSapkota, YadavT'hof, Femke N.G. vanSchwartz, David A.Tromp, GerardFingerlin, Tasha E.Jones, Gregory T.Cho, Michael H.Kuivaniemi, HelenaScelo, GhislaineWiencke, John K.Albagha, OmarSchaefer, Arne S.Walsh, Kyle M.Hüffmeier, UlrikeLandi, StefanoHokanson, John E.Olson, Sara H.Gallinger, StevenSmith, Nicholas L.Li, DonghuiThompson, Susan D.Petersen, Gloria M.Risch, Harvey A.Zondervan, Krina T.Abecasis, Gonçalo R.Heel, David A. vanFelix, Janine F.Davila, SoniaLiu, JianjunHunt, KarenLee, ChaeyoungJonas, Jost B.Silverman, Edwin K.Wrensch, MargaretRice, TerriLin, XuTurnbull, ClareStandl, MarieSiminovitch, KatherineNucleòtidsCàncerNucleotidesCancerIMPORTANCE The causal direction and magnitude of the association between telomere length and incidence of cancer and non-neoplastic diseases is uncertain owing to the susceptibility of observational studies to confounding and reverse causation. OBJECTIVE To conduct a Mendelian randomization study, using germline genetic variants as instrumental variables, to appraise the causal relevance of telomere length for risk of cancer and non-neoplastic diseases. DATA SOURCES Genomewide association studies (GWAS) published up to January 15, 2015. STUDY SELECTION GWAS of noncommunicable diseases that assayed germline genetic variation and did not select cohort or control participants on the basis of preexisting diseases. Of 163 GWAS of noncommunicable diseases identified, summary data from 103 were available. DATA EXTRACTION AND SYNTHESIS Summary association statistics for single nucleotide polymorphisms (SNPs) that are strongly associated with telomere length in the general population. MAIN OUTCOMES AND MEASURES Odds ratios (ORs) and 95% confidence intervals (CIs) for disease per standard deviation (SD) higher telomere length due to germline genetic variation. RESULTS Summary data were available for 35 cancers and 48 non-neoplastic diseases, corresponding to 420 081 cases (median cases, 2526 per disease) and 1 093 105 controls (median, 6789 per disease). Increased telomere length due to germline genetic variation was generally associated with increased risk for site-specific cancers. The strongest associations (ORs [ 95% CIs] per 1-SD change in genetically increased telomere length) were observed for glioma, 5.27 (3.15-8.81); serous low-malignant-potential ovarian cancer, 4.35 (2.39-7.94); lung adenocarcinoma, 3.19 (2.40-4.22); neuroblastoma, 2.98 (1.92-4.62); bladder cancer, 2.19 (1.32-3.66); melanoma, 1.87 (1.55-2.26); testicular cancer, 1.76 (1.02-3.04); kidney cancer, 1.55 (1.08-2.23); and endometrial cancer, 1.31 (1.07-1.61). Associations were stronger for rarer cancers and at tissue sites with lower rates of stem cell division. There was generally little evidence of association between genetically increased telomere length and risk of psychiatric, autoimmune, inflammatory, diabetic, and other non-neoplastic diseases, except for coronary heart disease (OR, 0.78 [ 95% CI, 0.67-0.90]), abdominal aortic aneurysm (OR, 0.63 [ 95% CI, 0.49-0.81]), celiac disease (OR, 0.42 [ 95% CI, 0.28-0.61]) and interstitial lung disease (OR, 0.09 [ 95% CI, 0.05-0.15]). CONCLUSIONS AND RELEVANCE It is likely that longer telomeres increase risk for several cancers but reduce risk for some non-neoplastic diseases, including cardiovascular diseases.American Medical Association2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/124398Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1001/jamaoncol.2016.5945Jama Oncology, 2017, vol. 3, num. 5, p. 636-651https://doi.org/10.1001/jamaoncol.2016.5945(c) American Medical Association, 2017info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1243982026-05-27T06:46:51Z
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