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Risk mapping of lung cancer: a comprehensive appraisal of published meta-analyses incorporating Mendelian randomization studies.

Journal of cancer research and clinical oncology
August 1, 2023
Caichen Li et al. (30 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to assess the causal association of blood copper levels with lung cancer risk using Mendelian randomization analyses.

Results Summary

The study found that higher blood copper levels were significantly associated with an increased risk of lung cancer (OR 1.14, 95% CI 1.01-1.29; P = 0.039), indicating a potential hazard effect.

Population

Individuals from 10 genome-wide association studies (GWAS) consortia and other GWAS databases, totaling 4,944,052 participants.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
smoking
increase
lung cancer
-
OR 1.44, 95% CI 1.18-1.75; P = 0.001
significantly associated with increased risk
#1
blood copper
increase
lung cancer
-
OR 1.14, 95% CI 1.01-1.29; P = 0.039
significantly associated with increased risk
#2
aspirin use
decrease
lung cancer
-
OR 0.67, 95% CI 0.50-0.89; P = 0.006
showed protective effects
#3
Abstract

INTRODUCTION: A comprehensive appraisal of published meta-analyses incorporating Mendelian randomization studies was performed to map the different risk factors and assess the causality for lung cancer. METHODS: Systematic reviews and meta-analyses of observational and interventional studies were reviewed based on PubMed, Embase, Web of Science, and Cochrane Library. Mendelian randomization analyses were conducted to validate the causal associations of those various exposures with lung cancer using summary statistics from 10 genome-wide association studies (GWAS) consortia and other GWAS databases in MR-Base platform. RESULTS: In the review of meta-analyses, 105 risk factors associated with lung cancer were identified from 93 articles. It was found that 72 risk factors were nominally significant (P < 0.05) associated with lung cancer. Mendelian randomization analyses were performed to analyze 36 exposures based on 551 SNPs and 4,944,052 individuals, finding that 3 exposures had a consistent risk/protective effect on lung cancer with the results of the meta-analysis. In Mendelian randomization anaylses, smoking (OR 1.44, 95% CI 1.18-1.75; P = 0.001) and blood copper (OR 1.14, 95% CI 1.01-1.29; P = 0.039) significantly associated with increased risk of lung cancer, whereas aspirin use (OR 0.67, 95% CI 0.50-0.89; P = 0.006) showed protective effects. CONCLUSION: This study mapped putative associations of risk factors for lung cancer, revealing the causal hazard effect of smoking, blood copper, and the protective effect of aspirin use in the development of lung cancer. CLINICAL TRIAL REGISTRY: This study is registered with PROSPERO (CRD42020159082).

Medical Subject Headings (MeSH)
HumansCopperGenome-Wide Association StudyLung NeoplasmsMendelian Randomization AnalysisPolymorphism, Single NucleotideRisk FactorsSmokingMeta-Analysis as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality85/10
Citation Metrics
Total Citations3
Citations/Year1.5
Relative Citation Ratio0.30
NIH Percentile15.9%
Research Impact Scores
APT Score0.25
Weight Score2.69
Normalized Score0.63
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