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- Title
Interferon-γ-induced inflammatory markers and the risk of cancer: the Hordaland Health Study.
- Authors
Zuo, Hui; Tell, Grethe S; Vollset, Stein E; Ueland, Per M; Nygård, Ottar; Midttun, Oivind; Meyer, Klaus; Ulvik, Arve; Eussen, Simone J P M; Midttun, Øivind
- Abstract
<bold>Background: </bold>It has been reported that interferon-γ (IFN-γ)-induced inflammatory markers, such as circulating neopterin and kynurenine-to-tryptophan ratio (KTR), are increased in patients with cancer and are also a predictor of poor prognosis. However, whether baseline levels of these makers are associated with subsequent cancer risk in the general population remains unknown.<bold>Methods: </bold>We conducted a prospective analysis of the Hordaland Health Study in 6594 adults without known cancer at baseline who were enrolled between April 1998 and June 1999. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using multivariate Cox proportional hazards regression models adjusted for sex, age, body mass index, smoking status, and renal function.<bold>Results: </bold>A total of 971 incident cancer cases (507 men and 464 women) were identified over a median follow-up time of 12 years. Baseline plasma neopterin, KTR and C-reactive protein (CRP) were significantly associated with an increased risk of overall cancer in models adjusted for covariates (P for trend across quartiles = .006 for neopterin, .022 for KTR, and .005 for CRP). The multivariate-adjusted HR (95% CI) per SD increment in similar models were 1.09 (1.03-1.16) for neopterin, 1.07 (1.01-1.14) for KTR, and 1.04 (0.98-1.10) for CRP. The associations between the inflammatory markers and risk of major specific cancer types were also provided.<bold>Conclusions: </bold>Our findings indicate that plasma neopterin, KTR, and CRP are associated with a significantly increased risk of overall cancer. Our study revealed novel evidence regarding the role of IFN-γ-induced inflammation in human carcinogenesis.
- Publication
Cancer (0008543X), 2014, Vol 120, Issue 21, p3370
- ISSN
0008-543X
- Publication type
journal article
- DOI
10.1002/cncr.28869