학술논문

Serum Immunoglobulin E and Risk of Pancreatic Cancer in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial
Document Type
article
Source
Cancer Epidemiology Biomarkers & Prevention. 23(7)
Subject
Epidemiology
Biomedical and Clinical Sciences
Health Sciences
Oncology and Carcinogenesis
Ovarian Cancer
Prevention
Clinical Research
Rare Diseases
Pancreatic Cancer
Food Allergies
Cancer
Clinical Trials and Supportive Activities
Digestive Diseases
2.1 Biological and endogenous factors
Aetiology
2.2 Factors relating to the physical environment
Adenocarcinoma
Aged
Case-Control Studies
Early Detection of Cancer
Female
Humans
Hypersensitivity
Immunoglobulin E
Incidence
Male
Mass Screening
Middle Aged
Odds Ratio
Pancreatic Neoplasms
Risk Factors
Medical and Health Sciences
Biomedical and clinical sciences
Health sciences
Language
Abstract
Epidemiologic studies have consistently found that self-reported allergies are associated with reduced risk of pancreatic cancer. Our aim was to prospectively assess the relationship between serum immunoglobulin E (IgE), a marker of allergy, and risk. This nested case-control study within the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) included subjects enrolled in 1994 to 2001 and followed through 2010. There were 283 cases of pancreatic cancer and 544 controls matched on age, gender, race, and calendar date of blood draw. Using the ImmunoCAP system, we measured total IgE (normal, borderline, elevated), IgE to respiratory allergens, and IgE to food allergens (negative or positive) in serum collected at baseline. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using conditional logistic regression. We assessed interactions with age, gender, smoking, body mass index, and time between randomization and case diagnosis. Overall, there was no association between the IgE measures and risk. We found a statistically significant interaction by baseline age: in those aged ≥65 years, elevated risks were observed for borderline total IgE (OR, 1.43; 95% CI, 0.88-2.32) and elevated total IgE (OR, 1.98; 95% CI, 1.16-3.37) and positive IgE to food allergens (OR, 2.83; 95% CI, 1.29-6.20); among participants