Reduced risk of pancreatic cancer associated with asthma and nasal allergies

Objective Studies indicate an inverse association between ductal adenocarcinoma of the pancreas (PDAC) and nasal allergies. However, controversial findings are reported for the association with asthma. Understanding PDAC risk factors will help us to implement appropriate strategies to prevent, treat...

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Autores: Gomez-Rubio P; Zock JP; Rava M; Marquez M; Sharp L; Hidalgo M; Carrato A; Ilzarbe L; Michalski C; Molero X; Farré A; Perea J; Greenhalf W; O'Rorke M; Tardón A; Gress T; Barberà V; Crnogorac-Jurcevic T; Domínguez-Muñoz E; Muñoz-Bellvís L; Alvarez-Urturi C; Balcells J; Barneo L; Costello E; Guillén-Ponce C; Kleeff J; Kong B; Lawlor R; Löhr M; Mora J; Murray L; O'Driscoll D; Peláez P; Poves I; Scarpa A; Real FX; Malats N; PanGenEU Study Investigators
Tipo de documento: Artículo
Estado:Published version
Fecha de publicación:2017
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p4585
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/4585
Nivel de acceso:Acceso abierto
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author Gomez-Rubio P
author2 Zock JP
Rava M
Marquez M
Sharp L
Hidalgo M
Carrato A
Ilzarbe L
Michalski C
Molero X
Farré A
Perea J
Greenhalf W
O'Rorke M
Tardón A
Gress T
Barberà V
Crnogorac-Jurcevic T
Domínguez-Muñoz E
Muñoz-Bellvís L
Alvarez-Urturi C
Balcells J
Barneo L
Costello E
Guillén-Ponce C
Kleeff J
Kong B
Lawlor R
Löhr M
Mora J
Murray L
O'Driscoll D
Peláez P
Poves I
Scarpa A
Real FX
Malats N
PanGenEU Study Investigators
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_browse Alvarez-Urturi C
Balcells J
Barberà V
Barneo L
Carrato A
Costello E
Crnogorac-Jurcevic T
Domínguez-Muñoz E
Farré A
Gomez-Rubio P
Greenhalf W
Gress T
Guillén-Ponce C
Hidalgo M
Ilzarbe L
Kleeff J
Kong B
Lawlor R
Löhr M
Malats N
Marquez M
Michalski C
Molero X
Mora J
Murray L
Muñoz-Bellvís L
O'Driscoll D
O'Rorke M
PanGenEU Study Investigators
Peláez P
Perea J
Poves I
Rava M
Real FX
Scarpa A
Sharp L
Tardón A
Zock JP
author_facet Gomez-Rubio P
Zock JP
Rava M
Marquez M
Sharp L
Hidalgo M
Carrato A
Ilzarbe L
Michalski C
Molero X
Farré A
Perea J
Greenhalf W
O'Rorke M
Tardón A
Gress T
Barberà V
Crnogorac-Jurcevic T
Domínguez-Muñoz E
Muñoz-Bellvís L
Alvarez-Urturi C
Balcells J
Barneo L
Costello E
Guillén-Ponce C
Kleeff J
Kong B
Lawlor R
Löhr M
Mora J
Murray L
O'Driscoll D
Peláez P
Poves I
Scarpa A
Real FX
Malats N
PanGenEU Study Investigators
author_role author
collection r-FISABIO. Repositorio Institucional de Producción Científica
description Objective Studies indicate an inverse association between ductal adenocarcinoma of the pancreas (PDAC) and nasal allergies. However, controversial findings are reported for the association with asthma. Understanding PDAC risk factors will help us to implement appropriate strategies to prevent, treat and diagnose this cancer. This study assessed and characterised the association between PDAC and asthma and corroborated existing reports regarding the association between allergies and PDAC risk. Design Information about asthma and allergies was collated from 1297 PDAC cases and 1024 controls included in the PanGenEU case-control study. Associations between PDAC and atopic diseases were studied using multilevel logistic regression analysis. Meta-analyses of association studies on these diseases and PDAC risk were performed applying random-effects model. Results Asthma was associated with lower risk of PDAC (OR 0.64, 95% CI 0.47 to 0.88), particularly long-standing asthma (>=17 years, OR 0.39, 95% CI 0.24 to 0.65). Meta-analysis of 10 case-control studies sustained our results (metaOR 0.73, 95% CI 0.59 to 0.89). Nasal allergies and related symptoms were associated with lower risk of PDAC (OR 0.66, 95% CI 0.52 to 0.83 and OR 0.59, 95% CI 0.46 to 0.77, respectively). These results were supported by a meta-analysis of nasal allergy studies (metaOR 0.6, 95% CI 0.5 to 0.72). Skin allergies were not associated with PDAC risk. Conclusions This study shows a consistent inverse association between PDAC and asthma and nasal allergies, supporting the notion that atopic diseases are associated with reduced cancer risk. These results point to the involvement of immune and/or inflammatory factors that may either foster or restrain pancreas carcinogenesis warranting further research to understand the molecular mechanisms driving this association.
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institution Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:fisabio.fundanetsuite.com:p4585
publishDate 2017
publishDateSort 2017
publisher BMJ PUBLISHING GROUP
publisherStr BMJ PUBLISHING GROUP
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
spelling Reduced risk of pancreatic cancer associated with asthma and nasal allergies Gomez-Rubio P Zock JP Rava M Marquez M Sharp L Hidalgo M Carrato A Ilzarbe L Michalski C Molero X Farré A Perea J Greenhalf W O'Rorke M Tardón A Gress T Barberà V Crnogorac-Jurcevic T Domínguez-Muñoz E Muñoz-Bellvís L Alvarez-Urturi C Balcells J Barneo L Costello E Guillén-Ponce C Kleeff J Kong B Lawlor R Löhr M Mora J Murray L O'Driscoll D Peláez P Poves I Scarpa A Real FX Malats N PanGenEU Study Investigators Objective Studies indicate an inverse association between ductal adenocarcinoma of the pancreas (PDAC) and nasal allergies. However, controversial findings are reported for the association with asthma. Understanding PDAC risk factors will help us to implement appropriate strategies to prevent, treat and diagnose this cancer. This study assessed and characterised the association between PDAC and asthma and corroborated existing reports regarding the association between allergies and PDAC risk. Design Information about asthma and allergies was collated from 1297 PDAC cases and 1024 controls included in the PanGenEU case-control study. Associations between PDAC and atopic diseases were studied using multilevel logistic regression analysis. Meta-analyses of association studies on these diseases and PDAC risk were performed applying random-effects model. Results Asthma was associated with lower risk of PDAC (OR 0.64, 95% CI 0.47 to 0.88), particularly long-standing asthma (>=17 years, OR 0.39, 95% CI 0.24 to 0.65). Meta-analysis of 10 case-control studies sustained our results (metaOR 0.73, 95% CI 0.59 to 0.89). Nasal allergies and related symptoms were associated with lower risk of PDAC (OR 0.66, 95% CI 0.52 to 0.83 and OR 0.59, 95% CI 0.46 to 0.77, respectively). These results were supported by a meta-analysis of nasal allergy studies (metaOR 0.6, 95% CI 0.5 to 0.72). Skin allergies were not associated with PDAC risk. Conclusions This study shows a consistent inverse association between PDAC and asthma and nasal allergies, supporting the notion that atopic diseases are associated with reduced cancer risk. These results point to the involvement of immune and/or inflammatory factors that may either foster or restrain pancreas carcinogenesis warranting further research to understand the molecular mechanisms driving this association. BMJ PUBLISHING GROUP https://fisabio.portalinvestigacion.com/publicaciones/4585
spellingShingle Reduced risk of pancreatic cancer associated with asthma and nasal allergies
Gomez-Rubio P
status_str publishedVersion
title Reduced risk of pancreatic cancer associated with asthma and nasal allergies
title_full Reduced risk of pancreatic cancer associated with asthma and nasal allergies
title_fullStr Reduced risk of pancreatic cancer associated with asthma and nasal allergies
title_full_unstemmed Reduced risk of pancreatic cancer associated with asthma and nasal allergies
title_short Reduced risk of pancreatic cancer associated with asthma and nasal allergies
title_sort Reduced risk of pancreatic cancer associated with asthma and nasal allergies
url https://fisabio.portalinvestigacion.com/publicaciones/4585