Exploring the interactions between Helicobacter pylori (Hp) infection and other risk factors of gastric cancer: A pooled analysis in the Stomach cancer Pooling (StoP) Project.

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Tytuł:: Exploring the interactions between Helicobacter pylori (Hp) infection and other risk factors of gastric cancer: A pooled analysis in the Stomach cancer Pooling (StoP) Project.
Autorzy:: Collatuzzo G; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Pelucchi C; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Negri E; Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, Milan, Italy.
López-Carrillo L; Mexico National Institute of Public Health, Morelos, Mexico.
Tsugane S; Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Hidaka A; Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Shigueaki Hamada G; Nikkei Disease Prevention Center, São Paulo, Brazil.
Hernández-Ramírez RU; Department of Biostatistics, Yale School of Public Health, Yale School of Medicine, New Haven, Connecticut, USA.
López-Cervantes M; Facultad de Medicina, UNAM, Coyoacán, Mexico.
Malekzadeh R; Digestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Pourfarzi F; Digestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.; Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Mu L; Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York, USA.
Zhang ZF; Department of Epidemiology, UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California, USA.
Lunet N; Department of Epidemiology, EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.; Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
La Vecchia C; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Boffetta P; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.; Stony Brook Cancer Center, Stony Brook University, Stony Brook, New York, USA.
Źródło:: International journal of cancer [Int J Cancer] 2021 Sep 15; Vol. 149 (6), pp. 1228-1238. Date of Electronic Publication: 2021 May 24.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: 1995- : New York, NY : Wiley-Liss
Original Publication: 1966-1984 : Genève : International Union Against Cancer
MeSH Terms:: Helicobacter pylori*
Alcohol Drinking/*epidemiology
Helicobacter Infections/*epidemiology
Sodium Chloride, Dietary/*administration & dosage
Stomach Neoplasms/*epidemiology
Tobacco Smoking/*epidemiology
Adult ; Aged ; Aged, 80 and over ; Alcohol Drinking/adverse effects ; Case-Control Studies ; Female ; Helicobacter Infections/complications ; Humans ; Logistic Models ; Male ; Middle Aged ; Odds Ratio ; Socioeconomic Factors ; Sodium Chloride, Dietary/adverse effects ; Stomach Neoplasms/etiology ; Tobacco Smoking/adverse effects
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Contributed Indexing:: Keywords: alcohol drinking; gastric cancer; helicobacter pylori; interaction; salt intake; socioeconomic status; tobacco smoking
Substance Nomenclature:: 0 (Sodium Chloride, Dietary)
Entry Date(s):: Date Created: 20210515 Date Completed: 20210913 Latest Revision: 20210913
Update Code:: 20240105
DOI:: 10.1002/ijc.33678
PMID:: 33990950
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Helicobacter pylori (Hp) is crucial in gastric carcinogenesis, but infection alone is not a sufficient cause, and the interaction between Hp infection and other risk factors has not been adequately studied. We conducted a pooled analysis of seven case-control studies from the Stomach cancer Pooling (StoP) Project, comprising 1377 cases and 2470 controls, to explore the interaction among Hp infection and tobacco smoking, alcohol drinking, socioeconomic status (SES) and dietary salt intake on the risk of gastric cancer. We estimated summary odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) by multivariate unconditional logistic regression. The analysis showed no consistent interaction between Hp infection and cigarette smoking, while interaction was more than multiplicative for alcohol drinking (OR = 1.38, 95% CI: 1.07-1.77, P-interaction 0.02) and high intake of salt (OR = 2.62, 95% CI: 1.88-3.65, P-interaction = 0.04). The interaction with SES followed the multiplicative model (P = 0.49), resulting in a weakening among infected individuals of the protective effect of high SES among observed Hp-negative individuals. The interactions found were more pronounced in subjects with history of peptic ulcer. The interactions with Hp infection were stronger for cigarette smoking and dietary salt in the case of noncardia cancer, and for alcohol and SES in the case of cardia cancer. No differences were found when stratifying for histologic type. This large-scale study aimed to quantify the interaction between Hp infection and other modifiable risk factors of gastric cancer revealed that the benefit of combined Hp eradication and lifestyle modification on gastric cancer prevention may be larger than commonly appreciated.
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