流行病学

高敏 C 反应蛋白变异性与癌症发病风险:纵向前瞻性队列研究

来源:Experimental and therapeutic medicine · PMID 42974276 · DOI 10.3892/etm.2026.13344 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-05 期 · 全文级(file_id dAlZBwueyWSz,实际下载核验 1,395,640 B) · 全文已获取并通过三重归属校验

时间标签:数据日期 2026-11-05 · 生成时间 2026-11-05 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 | 情报发生日期 2026-11-05

研究问题

Table IV indicated a significant association between CV of hs-CRP and the incidence of lung cancer (HR, 0.77; 95% CI, 0.63-0.96; P=0.018; Table IV).To explore whether the association between hs-CRP variability and cancer exists in populations with different characteristics, subgroup analyses were performed.;In the present observational study, we hypothesize that stable hs-CRP levels may represent one manifestations of immunosenescence, whereas greater hs-CRP variability might reflect a more dynamic inflammatory state.;As no direct measures of immunosenescence were available in the cohort, further exploration of whether hs-CRP variability is associated with immune aging was not possible.

方法

Cancer treatment imposes substantial physical and psychological suffering on patients and places a marked financial burden on them (5,6).;This multifaceted issue expands beyond individual patients, affecting families, careers and the broader society (7).;A previous prospective cohort study reported a notable association between elevated hs-CRP levels and cancer risk (17).

核心结论

Moreover, our previous studies have further supported this association, demonstrating a link between elevated hs-CRP levels and unfavorable survival outcomes across multiple cancer types (18,19).;Collectively, these studies indicate a strong association between hs-CRP and cancer; however, a key limitation is that hs-CRP levels were measured only once at baseline.Nonetheless, cancer development is often associated with the long-term effects of risk factors.;RCS was then used to observe the association between continuous CV of hs-CRP and cancer risk, and the results demonstrated that as CV increased, HR decreased, suggesting that higher visit-to-visit variability of hs-CRP was associated with lower cancer risk (Fig. 2A).

局限

Collectively, these studies indicate a strong association between hs-CRP and cancer; however, a key limitation is that hs-CRP levels were measured only once at baseline.Nonetheless, cancer development is often associated with the long-term effects of risk factors.;Relying solely on baseline hs-CRP levels as a predictor of cancer development has limitations.;However, since the exposure definition differed, the inclusion and exclusion criteria and the final analytical sample were not identical.

对本项目的价值

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全文来源

PubMed PMC JATS(正文 32,273 字符,题名指纹 0.92,已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验)

原文题录

  • 中文题名:高敏 C 反应蛋白变异性与癌症发病风险:纵向前瞻性队列研究
  • 英文标题:High sensitivity-C-reactive protein variability and risk of cancer incidence: A longitudinal prospective cohort study cancer.
  • 期刊与标识:Experimental and therapeutic medicine · PMID 42974276 · DOI 10.3892/etm.2026.13344 · PMC PMC13725645

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

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