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Clinical Validation of a Personalized NHL-TME Model System: One-on-One Comparison between Modeled Drug Responses and Patients' Clinical Responses

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Blood 2024年 144卷 2214-2214页

作者： Shazia K. Nakhoda Pin Lu Tingwei Guo Denise Connelly Marcus Messmer Zachary AK Frosch Henry C. Fung Asya Varshavsky Yanovsky Y. Lynn Wang Fox Chase Cancer Center Philadelphia PA Department of Hematology/Oncology； Cancer Prevention and Control Research Program Fox Chase Cancer Center Philadelphia PA Fox Chase Cancer Center Temple University Health System Philadelphia PA

Background Clinical outcomes for patients with non-Hodgkin lymphoma (NHL) are highly variable depending on patient characteristics, pathologic features, and genomic abnormalities. Despite efforts to personalize treatment decisions using next-generation sequencing, success has been limited due to the substantial genomic heterogeneity observed even among tumors of the same histologic subtype. To address the unmet needs of personalized treatment of NHL, we established ex vivo tumor microenvironment (TME) models by co-culturing bone marrow fibroblasts (BMF) plus B-cell growth factors with tumor cells from individual CLL patients (Lu et al. Blood cancer J 2021 ). Proliferation centers in the lymph nodes are the major histological sites for CLL pathogenesis, progression, and transformation (Soma et al. Hum Pathol, 2006 ). Our ex vivo TME models, with their ability to promote CLL proliferation, recapitulate this most salient cell behavior observed in vivo. In our initial validation with a cohort of 31 CLL patients, ex vivo drug responses ( EVR ) demonstrated strong correlation with individual patients' clinical responses to ibrutinib. Sensitive patients' cells exhibited sensitivity in the system, while resistant patients' cells behaved resistant. In our current study, we present additional validations of this model system, incorporating genomic and cytogenetic analyses, along with clinical correlations in patients with other NHL histologies, including Richter-transformed CLL and MCL. Methods & Results We found in our previous study (Lu et al) that the co-cultured CLL cells show characteristics typical of lymph node-resident CLL cells, including larger cell size and decreased cell surface CXCR4. Single cell RNA sequencing technology confirmed the downregulation of CXCR4 at the mRNA level. In addition, the co-cultured CLL cells exhibited increased MYC and E2F gene signatures, further supporting the fidelity of the ex vivo system in mimicking the lymph node TME. Additionally,

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cancer screening information-seeking before and during the COVID-19 pandemic

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Preventive Oncology & Epidemiology 2024年第1期2卷

作者： Heather Platter Adaora Ezeani Travis Hyams Grace C. Huang William M.P. Klein Robin C. Vanderpool a Cancer Prevention Fellowship Program Division of Cancer Prevention National Cancer Institute National Institutes of Health Rockville MD USAb Office of the Associate Director Behavioral Research Program Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health Rockville MD USA c Health Behaviors Research Branch Behavioral Research Program Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health Rockville MD USA d Office of the Director Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health Rockville MD USA e Public Health and Epidemiology Westat Rockville MD USA b Office of the Associate Director Behavioral Research Program Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health Rockville MD USA f Health Communication and Informatics Research Branch Behavioral Research Program Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health Rockville MD USA

BackgroundThe COVID-19 pandemic disrupted routine cancer screening; however, it is unclear whether the public’s cancer screening information-seeking behaviors changed. Our study examined cancer screening information-seeking before and after pandemic onset using data from the National cancer Institute’s cancer Information *** analyzed screening inquiries from general public users before (3/27/19–3/26/20) and after (3/27/20–3/26/21) pandemic onset. We examined point of access, subjects of interaction, and *** were more general public cancer screening inquiries made post-pandemic onset (n= 1069; 56.1%) compared to before (n= 837, 43.9%). Although the proportion of breast cancer screening inquiries increased after pandemic onset, inquiries for cervical, colorectal, and other cancers decreased. Telephone inquiries increased, whereas email and instant chat inquiries decreased. Inquiries regarding finding healthcare services and managing costs increased, whereas screening tests and other subjects decreased. Referrals increased for the National Breast and Cervical cancer Early Detection program and other national/community organizations. All differences were significant atp≤ .*** found potentially important changes in cancer screening information-seeking after pandemic onset, including increasing interest in breast cancer screening, yet decreasing interest in other cancer screening tests. Future work should evaluate how public health crises affect information seeking and influence intentions to screen for cancer.

关键词： Health information-seeking cancer screening COVID-19 pandemic

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Polygenic risk modeling for prediction of epithelial ovarian cancer risk (vol 30, pg 349, 2021)

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EUROPEAN JOURNAL OF HUMAN GENETICS 2022年第5期30卷 630-631页

作者： Dareng, Eileen O. Tyrer, Jonathan P. Barnes, Daniel R. Jones, Michelle R. Yang, Xin Aben, Katja K. H. Adank, Muriel A. Agata, Simona Andrulis, Irene L. Anton-Culver, Hoda Antonenkova, Natalia N. Aravantinos, Gerasimos Arun, Banu K. Augustinsson, Annelie Balmana, Judith Bandera, Elisa V. Barkardottir, Rosa B. Barrowdale, Daniel Beckmann, Matthias W. Beeghly-Fadiel, Alicia Benitez, Javier Bermisheva, Marina Bernardini, Marcus Q. Bjorge, Line Black, Amanda Bogdanova, Natalia V. Bonanni, Bernardo Borg, Ake Brenton, James D. Budzilowska, Agnieszka Butzow, Ralf Buys, Saundra S. Cai, Hui Caligo, Maria A. Campbell, Ian Cannioto, Rikki Cassingham, Hayley Chang-Claude, Jenny Chanock, Stephen J. Chen, Kexin Chiew, Yoke-Eng Chung, Wendy K. Claes, Kathleen B. M. Colonna, Sarah Cook, Linda S. Couch, Fergus J. Daly, Mary B. Dao, Fanny Davies, Eleanor de la Hoya, Miguel de Putter, Robin Dennis, Joe DePersia, Allison Devilee, Peter Diez, Orland Ding, Yuan Chun Doherty, Jennifer A. Domchek, Susan M. Dork, Thilo du Bois, Andreas Durst, Matthias Eccles, Diana M. Eliassen, Heather A. Engel, Christoph Evans, Gareth D. Fasching, Peter A. Flanagan, James M. Fortner, Renee T. Machackova, Eva Friedman, Eitan Ganz, Patricia A. Garber, Judy Gensini, Francesca Giles, Graham G. Glendon, Gord Godwin, Andrew K. Goodman, Marc T. Greene, Mark H. Gronwald, Jacek Hahnen, Eric Haiman, Christopher A. Hakansson, Niclas Hamann, Ute Hansen, Thomas V. O. Harris, Holly R. Hartman, Mikael Heitz, Florian Hildebrandt, Michelle A. T. Hogdall, Estrid Hogdall, Claus K. Hopper, John L. Huang, Ruea-Yea Huff, Chad Hulick, Peter J. Huntsman, David G. Imyanitov, Evgeny N. Isaacs, Claudine Jakubowska, Anna James, Paul A. Janavicius, Ramunas Jensen, Allan Johannsson, Oskar Th. John, Esther M. Jones, Michael E. Kang, Daehee Karlan, Beth Y. Karnezis, Anthony Kelemen, Linda E. Khusnutdinova, Elza Kiemeney, Lambertus A. Kim, Byoung-Gie Kjaer, Susanne K. Komenaka, Ian Kupryjanczyk, Jolanta Kurian, Allison W. Kwong, Ava Lambrechts, Diether Larson, Melissa C. Lazaro, Conxi L University of Cambridge Centre for Cancer Genetic Epidemiology Department of Public Health and Primary Care Cambridge UK University of Cambridge Centre for Cancer Genetic Epidemiology Department of Oncology Cambridge UK Center for Bioinformatics and Functional Genomics Cedars-Sinai Medical Center Los Angeles CA USA Radboud University Medical Center Radboud Institute for Health Sciences Nijmegen The Netherlands Netherlands Comprehensive Cancer Organisation Utrecht The Netherlands The Netherlands Cancer Institute—Antoni van Leeuwenhoek hospital Family Cancer Clinic Amsterdam The Netherlands Veneto Institute of Oncology IOV—IRCCS Immunology and Molecular Oncology Unit Padua Italy Lunenfeld-Tanenbaum Research Institute of Mount Sinai Hospital Fred A. Litwin Center for Cancer Genetics Toronto ON Canada University of Toronto Department of Molecular Genetics Toronto ON Canada University of California Irvine Department of Epidemiology Genetic Epidemiology Research Institute Irvine CA USA N.N. Alexandrov Research Institute of Oncology and Medical Radiology Minsk Belarus ‘Agii Anargiri’ Cancer Hospital Athens Greece University of Texas MD Anderson Cancer Center Department of Breast Medical Oncology Houston TX USA Lund University Department of Cancer Epidemiology Clinical Sciences Lund Sweden Vall d’Hebron Institute of Oncology Hereditary cancer Genetics Group Barcelona Spain University Hospital of Vall d’Hebron Department of Medical Oncology Barcelona Spain Rutgers Cancer Institute of New Jersey Cancer Prevention and Control Program New Brunswick NJ USA Landspitali University Hospital Department of Pathology Reykjavik Iceland University of Iceland BMC (Biomedical Centre) Faculty of Medicine Reykjavik Iceland University Hospital Erlangen Friedrich-Alexander-University Erlangen-Nuremberg Department of Gynecology and Obstetrics Comprehensive Cancer Center ER-EMN Erlangen Germany Vanderbilt University School of Medicine Division of Epidemiology Department

Polygenic risk scores (PRS) for epithelial ovarian cancer (EOC) have the potential to improve risk stratification. Joint estimation of Single Nucleotide Polymorphism (SNP) effects in models could improve predictive performance over standard approaches of PRS construction. Here, we implemented computationally efficient, penalized, logistic regression models (lasso, elastic net, stepwise) to individual level genotype data and a Bayesian framework with continuous shrinkage, “select and shrink for summary statistics” (S4), to summary level data for epithelial non-mucinous ovarian cancer risk prediction. We developed the models in a dataset consisting of 23,564 non-mucinous EOC cases and 40,138 controls participating in the Ovarian cancer Association Consortium (OCAC) and validated the best models in three populations of different ancestries: prospective data from 198,101 women of European ancestries; 7,669 women of East Asian ancestries; 1,072 women of African ancestries, and in 18,915 BRCA1 and 12,337 BRCA2 pathogenic variant carriers of European ancestries. In the external validation data, the model with the strongest association for non-mucinous EOC risk derived from the OCAC model development data was the S4 model (27,240 SNPs) with odds ratios (OR) of 1.38 (95% CI: 1.28–1.48, AUC: 0.588) per unit standard deviation, in women of European ancestries; 1.14 (95% CI: 1.08–1.19, AUC: 0.538) in women of East Asian ancestries; 1.38 (95% CI: 1.21–1.58, AUC: 0.593) in women of African ancestries; hazard ratios of 1.36 (95% CI: 1.29–1.43, AUC: 0.592) in BRCA1 pathogenic variant carriers and 1.49 (95% CI: 1.35–1.64, AUC: 0.624) in BRCA2 pathogenic variant carriers. Incorporation of the S4 PRS in risk prediction models for ovarian cancer may have clinical utility in ovarian cancer prevention programs.

关键词： Clinical genetics Genetic markers Risk factors Biomedicine general Human Genetics Bioinformatics Gene Expression Cytogenetics

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Deciphering colorectal cancer genetics through multi-omic analysis of 100,204 cases and 154,587 controls of European and east Asian ancestries (vol 55, pg 89, 2023)

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NATURE GENETICS 2023年第3期55卷 519-520页

作者： Fernandez-Rozadilla, Ceres Timofeeva, Maria Chen, Zhishan Law, Philip Thomas, Minta Schmit, Stephanie Diez-Obrero, Virginia Hsu, Li Fernandez-Tajes, Juan Palles, Claire Sherwood, Kitty Briggs, Sarah Svinti, Victoria Donnelly, Kevin Farrington, Susan Blackmur, James Vaughan-Shaw, Peter Shu, Xiao-ou Long, Jirong Cai, Qiuyin Guo, Xingyi Lu, Yingchang Broderick, Peter Studd, James Huyghe, Jeroen Harrison, Tabitha Conti, David Dampier, Christopher Devall, Mathew Schumacher, Fredrick Melas, Marilena Rennert, Gad Obon-Santacana, Mireia Martin-Sanchez, Vicente Moratalla-Navarro, Ferran Oh, Jae Hwan Kim, Jeongseon Jee, Sun Ha Jung, Keum Ji Kweon, Sun-Seog Shin, Min-Ho Shin, Aesun Ahn, Yoon-Ok Kim, Dong-Hyun Oze, Isao Wen, Wanqing Matsuo, Keitaro Matsuda, Koichi Tanikawa, Chizu Ren, Zefang Gao, Yu-Tang Jia, Wei-Hua Hopper, John Jenkins, Mark Win, Aung Ko Pai, Rish Figueiredo, Jane Haile, Robert Gallinger, Steven Woods, Michael Newcomb, Polly Duggan, David Cheadle, Jeremy Kaplan, Richard Maughan, Timothy Kerr, Rachel Kerr, David Kirac, Iva Bohm, Jan Mecklin, Lukka-Pekka Jousilahti, Pekka Knekt, Paul Aaltonen, Lauri Rissanen, Harri Pukkala, Eero Eriksson, Johan Cajuso, Tatiana Hanninen, Ulrika Kondelin, Johanna Palin, Kimmo Tanskanen, Tomas Renkonen-Sinisalo, Laura Zanke, Brent Mannisto, Satu Albanes, Demetrius Weinstein, Stephanie Ruiz-Narvaez, Edward Palmer, Julie Buchanan, Daniel Platz, Elizabeth Visvanathan, Kala Ulrich, Cornelia Siegel, Erin Brezina, Stefanie Gsur, Andrea Campbell, Peter Chang-Claude, Jenny Hoffmeister, Michael Brenner, Hermann Slattery, Martha Potter, John Tsilidis, Konstantinos Schulze, Matthias Gunter, Marc Murphy, Neil Castells, Antoni Castellvi-Bel, Sergi Moreira, Leticia Arndt, Volker Shcherbina, Anna Stern, Mariana Pardamean, Bens Bishop, Timothy Giles, Graham Southey, Melissa Idos, Gregory McDonnell, Kevin Abu-Ful, Zomoroda Greenson, Joel Shulman, Katerina Lejbkowicz, Flavio Offit, Kenneth Su, Yu-Ru Steinfelder, Robert Keku, Temitope van Guelpen, Bethany Hudson, Thomas Hampel, Heather Pearlman, Edinburgh Cancer Research Centre Institute of Genomics and Cancer University of Edinburgh Edinburgh UK Genomic Medicine Group Instituto de Investigacion Sanitaria de Santiago Santiago de Compostela Spain Colon Cancer Genetics Group Medical Research Council Human Genetics Unit Institute of Genetics and Cancer University of Edinburgh Edinburgh UK Danish Institute for Advanced Study Department of Public Health University of Southern Denmark Odense Denmark Division of Epidemiology Department of Medicine Vanderbilt-Ingram Cancer Center Vanderbilt Epidemiology Center Vanderbilt University Medical Center Nashville TN USA Division of Genetics and Epidemiology Institute of Cancer Research London UK Public Health Sciences Division Fred Hutchinson Cancer Research Center Seattle WA USA Genomic Medicine Institute Cleveland Clinic Cleveland OH USA Population and Cancer Prevention Program Case Comprehensive Cancer Center Cleveland OH USA Colorectal Cancer Group ONCOBELL Program Bellvitge Biomedical Research Institute Barcelona Spain Oncology Data Analytics Program Catalan Institute of Oncology Barcelona Spain Consortium for Biomedical Research in Epidemiology and Public Health Madrid Madrid Spain Department of Clinical Sciences Faculty of Medicine University of Barcelona Barcelona Spain Department of Biostatistics School of Public Health University of Washington Seattle WA USA Institute of Cancer and Genomic Sciences College of Medical and Dental Sciences University of Birmingham Birmingham UK Department of Public Health Richard Doll Building University of Oxford Oxford UK Department of Biomedical Informatics Vanderbilt University School of Medicine Nashville TN USA Department of Preventive Medicine USC Norris Comprehensive Cancer Center Keck School of Medicine University of Southern California Los Angeles CA USA Center for Public Health Genomics Department of Public Health Sciences University of Virginia Charlottesville VA USA Department of Populat

Colorectal cancer (CRC) is a leading cause of mortality worldwide. We conducted a genome-wide association study meta-analysis of 100,204 CRC cases and 154,587 controls of European and east Asian ancestry, identifying 205 independent risk associations, of which 50 were unreported. We performed integrative genomic, transcriptomic and methylomic analyses across large bowel mucosa and other tissues. Transcriptome- and methylome-wide association studies revealed an additional 53 risk associations. We identified 155 high-confidence effector genes functionally linked to CRC risk, many of which had no previously established role in CRC. These have multiple different functions and specifically indicate that variation in normal colorectal homeostasis, proliferation, cell adhesion, migration, immunity and microbial interactions determines CRC risk. Crosstissue analyses indicated that over a third of effector genes most probably act outside the colonic mucosa. Our findings provide insights into colorectal oncogenesis and highlight potential targets across tissues for new CRC treatment and chemoprevention strategies.

关键词： Colorectal cancer Epigenomics Genome-wide association studies Transcriptomics

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Expanding access to cancer peer support: Development of a website to deliver written peer support that meets patients' individual emotional and informational needs while reducing potential harms 11

Expanding access to cancer peer support: Development of a we...

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11th Scientific Meeting of the International Society for Research on Internet Interventions, ISRII 2022

作者： Bovbjerg, Katrin Graves, Kristi Waltz, Margaret Farrell, David Yanez, Betina Chicaiza, Anthony Omar, Rahma Thompson, Rebecca Kop, Mariska Van Denburg, Alyssa N. Lorch, Danielle Rowley, Scott D. Rini, Christine Northwestern University Feinberg School of Medicine Dept of Medical Social Sciences 625 N. Michigan Ave 21-00 ChicagoIL60611 United States Georgetown University Lombardi Comprehensive Cancer Center Cancer Prevention and Control Program 2115 Wisconsin Ave N Ste. 300 WashingtonDC20007 United States University of North Carolina School of Medicine Department of Social Medicine 333 S Columbia St Chapel HillNC27516 United States People Designs Inc. 1304 Broad Street DurhamNC27705 United States Robert H. Lurie Comprehensive Cancer Center of Northwestern University 675 N St Clair St. Floor 21 Suite 100 ChicagoIL60611 United States John Theurer Cancer Center Hackensack University Medical Center 92 2nd Street HackensackNJ07601 United States

cancer patients often want information from "peers"with the same diagnosis or treatment. To increase access to this valuable resource, we developed a website to deliver written peer support to cancer patients undergoing stem cell transplant. Because little evidence describes how to optimize benefits or reduce potential harms of written peer support, we gathered multiple forms of stakeholder feedback to inform the website's ethical approach, personalization, design, function, and content: a Community Advisory Board;a longitudinal study of patients' written peer support needs and motivations;focus groups;semi-structured interviews;and usability testing. Findings provide a rich foundation for website development. © 2022 The Author(s).

关键词： Websites

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Differential Age-Related Declines in Cardiorespiratory Fitness Between People With and Without Type 2 Diabetes Mellitus

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Mayo Clinic Proceedings: Innovations, Quality and Outcomes 2021年第4期5卷 743-752页

作者： Ortaglia, Andrew McDonald, Samantha M. Wirth, Michael D. Sui, Xuemei Bottai, Matteo Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia Department of Foundational Sciences and Research School of Dental Medicine East Carolina University Greenville NC United States College of Nursing Cancer Prevention and Control Program Arnold School of Public Health University of South Carolina Columbia Department of Exercise Science Arnold School of Public Health University of South Carolina Columbia Division of Biostatistics Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden

Objective: To assess the extent to which the established age-related decline in cardiorespiratory fitness (CRF) is augmented in adult men with type 2 diabetes mellitus (T2DM). Participants and Methods: This study used data from the Aerobics Center Longitudinal Study, conducted between September 18, 1974, and August 3, 2006, in primarily non-Hispanic white, middle-to-upper class adults. The analyses were restricted to adult men with complete data on age, CRF, and T2DM (35,307 participants). Quantile regression models were used to estimate age-related differences in CRF, estimated using a maximal treadmill test, between persons with and without T2DM. Smoking status and birth cohort served as covariates. Results: Age-related declines in CRF were observed in men with and without T2DM. For men younger than 60 years, at low-mid percentiles of the CRF distribution the magnitude of the age-related decline in CRF was significantly higher (P-values=.00, .02) in men with T2DM than in those without T2DM. At upper percentiles, the decline with age between the 2 groups was virtually identical. Significant declines in CRF in men 45 years or younger were observed only at high levels of CRF for those without T2DM and at low levels of CRF for those with T2DM (P-values .00, .04). Conclusion: This study reported that men younger than 60 years with T2DM at the low-mid CRF percentiles experience an accelerated age-related decline in CRF. Men younger than 60 years with T2DM exhibiting high levels of CRF experienced a decline in CRF comparable to men without T2DM. This study highlights the importance of incorporating sufficient levels of exercise or activity to maintain high CRF in men with T2DM. © 2021 [Author/Employing Institution]

关键词： ACLS Aerobics Center Longitudinal Study CRF cardiorespiratory fitness NCD noncommunicable disease T2DM type 2 diabetes mellitus V̇ o 2max maximum oxygen consumption

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U.S. Vietnamese parents' trusted sources of information and preferences for intervention messaging about HPV vaccination: A mixed methods study

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PEC Innovation 2023年 3卷 100189-100189页

作者： Vu, Milkie Berg, Carla J. Pham, Nhat-Ha T. Tiro, Jasmin A. Escoffery, Cam Spring, Bonnie Bednarczyk, Robert A. Ta, Danny Kandula, Namratha R. Department of Preventive Medicine Feinberg School of Medicine Northwestern University United States Department of Prevention and Community Health Milken Institute School of Public Health George Washington University United States George Washington Cancer Center George Washington University United States College of Arts and Sciences University of Pennsylvania United States Department of Public Health Sciences University of Chicago United States Cancer Prevention and Population Science Program Comprehensive Cancer Center University of Chicago United States Department of Behavioral Social and Health Education Sciences Rollins School of Public Health Emory University United States Emory Prevention Research Center Emory University United States Cancer Prevention and Control Program Winship Cancer Institute Emory University United States Hubert Department of Global Health Rollins School of Public Health Emory University United States Nell Hodgson Woodruff School of Nursing Rollins School of Public Health Emory University United States Department of Medicine Feinberg School of Medicine Northwestern University United States Department of Epidemiology Rollins School of Public Health Emory University United States Emory Vaccine Center Emory University United States

Objective: Assess trusted sources of information, perceived message effectiveness, and preferred dissemination strategies regarding adolescent HPV vaccination among U.S. Vietnamese parents. Methods: Data came from an observational, explanatory sequential mixed-methods study with U.S. Vietnamese parents of adolescents (408 survey participants;32 interview participants). Surveys and interviews were conducted in both Vietnamese and English. Mixed-methods data were integrated and analyzed for confirmation, expansion, or discordance. Results: Both quantitative and qualitative findings confirm high trust in HPV vaccination information from providers, government agencies, and cancer organizations. Messages perceived as effective emphasize vaccine safety, experts' endorsement, importance of vaccination prior to HPV exposure, and preventable cancers. Qualitative findings expanded quantitative results, demonstrating a desire for evidence-based information in the Vietnamese language and addressing cultural concerns (e.g., effectiveness or potential side effects specific to Vietnamese adolescents, whether parents should delay HPV vaccination for Vietnamese adolescents). Quantitative and qualitative findings were incongruent about whether parents would trust information about HPV vaccination that is disseminated via social media. Conclusion: We identified credible messengers, feasible strategies, and elements of impactful messages for interventions to increase adolescent HPV vaccination for U.S. Vietnamese. Innovation: We focus on a high-risk, underserved population and integrate mixed-methods design and analysis. © 2023 The Authors

关键词： Asian Americans cancer Health education interventions HPV vaccination Immunization Vietnamese

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Determining Filipinos’ Preferences for Colorectal cancer Screening Tests: Insights From a Choice-Based Conjoint Analysis

AJPM Focus

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AJPM Focus 2025年第1期4卷 100300-100300页

作者： Crochetiere, Austin Lauzon, Marie Chaplin, Antwon Almario, Christopher V. Department of Medicine Cedars-Sinai Medical Center Los Angeles California United States Biostatistics Shared Resource Cedars-Sinai Cancer Los Angeles California United States Cedars-Sinai Center for Outcomes Research and Education (CS-CORE) Los Angeles California United States Karsh Division of Gastroenterology and Hepatology Cedars-Sinai Medical Center Los Angeles California United States Division of Health Services Research Cedars-Sinai Medical Center Los Angeles California United States Division of Informatics Cedars-Sinai Medical Center Los Angeles California United States Cancer Prevention & Control Program Cedars-Sinai Cancer Los Angeles California United States

Introduction: Filipinos in the U.S. have worse colorectal cancer screening rates and outcomes than non-Hispanic Whites, despite 85% of Filipinos being proficient in English and having insurance rates, education, and incomes that exceed those of the general population. To begin to address this disparity, the authors used conjoint analysis—a method that assesses complex decision making—to better understand Filipinos’ preferences for the different colorectal cancer screening test options. Methods: The authors conducted a conjoint analysis survey among unscreened Filipinos aged ≥40 years at average risk for colorectal cancer to determine the relative importance of screening test attributes in their decision making (e.g., modality, effectiveness at reducing colorectal cancer risk, bowel prep). The authors also performed simulations to estimate the proportion of people who would prefer to do an annual fecal immunochemical test or colonoscopy every 10 years for their screening. Results: Overall, 105 Filipinos completed the survey;most respondents were female (74.3%) and aged 40–49 years (84.8%). The authors observed that test modality was the most important factor in respondents’ decision making. After conducting simulations using the conjoint analysis data, the authors noted that 70 (66.7%) Filipinos preferred to do an annual fecal immunochemical test for their screening, whereas 35 (33.3%) wanted to do a colonoscopy every 10 years. Conclusions: The authors found that 2 in 3 Filipinos prefer fecal immunochemical test to colonoscopy for their colorectal cancer screening. To address colorectal cancer disparities in the Filipino community, investigators, health systems, public health agencies, and community organizations need to develop culturally tailored, sustainable interventions, and such programs may want to focus on improving education on and access to fecal immunochemical test. © 2024 The Author(s)

关键词： colorectal cancer screening disparities Filipino patient preference

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Hair product use and urinary biomarker concentrations of non-persistent endocrine disrupting chemicals among reproductive-aged Black women

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Chemosphere 2024年 361卷 142442页

作者： Schildroth, Samantha Geller, Ruth J. Wesselink, Amelia K. Lovett, Sharonda M. Bethea, Traci N. Claus Henn, Birgit Harmon, Quaker E. Taylor, Kyla M. Calafat, Antonia M. Wegienka, Ganesa Gaston, Symielle A. Baird, Donna D. Wise, Lauren A. Department of Epidemiology Boston University School of Public Health BostonMA United States Office of Minority Health & Health Disparities Research Georgetown Lombardi Comprehensive Cancer Institute Washington DC United States Department of Environmental Health Boston University School of Public Health BostonMA United States National Institute of Environmental Health Sciences DurhamNC United States National Toxicology Program National Institute of Environmental Health Sciences NC United States Division of Laboratory Sciences Centers for Disease Control and Prevention AtlantaGA United States Henry Ford Health System Detroit MI United States

Background: Studies have shown an association between hair product use and adverse health outcomes. Scientists have hypothesized that exposure to endocrine-disrupting chemicals (EDCs) drives these associations, but few studies have directly evaluated associations between hair product use and biomarkers of EDCs. Even more limited are studies of Black women, who frequently use EDC-containing products (e.g., hair relaxers). Objective: We estimated associations between hair product use and EDC biomarker concentrations. Methods: We leveraged cross-sectional data from the Study of Environment, Lifestyle, and Fibroids, a cohort of females aged 23–34 years who self-identified as Black/African American from the Detroit-metropolitan area (USA;n = 425). On structured questionnaires, participants reported their past 24-h and past 12-month use of hair products, including relaxers/straighteners/perms, styling products, moisturizers, oils, and hair food. We quantified urinary concentrations of 19 phthalate/phthalate alternative metabolites, 7 phenols, and 4 parabens using high performance liquid chromatography isotope dilution tandem mass spectrometry. EDC biomarker concentrations were creatinine-adjusted and natural log-transformed. We used multivariable linear regression to estimate mean percent differences in EDC biomarker concentrations and 95% confidence intervals (CIs) associated with hair product use, adjusting for sociodemographic confounders. Results: Hair product use was associated with greater concentrations of multiple EDC biomarkers. Notably, use of hair products in the previous 24 h (compared with non-use) was associated with 16.2% (95% CI = 0.7%, 35.9%), 35.0% (95% CI = 2.6%, 77.6%), and 32.3% (95% CI = 8.8%, 92.0%) higher concentrations of mono-isobutyl phthalate, methyl paraben, and ethyl paraben, respectively. Use of hair relaxers/straighteners/perms, styling products, moisturizers, oils, and hair food in the past 12 months was also associated with higher concent

关键词： Phenols

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Development and Feasibility testing of a Highly Anti-Inflammatory Indian-Adapted Mediterranean Diet for Coronary Artery Disease Patients

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Indian Heart Journal 2024年 76卷 S25-S26页

作者： Ambuj Roy Archna Singh Megha Suresh Anudeep P. P Sherry Price Sabiha Khan Kamar Ali Neha Bakshi James R. Hebert Suparna Ghosh Jerath Department of Cardiology AIIMS New Delhi India Department of Biochemistry AIIMS New Delhi India Connecting Health Innovations LLC Columbia SC USA Cancer Prevention and Control Program Arnold School of Public Health University of South Carolina

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