Associations of Serum Cytokines and Chemokines with the Risk of Incident Cancer in a Prospective Rheumatoid Arthritis Cohort

Autor: Gail S. Kerr, Jeremy Sokolove, Andreas M. Reimold, Harlan Sayles, Joshua F. Baker, William H. Robinson, Ted R. Mikuls, Grant W. Cannon, Apar Kishor Ganti, Brian C. Sauer, Megan Campany, Geoffrey M. Thiele, Punyasha Roul, Bryant R. England, Yangyuna Yang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Int Immunopharmacol
Popis: OBJECTIVES: We aimed to assess whether serum cytokine/chemokine concentrations predict incident cancer in RA patients. METHODS: Data from cancer-free enrollees in the Veterans Affairs Rheumatoid Arthritis (VARA) Registry were linked to a national VA oncology database and the National Death Index (NDI) to identify incident cancers. Seventeen serum cytokines/chemokines were measured from enrollment serum and an overall weighted cytokine/chemokine score (CK score) was calculated. Associations of cytokines/chemokines with all-site, lung, and lymphoproliferative cancers were assessed in Cox regression models accounting for relevant covariates including age, sex, RA disease activity, and smoking. RESULTS: In 1,216 patients, 146 incident cancers (42 lung and 23 lymphoproliferative cancers) occurred over 10,072 patient-years of follow-up with a median time of 4.6 years from enrollment (cytokine/chemokine measurement) to cancer incidence. In fully adjusted models, CK score was associated with a higher risk of all-site (aHR 1.32, 95% CI 1.01-1.71, p
Databáze: OpenAIRE