4.5 Article

A Prospective Study of Leukocyte Telomere Length and Risk of Renal Cell Carcinoma

Journal

CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
Volume 22, Issue 5, Pages 997-1000

Publisher

AMER ASSOC CANCER RESEARCH
DOI: 10.1158/1055-9965.EPI-13-0142

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Funding

  1. Division of Cancer Epidemiology and Genetics
  2. Division of Cancer Prevention, National Cancer Institute, NIH, Department of Health and Human Services (DHHS)

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Background: It has been hypothesized that genomic instability related to telomere dysfunction may contribute to carcinogenesis. There is some evidence from case-control studies suggesting that short leukocyte telomere length may be associated with an increased risk of renal cell carcinoma (RCC); however, this association has not been investigated prospectively. Methods: We conducted a nested case-control study (209 cases, 410 controls) of RCC risk in relation to prediagnostic leukocyte telomere length in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial. ORs and 95% confidence intervals (CI) were estimated using conditional logistic regression. Results: Leukocyte telomere length was not significantly associated with future risk of RCC(highest quartile vs. lowest: OR, 0.8; 95% CI, 0.5-1.5; P-trend = 0.6). Analyses stratified by sex, age, and time from blood collection to RCC diagnosis were similarly null. Conclusions: The results of this study, to our knowledge the first prospective investigation of its kind, do not support an association between prediagnostic leukocyte telomere length and risk of RCC. Impact: In contrast to some earlier reports, our findings add to the evidence that leukocyte telomere length is not a biomarker of risk related to the etiology of RCC. (C) 2013 AACR.

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