Advanced Search
WANG Mengyuan, XU Hengmin, WANG Jingxuan, PAN Kaifeng, LI Wenqing. Mendelian Randomization Analysis of Research on Risk Factors for Gastric Cancer[J]. Cancer Research on Prevention and Treatment, 2023, 50(5): 470-476. DOI: 10.3971/j.issn.1000-8578.2023.22.1411
Citation: WANG Mengyuan, XU Hengmin, WANG Jingxuan, PAN Kaifeng, LI Wenqing. Mendelian Randomization Analysis of Research on Risk Factors for Gastric Cancer[J]. Cancer Research on Prevention and Treatment, 2023, 50(5): 470-476. DOI: 10.3971/j.issn.1000-8578.2023.22.1411

Mendelian Randomization Analysis of Research on Risk Factors for Gastric Cancer

Funding: 

National Natural Science Foundation of China 82273704

More Information
  • Corresponding author:

    LI Wenqing, E-mail: wenqing_li@bjmu.edu.cn

  • Received Date: November 27, 2022
  • Revised Date: January 29, 2023
  • Available Online: January 12, 2024
  • Objective 

    To understand the application and research progress of Mendelian randomization (MR) studies related to gastric cancer and provide a scientific basis for gastric cancer prevention.

    Methods 

    Published studies on risk factors of gastric cancer based on MR methods were searched in PubMed, Web of Science, EMBASE, CNKI, and WANFANG DATA from the establishment of each database to November 19th, 2022. Two researchers examined the eligibility of studies, extracted key information, and assessed the research quality independently.

    Results 

    A total of 30 publications published from 2016 to 2022 were included in the study, and 20 were judged to be of high quality. These studies examined the relationship between behaviors and lifestyle factors, anthropometric characteristics, indicators of biological exposure, and other pathological conditions and gastric cancer, and the results suggest potential causal associations between smoking and other factors and the risk of gastric cancer.

    Conclusion 

    Previous MR studies extensively investigated the causal association between internal and external exposures or traits and gastric cancer and provided positive evidence of gastric cancer etiology. However, MR studies may be subject to methodological limitations. Interpretation of results needs to be approached with caution, which necessitates the integration with biological plausibility and evidence from observation studies.

  • Competing interests: The authors declare that they have no competing interests.

  • [1]
    Li WQ, Zhang JY, Ma JL, et al. Effects of Helicobacter pylori treatment and vitamin and garlic supplementation on gastric cancer incidence and mortality: follow-up of a randomized intervention trial[J]. BMJ, 2019, 366: l5016. http://www.bmj.com/content/366/bmj.l5016
    [2]
    Thrift AP, El-Serag HB. Burden of Gastric Cancer[J]. Clin Gastroenterol Hepatol, 2020, 18(3): 534-542. doi: 10.1016/j.cgh.2019.07.045
    [3]
    Smith GD, Ebrahim S. 'Mendelian randomization': can genetic epidemiology contribute to understanding environmental determinants of disease?[J]. Int J Epidemiol, 2003, 32(1): 1-22. doi: 10.1093/ije/dyg070
    [4]
    毛盈颖, 俞飞, 汪天培, 等. 体脂含量与胃癌发生的孟德尔随机化研究[J]. 浙江中医药大学学报, 2018, 42(5): 333-338. doi: 10.16466/j.issn1005-5509.2018.05.001

    Mao YY, Yu F, Wang TP, et al. Body Fat Percentage and Risk of Gastric Cancer-a Mendelian Randomization Study[J]. Zhejiang Zhong Yi Yao Da Xue Xue Bao, 2018, 42(5): 333-338. doi: 10.16466/j.issn1005-5509.2018.05.001
    [5]
    Larsson SC, Carter P, Kar S, et al. Smoking, alcohol consumption, and cancer: A mendelian randomisation study in UK Biobank and international genetic consortia participants[J]. PLoS Med, 2020, 17(7): e1003178. doi: 10.1371/journal.pmed.1003178
    [6]
    Yuan S, Mason AM, Titova OE, et al. Morning chronotype and digestive tract cancers: Mendelian randomization study[J]. Int J Cancer, 2022, 152(4): 697-704. http://pubmed.ncbi.nlm.nih.gov/35061662/
    [7]
    Titova OE, Michaelsson K, Vithayathil M, et al. Sleep duration and risk of overall and 22 site-specific cancers: A Mendelian randomization study[J]. Int J Cancer, 2021, 148(4): 914-920. doi: 10.1002/ijc.33286
    [8]
    Carter P, Yuan S, Kar S, et al. Coffee consumption and cancer risk: a Mendelian randomisation study[J]. Clin Nutr, 2022, 41(10): 2113-2123. doi: 10.1016/j.clnu.2022.08.019
    [9]
    Wu K, Liu L, Shu T, et al. The relationship between processed meat, red meat, and risk of types of cancer: A Mendelian randomization study[J]. Front Nutr, 2022, 9: 942155. doi: 10.3389/fnut.2022.942155
    [10]
    Vithayathil M, Carter P, Kar S, et al. Body size and composition and risk of site-specific cancers in the UK Biobank and large international consortia: A mendelian randomisation study[J]. PLoS Med, 2021, 18(7): e1003706. doi: 10.1371/journal.pmed.1003706
    [11]
    Mao YY, Yan CW, Lu Q, et al. Genetically predicted high body mass index is associated with increased gastric cancer risk[J]. Eur J Hum Genet, 2017, 25(9): 1061-1066. doi: 10.1038/ejhg.2017.103
    [12]
    Zang ZP, Shao Y, Nakyeyune R, et al. Association of Body Mass Index and the Risk of Gastro-Esophageal Cancer: A Mendelian Randomization Study in a Japanese Population[J]. Nutr Cancer, 2022: 1-10.
    [13]
    Wade KH, Carslake D, Sattar N, et al. BMI and Mortality in UK Biobank: Revised Estimates Using Mendelian Randomization[J]. Obesity(Silver Spring), 2018, 26(11): 1796-1806. http://www.onacademic.com/detail/journal_1000040894364610_c353.html
    [14]
    Jiang H, Hu DJ, Wang J, et al. Adiponectin and the risk of gastrointestinal cancers in East Asians: Mendelian randomization analysis[J]. Cancer Med, 2022, 11(12): 2397-2404. doi: 10.1002/cam4.4735
    [15]
    Song J, Li A, Qian Y, et al. Genetically Predicted Circulating Levels of Cytokines and the Risk of Cancer[J]. Front Immunol, 2022, 13: 886144. doi: 10.3389/fimmu.2022.886144
    [16]
    Gao Y, Wei Y, Zhou X, et al. Assessing the Relationship Between Leukocyte Telomere Length and Cancer Risk/Mortality in UK Biobank and TCGA Datasets With the Genetic Risk Score and Mendelian Randomization Approaches[J]. Front Genet, 2020, 11: 583106. doi: 10.3389/fgene.2020.583106
    [17]
    Yuan S, Kar S, Carter P, et al. Is Type 2 Diabetes Causally Associated With Cancer Risk? Evidence From a Two-Sample Mendelian Randomization Study[J]. Diabetes, 2020, 69(7): 1588-1596. doi: 10.2337/db20-0084
    [18]
    Zhang H, Li D, Liu X, et al. Fasting Insulin and Risk of Overall and 14 Site-Specific Cancers: Evidence From Genetic Data[J]. Front Oncol, 2022, 12: 863340. doi: 10.3389/fonc.2022.863340
    [19]
    Zhu M, Ma Z, Zhang X, et al. C-reactive protein and cancer risk: a pan-cancer study of prospective cohort and Mendelian randomization analysis[J]. BMC Med, 2022, 20(1): 301. doi: 10.1186/s12916-022-02506-x
    [20]
    Wu YL, Xin JY, Loehrer EA, et al. High-density lipoprotein, low-density lipoprotein and triglyceride levels and upper gastrointestinal cancers risk: a trans-ancestry Mendelian randomization study[J]. Eur J Clin Nutr, 2022, 76(7): 995-1002. doi: 10.1038/s41430-022-01078-6
    [21]
    Yuan S, Carter P, Vithayathil M, et al. Genetically predicted circulating B vitamins in relation to digestive system cancers[J]. Br J Cancer, 2021, 124(12): 1997-2003. doi: 10.1038/s41416-021-01383-0
    [22]
    Larsson SC, Mason AM, Vithayathil M, et al. Circulating vitamin C and digestive system cancers: Mendelian randomization study[J]. Clin Nutr, 2022, 41(9): 2031-2035. doi: 10.1016/j.clnu.2022.07.040
    [23]
    Gu D, Zhang M, Wang Y, et al. Causal effect of autoimmune liver diseases on cancer: meta-analyses of cohort studies and Mendelian randomization study[J]. Liver Int, 2022, 42(10): 2216-2226. doi: 10.1111/liv.15355
    [24]
    Kamiza AB, Fatumo S, Singini MG, et al. Hepatitis B infection is causally associated with extrahepatic cancers: A Mendelian randomization study[J]. EBioMedicine, 2022, 79: 104003. doi: 10.1016/j.ebiom.2022.104003
    [25]
    Fadista J, Yakimov V, Võsa  U, et al. Genetic regulation of spermine oxidase activity and cancer risk: a Mendelian randomization study[J]. Sci Rep, 2021, 11(1): 17463. doi: 10.1038/s41598-021-97069-x
    [26]
    Larsson SC, Carter P, Vithayathil M, et al. Insulin-like growth factor-1 and site-specific cancers: A Mendelian randomization study[J]. Cancer Med, 2020, 9(18): 6836-6842. doi: 10.1002/cam4.3345
    [27]
    Larsson SC, Carter P, Vithayathil M, et al. Genetically predicted plasma phospholipid arachidonic acid concentrations and 10 site-specific cancers in UK biobank and genetic consortia participants: A mendelian randomization study[J]. Clin Nutr, 2021, 40(5): 3332-3337. doi: 10.1016/j.clnu.2020.11.004
    [28]
    Larsson SC, Kar S, Perry JRB, et al. Serum Estradiol and 20 Site-Specific Cancers in Women: Mendelian Randomization Study[J]. J Clin Endocrinol Metab, 2022, 107(2): e467-e474. doi: 10.1210/clinem/dgab713
    [29]
    Niu WQ, Pang Q, Lin T, et al. A Causal Role of Genetically Elevated Circulating Interleukin-10 in the Development of Digestive Cancers: Evidence from Mendelian Randomization Analysis Based on 29, 307 Subjects[J]. Medicine(Baltimore), 2016, 95(7): e2799. http://pubmed.ncbi.nlm.nih.gov/26886630/
    [30]
    Wang TP, Ren CL, Ni J, et al. Genetic Association of Plasma Homocysteine Levels with Gastric Cancer Risk: A Two-Sample Mendelian Randomization Study[J]. Cancer Epidemiol Biomarkers Prev, 2020, 29(2): 487-492. doi: 10.1158/1055-9965.EPI-19-0724
    [31]
    Xu W, Cheng YL, Zhu HR. Evaluation of an Association of Blood Homocysteine Levels With Gastric Cancer Risk From 27 Case-Control Studies[J]. Medicine(Baltimore), 2016, 95(20): e3700. http://www.scienceopen.com/document_file/e6cda1e6-d54e-4163-8ff4-6cb5e4e74faf/PubMedCentral/e6cda1e6-d54e-4163-8ff4-6cb5e4e74faf.pdf
    [32]
    Yin L, Yan H, Chen K, et al. Diet-Derived Circulating Antioxidants and Risk of Digestive System Tumors: A Mendelian Randomization Study[J]. Nutrients, 2022, 14(16): 3274. doi: 10.3390/nu14163274
    [33]
    Yuan S, Vithayathil M, Kar S, et al. Assessing the protective role of allergic disease in gastrointestinal tract cancers using Mendelian randomization analysis[J]. Allergy, 2021, 76(5): 1559-1562. doi: 10.1111/all.14616
    [34]
    Skrivankova VW, Richmond RC, Woolf BAR, et al. Strengthening the Reporting of Observational Studies in Epidemiology Using Mendelian Randomization: The STROBE-MR Statement[J]. JAMA, 2021, 326(16): 1614-1621. doi: 10.1001/jama.2021.18236
    [35]
    van de Luitgaarden IAT, van Oort S, Bouman EJ, et al. Alcohol consumption in relation to cardiovascular diseases and mortality: a systematic review of Mendelian randomization studies[J]. Eur J Epidemiol, 2022, 37(7): 655-669. doi: 10.1007/s10654-021-00799-5
    [36]
    Skrivankova VW, Richmond RC, Woolf BAR, et al. Strengthening the reporting of observational studies in epidemiology using mendelian randomisation (STROBE-MR): explanation and elaboration[J]. BMJ, 2021, 375: n2233. http://www.xueshufan.com/publication/3210406414
    [37]
    高雪, 薛付忠, 黄丽红, 等. 孟德尔随机化模型及其规范化应用的统计学共识[J]. 中国卫生统计, 2021, 38(3): 471-475, 480. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202103042.htm

    Gao X, Xue F, Huang L, et al. Statistical consensus on mendelian randomization model and its standardized application[J]. Zhongguo Wei Sheng Tong Ji, 2021, 38(3): 471-475, 480. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202103042.htm
    [38]
    Smith GD. Reflections on the limitations to epidemiology[J]. J Clin Epidemiol, 2001, 54(4): 325-331. doi: 10.1016/S0895-4356(00)00334-6
    [39]
    Nelson CP, Hamby SE, Saleheen D, et al. Genetically determined height and coronary artery disease[J]. N Engl J Med, 2015, 372(17): 1608-1618. doi: 10.1056/NEJMoa1404881
    [40]
    Guo Y, Li ZX, Zhang JY, et al. Association Between Lifestyle Factors, Vitamin and Garlic Supplementation, and Gastric Cancer Outcomes: A Secondary Analysis of a Randomized Clinical Trial[J]. JAMA Netw Open, 2020, 3(6): e206628. doi: 10.1001/jamanetworkopen.2020.6628
    [41]
    Ladeiras-Lopes R, Pereira AK, Nogueira A, et al. Smoking and gastric cancer: systematic review and meta-analysis of cohort studies[J]. Cancer Causes Control, 2008, 19(7): 689-701. doi: 10.1007/s10552-008-9132-y
    [42]
    Turati F, Tramacere I, La Vecchia C, et al. A meta-analysis of body mass index and esophageal and gastric cardia adenocarcinoma[J]. Ann Oncol, 2013, 24(3): 609-617. doi: 10.1093/annonc/mds244
    [43]
    Davey Smith G, Hemani G. Mendelian randomization: genetic anchors for causal inference in epidemiological studies[J]. Hum Mol Genet, 2014, 23(R1): R89-R98. doi: 10.1093/hmg/ddu328
  • Related Articles

    [1]YAO Yuan, YANG Mingze, LI Chen, CHENG Haibo. Causal Relationship Between Colorectal Cancer and Common Psychiatric Disorders: A Two-sample Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2025, 52(6): 496-501. DOI: 10.3971/j.issn.1000-8578.2025.24.1154
    [2]HE Jiawei, CAO Longnyu, TANG Mengyuan, CUI Hongquan. Causal Relationships Between Immune Cells and Risk of Gastric Cancer: A Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2025, 52(2): 172-176. DOI: 10.3971/j.issn.1000-8578.2025.24.0438
    [3]YUAN Chendong, SHU Xufeng, WANG Xiaoqiang, JIE Zhigang. Relationship Between High-Density Lipoprotein Cholesterol and Colorectal Cancer—A Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2024, 51(10): 847-851. DOI: 10.3971/j.issn.1000-8578.2024.24.0153
    [4]GONG Wanli, HOU Yaqi, WANG Yue, LI Yuan, QI Rongxuan, YU Qi, ZHANG Juan. Immune Cell-Mediated Effect of Lipid Profile on Colorectal Cancer: A Two-Step, Two-Sample Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2024, 51(10): 831-839. DOI: 10.3971/j.issn.1000-8578.2024.24.0284
    [5]LIU Jingting, ZHOU Yawei, KONG Lingguo, WANG Qiandan, SU Tianxiong, PEI Jianying, LI Yan. Causal Association Between Immune Cells and Cervical Cancer: A Two-Sample Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2024, 51(9): 772-778. DOI: 10.3971/j.issn.1000-8578.2024.24.0037
    [6]WANG Jiaqi, TANG Wei, HUANG Xiao, FU Deyuan. Causal Association Between Omega-3 Fatty Acids and Risk of Breast Cancer: A Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2024, 51(7): 567-572. DOI: 10.3971/j.issn.1000-8578.2024.23.1053
    [7]WANG Yuanhang, SONG Zhiyuan, LU Ping, ZHANG Min. Analysis of Association Between Immune Cells and Breast Cancer Based on Two-sample Mendelian Randomization Method[J]. Cancer Research on Prevention and Treatment, 2024, 51(5): 348-352. DOI: 10.3971/j.issn.1000-8578.2024.23.1125
    [8]LIU Longjiao, YAO Yufeng. Circulating Inflammatory Proteins in Relation to Risk of Breast Cancer: A Two-sample Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2024, 51(5): 342-347. DOI: 10.3971/j.issn.1000-8578.2024.23.1344
    [9]CHEN Jinguo, WANG Zhishi, HUANG Wei. Casual Association Between Coffee Intake and Prostate Cancer Based on Two-sample Mendel Randomization[J]. Cancer Research on Prevention and Treatment, 2024, 51(1): 49-54. DOI: 10.3971/j.issn.1000-8578.2024.23.0672
    [10]WEI Wei, LIU Ming, XU Jianguo, GAO Ya, SHEN Caiyi, TIAN Jinhui. Causal Relationship Between Acromegaly and Colon Cancer: A Two-sample Mendelian Randomization Study[J]. Cancer Research on Prevention and Treatment, 2023, 50(12): 1209-1213. DOI: 10.3971/j.issn.1000-8578.2023.23.0507
  • Cited by

    Periodical cited type(1)

    1. 许智勇,金安江,马爱民. 世界食品营养学研究文献计量分析. 中国食品学报. 2023(07): 442-454 .

    Other cited types(0)

Catalog

    Figures(3)  /  Tables(3)

    Article views (3066) PDF downloads (1890) Cited by(1)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return