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Autoimmune diseases and immunosuppressive therapy in relation to the risk of glioma
Anssar, Tareq M., Leitzmann, Michael F., Linker, Ralf A., Meier, Christoph, Becker, Claudia, Jick, Susan, Sahm, Katharina, Platten, Michael
, Hau, Peter and Seliger, Corinna
(2019)
Autoimmune diseases and immunosuppressive therapy in relation to the risk of glioma.
Cancer Medicine 9 (3), pp. 1263-1275.
Date of publication of this fulltext: 09 Apr 2020 16:47
Article
DOI to cite this document: 10.5283/epub.43057
Abstract
Effectors from the immune system can modulate the course and possibly the early development of gliomas. We, therefore, hypothesized that autoimmune diseases associated with increased immune-surveillance may also modulate the risk of human glioma. To test this hypothesis, we used data from the well-validated Clinical Practice Research Datalink (CPRD) GOLD from the UK to analyze the association of ...
Effectors from the immune system can modulate the course and possibly the early development of gliomas. We, therefore, hypothesized that autoimmune diseases associated with increased immune-surveillance may also modulate the risk of human glioma. To test this hypothesis, we used data from the well-validated Clinical Practice Research Datalink (CPRD) GOLD from the UK to analyze the association of immune-related disorders or use of immunosuppressive drugs and the risk of glioma. We identified 3112 incident glioma cases diagnosed between 1995 and 2017. We randomly selected up to 10 controls, matching them to glioma cases on age, sex, index date, general practice, and number of years of active history in the database prior to the index date. We performed conditional logistic regression analyses to estimate Odds Ratios (ORs) of glioma among those exposed to allergies, autoimmune diseases, and immunosuppressive drugs. Overall, we found no materially altered association between a history of any autoimmune disease (OR 0.98, 95% CI 0.86-1.11), allergy (OR 0.97, 95% CI 0.89-1.05), or use of immunosuppressive drugs and the risk of glioma. However, subgroup analyses among younger patients found a statistically significant increased risk of glioma in patients with a history of inflammatory bowel disease (IBD) (OR 2.59, 95% CI 1.31-5.12). There was also an inverse association between asthma and risk of glioma in patients with longer survival (OR 0.73, 95% CI 0.58-0.91) and between long-term duration diabetes and risk of glioma (OR 0.71, 95% CI 0.53-0.96).
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| Item type | Article | ||||
| Journal or Publication Title | Cancer Medicine | ||||
| Publisher: | Wiley | ||||
|---|---|---|---|---|---|
| Open Access Type: | DEAL (Wiley Gold) | ||||
| Place of Publication: | HOBOKEN | ||||
| Volume: | 9 | ||||
| Number of Issue or Book Chapter: | 3 | ||||
| Page Range: | pp. 1263-1275 | ||||
| Date | 10 December 2019 | ||||
| Institutions | Medicine > Lehrstuhl für Neurologie Medicine > Institut für Epidemiologie und Präventivmedizin | ||||
| Identification Number |
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| Keywords | REGULATORY T-CELLS; BRAIN-TUMORS; ALLERGIC CONDITIONS; TRANSPLANT RECIPIENTS; IMMUNOGLOBULIN-E; IGE LEVELS; CANCER; GLIOBLASTOMA; MENINGIOMA; MICROBIOTA; autoimmune diseases; glioma; immunosuppressive therapies | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-430575 | ||||
| Item ID | 43057 |
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