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Anssar, Tareq M. ; Leitzmann, Michael F. ; Linker, Ralf A. ; Meier, Christoph ; Becker, Claudia ; Jick, Susan ; Sahm, Katharina ; Platten, Michael ; Hau, Peter ; Seliger, Corinna

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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Details

Item typeArticle
Journal or Publication TitleCancer 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
Date10 December 2019
InstitutionsMedicine > Lehrstuhl für Neurologie
Medicine > Institut für Epidemiologie und Präventivmedizin
Identification Number
ValueType
10.1002/cam4.2767DOI
KeywordsREGULATORY T-CELLS; BRAIN-TUMORS; ALLERGIC CONDITIONS; TRANSPLANT RECIPIENTS; IMMUNOGLOBULIN-E; IGE LEVELS; CANCER; GLIOBLASTOMA; MENINGIOMA; MICROBIOTA; autoimmune diseases; glioma; immunosuppressive therapies
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-430575
Item ID43057

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