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Evaluating the role of alcohol consumption in breast and ovarian cancer susceptibility using population-based cohort studies and two-sample Mendelian randomization analyses.

Accepted version
Peer-reviewed

Type

Article

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Authors

Derks, Eske M 
Eriksson, Mikael 
An, Jiyuan 
Hwang, Liang-Dar 

Abstract

Alcohol consumption is correlated positively with risk for breast cancer in observational studies, but observational studies are subject to reverse causation and confounding. The association with epithelial ovarian cancer (EOC) is unclear. We performed both observational Cox regression and two-sample Mendelian randomization (MR) analyses using data from various European cohort studies (observational) and publicly available cancer consortia (MR). These estimates were compared to World Cancer Research Fund (WCRF) findings. In our observational analyses, the multivariable-adjusted hazard ratios (HR) for a one standard drink/day increase was 1.06 (95% confidence interval [CI]; 1.04, 1.08) for breast cancer and 1.00 (0.92, 1.08) for EOC, both of which were consistent with previous WCRF findings. MR ORs per genetically predicted one standard drink/day increase estimated via 34 SNPs using MR-PRESSO were 1.00 (0.93, 1.08) for breast cancer and 0.95 (0.85, 1.06) for EOC. Stratification by EOC subtype or estrogen receptor status in breast cancers made no meaningful difference to the results. For breast cancer, the CIs for the genetically derived estimates include the point-estimate from observational studies so are not inconsistent with a small increase in risk. Our data provide additional evidence that alcohol intake is unlikely to have anything other than a very small effect on risk of EOC.

Description

Keywords

Mendelian randomization, alcohol intake, breast cancer, causal inference, ovarian cancer, Alcohol Drinking, Breast Neoplasms, Carcinoma, Ovarian Epithelial, Causality, Cohort Studies, Female, Humans, Mendelian Randomization Analysis, Odds Ratio, Ovarian Neoplasms

Journal Title

Int J Cancer

Conference Name

Journal ISSN

0020-7136
1097-0215

Volume Title

148

Publisher

Wiley

Rights

All rights reserved
Sponsorship
National Cancer Institute (U19CA148065)
Cancer Research UK (10710)
Cancer Research UK (16563)
Cancer Research UK (10118)
European Commission Horizon 2020 (H2020) Societal Challenges (634935)