大規模コホート研究による稀少がんと生活習慣との関連の検討

2009 Fiscal Year Annual Research Report

• Project/Area Number: 20014026
• Research Institution: Aichi Medical University
• Principal Investigator: 玉腰 暁子 Aichi Medical University, 医学部, 教授 (90236737)
• Co-Investigator(Kenkyū-buntansha): 坂田 清美 岩手医科大学, 医学部, 教授 (50225794) ; 鈴木 康司 藤田保健衛生大学, 医療科学部, 講師 (60288470) ; 坂内 文男 札幌医科大学, 医学部, 准教授 (60325868) ; 藤野 善久 産業医科大学, 医学部, 准教授 (80352326)
• Keywords: コホート研究 / がん / 稀少がん / 死亡 / 危険因子 / 生活習慣

Research Abstract

多施設共同の大規模なコホート研究Japan Collaborative Cohort Study (JACC Study)【1988年から90年に40-79歳の男女約11万人を対象に開始】を用いた解析を進めている。本研究では2006年までの死亡追跡により、各部位の死亡者数は、食道がん218例、卵巣がん81例、腎がん(腎盂も含む)99例、膀胱がん148例、骨髄性白血病101例である。また、2001年までの罹患数は食道がん99例、子宮体がん69例、卵巣がん48例、腎がん79例、甲状腺がん118例、多発性骨髄腫31例などである(罹患把握地域が限定されており、死亡に比べ数が少ない)。今年度は女性に多い甲状腺がんにつき生殖歴との関連を検討したところ、妊娠、出産経験があることは甲状腺がん罹患リスクをそれぞれ0.56、0.52と低下させていたが、統計学的に有意ではなかった。その他、初潮年齢、閉経年齢、初産年齢とは関連を認めなかった。また、以前測定したIGF-1、IGF-2、IGF-BP3、TGF-β1、SOD活性、sFasと各部位がんリスクやがんのリスクとなる生活習慣との関連を網羅的に検討した。その結果、歩行時間の長いものではIGF-1が低く、運動が一部のがんに予防的に働くことを説明している可能性が示唆された。また、アポトーシスと関連するsFas値は喫煙者で非喫煙者より高く、BMIが高値になると上昇することを報告した。このことは、炎症、アポトーシスを通じて、喫煙や肥満ががんリスクと関連していることを示唆している。
今年度はさらに2008年までの死亡情報を追加調査した。現在ベースラインデータと突合作業中であり、さらに来年度中には目標である2009年までの追跡を達成する見込みである。なお、各施設と事務局との情報のやり取りには個人識別情報を外しIDを用いている。

Research Products

• [Journal Article] Reproductive and menstrual factors and thyroid cancer among Japanese women : the Japan Collaborative Cohort Study (2009)
  • Author(s): Pham TM, Fujino Y, Mikami H, Okamoto N, Hoshiyama Y, Tamakoshi A, Matsuda S, Yoshimura T, for the JACC Study Group
  • Journal Title: J Womens Health 18 Pages: 331-5
  • Peer Reviewed
• [Journal Article] Serum adiponectin multimer complexes and liver cancer risk in a large cohort study in Japan (2009)
  • Author(s): Kotani K, Wakai K, Shibata A, Fujita Y, Ogimoto I, Naito M, Kurozawa Y, Suzuki H, Yoshimura T, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S87-90
  • Peer Reviewed
• [Journal Article] Lack of association between serum transforming growth factor-beta 1 and cancer mortality risk in a nested case-control study in Japan (2009)
  • Author(s): Lin Y, Nakachi K, Ito Y, Kikuchi S, Tamakoshi A, Yagyu K, Watanabe Y, Inaba Y, Tajima K, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: 273-8
  • Peer Reviewed
• [Journal Article] Serum soluble Fas levels and superoxide dismutase activity and the risk of death from pancreatic cancer : a nested case- control study within the Japan Collaborative Cohort Study (2009)
  • Author(s): Lin Y, Shogo K, Yagyu K, Ishibashi T, Kurosawa M, Ito Y, Watanabe Y, Inaba Y, Tajima K, Nakachi K, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S81-5
  • Peer Reviewed
• [Journal Article] Associations of food and nutrient intakes with serum IGF-I, IGF-II, IGFBP-3, TGF-β1, total SOD activity and sFas levels among middle-aged Japanese : the Japan Collaborative Cohort Study (2009)
  • Author(s): Maruyama K, Iso H, Ito Y, Watanabe Y, Inaba Y, Tajima K, Nakachi K, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S7-22
  • Peer Reviewed
• [Journal Article] Prostate Cancer Risk in Relation to Insulin-like Growth Factor(IGF)-I and IGF-Binding Protein-3 : A Nested Case-Control Study in Large Scale Cohort Study in Japan (2009)
  • Author(s): Mikami K, Ozasa K, Nakao M, Miki T, Hayashi K, Watanabe Y, Mori M, Sakauchi F, Washio M, Kubo T, Suzuki K, Wakai K, Nakachi K, Tajima K, Ito Y, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S57-61
  • Peer Reviewed
• [Journal Article] Relationship of serum superoxide dismutase activity and lifestyle in healthy Japanese adults (2009)
  • Author(s): Nojima M, Sakauchi F, Mori M, Tamakoshi A, Ito Y, Watanabe Y, Inaba Y, Tajima K, Nakachi K, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S34-40
  • Peer Reviewed
• [Journal Article] Relationship between serum levels of superoxide dismutase activity and subsequent risk of lung cancer mortality : findings from a nested case-control study within the Japan Collaborative Cohort Study (2009)
  • Author(s): Pham T-M, Fujino Y, Ando M, Suzuki K, Nakachi K, Ito Y, Watanabe Y, Inaba Y, Tajima K, Tamakoshi A, Yoshimura T, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S75-9
  • Peer Reviewed
• [Journal Article] Relationship between serum levels of superoxide dismutase activity and subsequent risk of cancer mortality : findings from a nested case-control study within the Japan Collaborative Cohort Study (2009)
  • Author(s): Pham T-M, Fujino Y, Nakachi K, Suzuki K, Ito Y, Watanabe Y, Inaba Y, Tajima K, Tamakoshi A, Yoshimura T, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S69-73
  • Peer Reviewed
• [Journal Article] Serum insulin-like growth factors I and II, insulin-like growth factor binding protein-3 and risk of breast cancer in the Japan Collaborative Cohort Study (2009)
  • Author(s): Sakauchi F, Nojima M, Mori M, Wakai K, Suzuki S, Tamakoshi A, Ito Y, Watanabe Y, Inaba Y, Tajima K, Nakachi K.
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S51-5
  • Peer Reviewed
• [Journal Article] Association of serum retinol and carotenoids with insulin- like growth factors and insulin-like growth factor binding protein-3 among control subjects of a nested case-control study in the Japan Collaborative Cohort Study (2009)
  • Author(s): Suzuki K, Ito Y, Hashimoto S, Kawado M, Inoue T, Ando M, Watanabe Y, Inaba Y, Tajima K, Nakachi K, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S29-35
  • Peer Reviewed
• [Journal Article] Insulin-like growth factor(IGF)-I, IGF-II, IGF binding protein-3, and risk of colorectal cancer : a nested case-control Study in the Japan Collaborative Cohort Study (2009)
  • Author(s): Suzuki S, Kojima M, Tokudome S, Suzuki K, Ozasa K, Ito Y, Inaba Y, Tajima K, Nakachi K, Watanabe Y, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S45-9
  • Peer Reviewed
• [Journal Article] Cigarette smoking and serum soluble Fas levels : findings from the JACC study (2009)
  • Author(s): Tamakoshi A, Suzuki K, Lin Y, Ito Y, Yagyu K, Kikuchi S, Watanabe Y, Inaba Y, Tajima K, Nakachi K, for the JACC Study Group
  • Journal Title: Mutat Res 679 Pages: 79-83
  • Peer Reviewed
• [Journal Article] Relationship of soluble Fas with body mass index in healthy Japanese adults (2009)
  • Author(s): Tamakoshi A, Suzuki K, Lin Y, Ito Y, Yagyu K, Shogo K, Watanabe Y, Inaba Y, Tajima K, Nakachi K, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S41-4
  • Peer Reviewed
• [Journal Article] Time spent walking or exercising and blood levels of insulin- like growth factor-I(IGF-I)and IGF-binding protein-3(IGFBP-3): a large-scale cross-sectional study in the Japan Collaborative Cohort Study (2009)
  • Author(s): Wakai K, Suzuki K, Ito Y, Watanabe Y, Inaba Y, Tajima K, Nakachi K, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S23-7
  • Peer Reviewed
• [Journal Article] Lack of association between risk of biliary tract cancer and circulating IGF(Insulin Growth Factor)-I, IGF-II or IGFBP-3(IGF-binding Protein 3): a nested case-control study in a large scale cohort study in Japan (2009)
  • Author(s): Yagyu K, Shogo K, Lin Y, Ishibashi T, Obata Y, Kurosawa M, Ito Y, Watanabe Y, Inaba Y, Tajima K, Nakachi K, Tamakoshi A, for the JACC Study Group
  • Journal Title: Asian Pac J Cancer Prev 10 Pages: S63-7
  • Peer Reviewed
• [Presentation] 血清TGF-β1値と胆管がん死亡に関するコホート内症例・対照研究 (2009)
  • Author(s): 柳生聖子, 林櫻松, 玉腰暁子, 菊地正悟, 小幡由紀, 矼瑛雄, 黒沢美智子, 稲葉裕, 大規模コホートの運営委員会
  • Organizer: がん予防大会2009愛知
  • Place of Presentation: 名古屋
  • Year and Date: 20090616-20090617
• [Presentation] 肥満と肝臓がんリスクの関連-コホート内症例対照研究による検討 (2009)
  • Author(s): 若井建志, 黒沢洋一, 小谷和彦, 柴田彰, 玉腰暁子
  • Organizer: がん予防大会2009愛知
  • Place of Presentation: 名古屋
  • Year and Date: 20090616-20090617
• [Presentation] Prostate Cancer Risk in Relation to Serum Insulin-like Growth Factor(IGF)-I and IGF-Binding Protein-3 : A Nested Case-Control Study in Japan (2009)
  • Author(s): Mikami K, Ozasa K, Nakao M, Miki T, Hayashi K, Watanabe Y, Mori M, Sakauchi F, Washio M, Kubo T, Ito Y, Suzuki K, Wakai K, Tamakoshi A, for the JACC Study Group
  • Organizer: Annual Meeting of American Urological Association
  • Place of Presentation: Chicago, US
  • Year and Date: 20090425-20090430
• [Remarks]
  • URL: http://www.aichi-med-u.ac.jp/jacc/index.html