Evidence map›Paper›PMID 29788239›Full record

ArticleJournal of the National Cancer Institute2018

Circulating Selenium and Prostate Cancer Risk: A Mendelian Randomization Analysis.

James Yarmolinsky, Carolina Bonilla, Philip C Haycock, Ryan J Q Langdon, Luca A Lotta, Claudia Langenberg, Caroline L Relton, Sarah J Lewis, David M Evans, PRACTICAL Consortium and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

James YarmolinskyMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Carolina BonillaMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Philip C HaycockMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Ryan J Q LangdonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Luca A LottaMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Claudia LangenbergMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Caroline L ReltonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Sarah J LewisMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
David M EvansMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
PRACTICAL Consortium
George Davey SmithMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Richard M MartinMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
MRC Epidemiology Unit · GBUniversity of Bristol · GBUniversity of Cambridge · GB

Funding

PCPT and SELECT cohorts: Core Infrastructure Support for Cancer Research UM1CA182883 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI TANGEN, CATHERINE M., THOMPSON, IAN M. · 2013 to 2017
$5.2M
Cancer Research UK 19169Cancer Research UK C18281/A19169Cancer Research UK C18281/A20988Cancer Research UK C52724/A20138Medical Research Council MC_UU_12013/1Medical Research Council MC_UU_12013/2Medical Research Council MC_UU_12013/3Medical Research Council MC_UU_12013/4Medical Research Council MC_UU_12015/1NCI NIH HHS UM1 CA182883
6 · The paper itself

Abstract

In the Selenium and Vitamin E Cancer Prevention Trial (SELECT), selenium supplementation (causing a median 114 μg/L increase in circulating selenium) did not lower overall prostate cancer risk, but increased risk of high-grade prostate cancer and type 2 diabetes. Mendelian randomization analysis uses genetic variants to proxy modifiable risk factors and can strengthen causal inference in observational studies. We constructed a genetic instrument comprising 11 single nucleotide polymorphisms robustly (P < 5 × 10-8) associated with circulating selenium in genome-wide association studies. In a Mendelian randomization analysis of 72 729 men in the PRACTICAL Consortium (44 825 case subjects, 27 904 control subjects), 114 μg/L higher genetically elevated circulating selenium was not associated with prostate cancer (odds ratio [OR] = 1.01, 95% confidence interval [CI] = 0.89 to 1.13). In concordance with findings from SELECT, selenium was weakly associated with advanced (including high-grade) prostate cancer (OR = 1.21, 95% CI = 0.98 to 1.49) and type 2 diabetes (OR = 1.18, 95% CI = 0.97 to 1.43; in a type 2 diabetes genome-wide association study meta-analysis with up to 49 266 case subjects and 249 906 control subjects). Our Mendelian randomization analyses do not support a role for selenium supplementation in prostate cancer prevention and suggest that supplementation could have adverse effects on risks of advanced prostate cancer and type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2Genetic Predisposition to DiseaseHumansMaleMendelian Randomization AnalysisOdds RatioPolymorphism, Single NucleotideProstatic NeoplasmsRisk AssessmentRisk FactorsSeleniumSelenium

Identifiers

PMID29788239
PMCPMC6136927
OpenAlexW2950927870

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.