Evidence map›Paper›PMID 33261611›Full record

ArticleBMC medicine2020

Genetically proxied milk consumption and risk of colorectal, bladder, breast, and prostate cancer: a two-sample Mendelian randomization study.

Susanna C Larsson, Amy M Mason, Siddhartha Kar, Mathew Vithayathil, Paul Carter, John A Baron, Karl Michaëlsson, Stephen Burgess

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Susanna C LarssonUnit of Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden. susanna.larsson@ki.se.ORCID 0000-0003-0118-0341
Amy M MasonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Siddhartha KarMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Mathew VithayathilMRC Cancer Unit, University of Cambridge, Cambridge, UK.
Paul CarterDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
John A BaronUnit of Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Karl MichaëlssonUnit of Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Stephen BurgessDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
University of Cambridge · GBUppsala University · SEDartmouth College · USUniversity of Bristol · GB

Funding

Cancer Research UK 19169Cancer Research UK C18281/A19169Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_00002/7Wellcome Trust 204623/Z/16/Z
6 · The paper itself

Abstract

backgroundObservational studies have shown that milk consumption is inversely associated with colorectal, bladder, and breast cancer risk, but positively associated with prostate cancer. However, whether the associations reflect causality remains debatable. We investigated the potential causal associations of milk consumption with the risk of colorectal, bladder, breast, and prostate cancer using a genetic variant near the LCT gene as proxy for milk consumption.

methodsWe obtained genetic association estimates for cancer from the UK Biobank (n = 367,643 women and men), FinnGen consortium (n = 135,638 women and men), Breast Cancer Association Consortium (n = 228,951 women), and Prostate Cancer Association Group to Investigate Cancer Associated Alterations in the Genome consortium (n = 140,254 men). Milk consumption was proxied by a genetic variant (rs4988235 or rs182549) upstream of the gene encoding lactase, which catalyzes the breakdown of lactose.

resultsGenetically proxied milk consumption was associated with a reduced risk of colorectal cancer. The odds ratio (OR) for each additional milk intake increasing allele was 0.95 (95% confidence interval [CI] 0.91-0.99; P = 0.009). There was no overall association of genetically predicted milk consumption with bladder (OR 0.99; 95% CI 0.94-1.05; P = 0.836), breast (OR 1.01; 95% CI 1.00-1.02; P = 0.113), and prostate cancer (OR 1.01; 95% CI 0.99-1.02; P = 0.389), but a positive association with prostate cancer was observed in the FinnGen consortium (OR 1.07; 95% CI 1.01-1.13; P = 0.026).

conclusionsOur findings strengthen the evidence for a protective role of milk consumption on colorectal cancer risk. There was no or limited evidence that milk consumption affects the risk of bladder, breast, and prostate cancer.

Indexed as

AnimalsBreast NeoplasmsColorectal NeoplasmsFemaleGenetic VariationHumansMaleMendelian Randomization AnalysisMilkProstatic NeoplasmsRisk FactorsUnited KingdomUrinary Bladder NeoplasmsCancerGenetic variantsMendelian randomizationMilk consumptionNeoplasm

Identifiers

PMID33261611
PMCPMC7709312
OpenAlexW3108170018

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Registered trials

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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.