Evidence map›Paper›PMID 40570095›Full record

ArticleJNCI cancer spectrum2025

Lifetime water arsenic, genetic susceptibility, and bladder cancer in the New England Bladder Cancer Study.

Hugo Pomares-Millan, Stella Koutros, Dalsu Baris, Molly Schwenn, Alison Johnson, Nathaniel Rothman, Debra T Silverman, Steven D Leach, Margaret R Karagas, Michael N Passarelli

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Hugo Pomares-MillanDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, Hanover, Lebanon, NH, United States.ORCID 0000-0001-9245-4576
Stella KoutrosDivision of Cancer Epidemiology and Genetics, National Cancer Institute, US National Institutes of Health, Bethesda, MD, United States.ORCID 0000-0001-5294-5485
Dalsu BarisDivision of Cancer Epidemiology and Genetics, National Cancer Institute, US National Institutes of Health, Bethesda, MD, United States.ORCID 0009-0001-6520-9249
Molly SchwennFormerly Maine Cancer Registry, Augusta, ME, United States.
Alison JohnsonFormerly Vermont Department of Health, Burlington, VT, United States.ORCID 0000-0002-1113-1191
Nathaniel RothmanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, US National Institutes of Health, Bethesda, MD, United States.
Debra T SilvermanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, US National Institutes of Health, Bethesda, MD, United States.
Steven D LeachDartmouth Cancer Center, Dartmouth College, Hanover, NH, United States.
Margaret R KaragasDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, Hanover, Lebanon, NH, United States.
Michael N PassarelliDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, Hanover, Lebanon, NH, United States.ORCID 0000-0002-6804-2528

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
VARIATION IN BIOACCUMULATION AND BIOMAGNIFICATION OF METALS IN NORTHERN US LAKESP42ES007373 · NIEHS · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA · 1995 to 2019
$52.0M
Relation Between In-utero Vitamin D and Immune Function in Early Childhood P20GM104416 · NIGMS · DARTMOUTH COLLEGE · PI SALAS DIAZ, LUCAS A · 2013 to 2022
$23.7M
INVESTIGATIONS OF ENVIRONMENTAL EXPOSURES AND CANCERZ01CP010125 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI CANTOR, KENNETH · 1996 to 2008
$108k
Intramural NIH HHS Z01 CP010125NCI NIH HHS CP010125-24NCI NIH HHS P30 CA023108NIEHS NIH HHS P42 ES007373NIGMS NIH HHS P20 GM104416NIH HHSNIH HHS P20GM104416NIH HHS P42ES007373
6 · The paper itself

Abstract

backgroundExposure to arsenic in drinking water may interact with common genetic variants in urinary bladder cancer risk.

methodsWe conducted a gene-environment interaction analysis among 1091 bladder cancer cases and 928 controls from the New England Bladder Cancer Study. Genetic variants tested as effect modifiers included those associated with bladder cancer and arsenic metabolism. Interactions with disease-specific polygenic scores and a genome-wide gene-environment interaction analysis were also conducted. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated with average arsenic concentration (µg/L), average daily arsenic (µg/day), and cumulative arsenic (mg) in water as exposures.

resultsMultiplicative interactions for bladder cancer risk were identified for cumulative arsenic and rs1046428 of GSTZ1 on 14q23 (TT and TC genotype: ORT3vsT1 = 1.44, 95% CI = 1.05 to 1.98; Pinteraction  = .01) and for average daily arsenic and rs1801133 (C677T) and rs1801131 (A1298C) of MTHFR on 1p36 (TT and TC genotypes: ORT3vsT1 = 1.53, 95% CI = 1.06 to 2.23; Pinteraction  = .02; CC and CA genotype: ORT3vsT1 = 1.63, 95% CI = 1.16 to 2.29; Pinteraction  =.01, respectively). A global interaction between arsenic exposure and polygenic scores was also observed (ORT3vsT1 = 1.80, 95% CI = 1.26 to 2.56; Pinteraction  =. 01). Genome-wide gene-environment interaction analyses suggested interactions with 5 loci with a Pinteraction of no more than 5e-6.

conclusionsGenetic variants that function in arsenic metabolism involving folate and oxidative stress pathways and a global summary of genetic susceptibility to bladder cancer may modify the association between elevated arsenic exposure from drinking water and bladder cancer.

Indexed as

ArsenicDrinking WaterGene-Environment InteractionGenetic Predisposition to DiseaseUrinary Bladder NeoplasmsWater Pollutants, ChemicalAgedCase-Control StudiesFemaleGenome-Wide Association StudyGlutathione TransferaseHumansMaleMethylenetetrahydrofolate Reductase (NADPH2)Middle AgedNew EnglandArsenicDrinking WaterGlutathione TransferaseMethylenetetrahydrofolate Reductase (NADPH2)Water Pollutants, Chemical

Identifiers

PMID40570095
PMCPMC12249215

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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.