Inverse association of eosinophil count with colorectal cancer incidence

Atherosclerosis Risk in Communities study

Anna E. Prizment, Kristin E. Anderson, Kala Visvanathan, Aaron R. Folsom

Research output: Contribution to journalArticle

Abstract

Background: Allergic conditions are associated with reduced risk of several malignancies. We hypothesized that blood eosinophil count, a marker for allergic disorders, is inversely associated with the risk of colorectal cancer (CRC) in the Atherosclerosis Risk in Communities prospective cohort. To our knowledge, the association between blood eosinophil count and cancer risk has not been investigated before. Methods: Relative eosinophil and total leukocyte counts were measured in blood at baseline. Absolute eosinophil counts were calculated by multiplying relative count by the total leukocyte count. Proportional hazards regression provided HRs and 95% CIs of CRC in relation to eosinophil count. Results: From 1987-2006, 242 incident CRC cases (187 colon and 56 rectal) occurred in 10,675 initially cancer-free participants. In a multivariate-adjusted model, HRs were 1.0, 0.70 (95% CI: 0.50-0.98) and 0.58 (95% CI: 0.40-0.83) across tertiles of absolute eosinophil count (P trend = 0.003). A similar inverse association was observed for relative eosinophil count. Age, sex, race, or smoking status did not modify associations. Conclusions and Impact: We observed an inverse association between blood eosinophil count and CRC risk. This novel finding supports the hypothesis that allergies are protective for CRC, as an increased eosinophil count correlates with allergy in the developed world.

Original languageEnglish (US)
Pages (from-to)1861-1864
Number of pages4
JournalCancer Epidemiology Biomarkers and Prevention
Volume20
Issue number9
DOIs
StatePublished - Sep 2011

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Eosinophils
Colorectal Neoplasms
Atherosclerosis
Incidence
Leukocyte Count
Hypersensitivity
Neoplasms
Colon
Smoking

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Inverse association of eosinophil count with colorectal cancer incidence : Atherosclerosis Risk in Communities study. / Prizment, Anna E.; Anderson, Kristin E.; Visvanathan, Kala; Folsom, Aaron R.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 20, No. 9, 09.2011, p. 1861-1864.

Research output: Contribution to journalArticle

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abstract = "Background: Allergic conditions are associated with reduced risk of several malignancies. We hypothesized that blood eosinophil count, a marker for allergic disorders, is inversely associated with the risk of colorectal cancer (CRC) in the Atherosclerosis Risk in Communities prospective cohort. To our knowledge, the association between blood eosinophil count and cancer risk has not been investigated before. Methods: Relative eosinophil and total leukocyte counts were measured in blood at baseline. Absolute eosinophil counts were calculated by multiplying relative count by the total leukocyte count. Proportional hazards regression provided HRs and 95{\%} CIs of CRC in relation to eosinophil count. Results: From 1987-2006, 242 incident CRC cases (187 colon and 56 rectal) occurred in 10,675 initially cancer-free participants. In a multivariate-adjusted model, HRs were 1.0, 0.70 (95{\%} CI: 0.50-0.98) and 0.58 (95{\%} CI: 0.40-0.83) across tertiles of absolute eosinophil count (P trend = 0.003). A similar inverse association was observed for relative eosinophil count. Age, sex, race, or smoking status did not modify associations. Conclusions and Impact: We observed an inverse association between blood eosinophil count and CRC risk. This novel finding supports the hypothesis that allergies are protective for CRC, as an increased eosinophil count correlates with allergy in the developed world.",
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