title: Filaggrin loss-of-function mutations and incident cancer: a population-based study.
abstract: BACKGROUND
  Loss-of-function mutations in the filaggrin gene (FLG) could have opposing effects on cancer risk, as mutations are associated with both 10% higher serum vitamin D levels, which may protect against cancer, and with impaired skin barrier function, which may lead to higher cancer susceptibility.
  
  
  OBJECTIVE
  To investigate the association of the FLG genotype and cancer types in four population-based cohorts.
  
  
  METHODS
  A total of 13,376 individuals were genotyped for FLG mutations. Information on cancer was obtained from the Danish Cancer Registry. Persons with a history of cancer at baseline were excluded from prospective analyses.
  
  
  RESULTS
  There were 1339 incident cancers (median follow-up 11·4 years). The hazard ratios (HRs) and 95% confidence intervals (CIs) for FLG mutation carriers vs. wild types were: for any cancer (HR 0·95, 95% CI 0·78-1·16), any cancer excluding nonmelanoma skin cancer (NMSC) (HR 1·05, 95% CI 0·84-1·31), head and neck cancer (HR 1·72, 95% CI 0·71-4·15), colorectal cancer (HR 0·82, 95% CI 0·44-1·52), bronchus and lung cancer (HR 1·34, 95% CI 0·77-2·33), breast cancer (HR 0·58, 95% CI 0·30-1·14), uterine cancer (HR 0·42, 95% CI 0·06-3·10), prostate cancer (HR 1·09, 95% CI 0·61-1·94), urinary cancer (HR 1·30, 95% CI 0·51-3·29), malignant melanoma (HR 1·03, 95% CI 0·41-2·58) and NMSC (HR 0·70, 95% CI 0·47-1·05). Among participants aged over 60 years at baseline, we found statistically significant lower risks of all cancers and NMSC among FLG mutation carriers.
  
  
  CONCLUSIONS
  The only significant associations between FLG loss-of-function mutations and cancer were in subgroup analyses.
authors.affiliation: Research Centre for Prevention and Health, Glostrup University Hospital, Nordre Ringvej 57, DK-2600, Glostrup, Denmark.
authors.forename: T
authors.initials: T
authors.lastname: Skaaby
authors.forename: L L N
authors.initials: LL
authors.lastname: Husemoen
authors.forename: J P
authors.initials: JP
authors.lastname: Thyssen
authors.forename: M
authors.initials: M
authors.lastname: Meldgaard
authors.forename: B H
authors.initials: BH
authors.lastname: Thuesen
authors.forename: C
authors.initials: C
authors.lastname: Pisinger
authors.forename: T
authors.initials: T
authors.lastname: Jørgensen
authors.forename: K
authors.initials: K
authors.lastname: Carlsen
authors.forename: J D
authors.initials: JD
authors.lastname: Johansen
authors.forename: T
authors.initials: T
authors.lastname: Menné
authors.forename: P B
authors.initials: PB
authors.lastname: Szecsi
authors.forename: S
authors.initials: S
authors.lastname: Stender
authors.forename: A
authors.initials: A
authors.lastname: Linneberg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D000091344:Filaggrin Proteins; D005838:Genotype; D006579:Heterozygote; D006720:Homozygote; D006801:Humans; D007381:Intermediate Filament Proteins / Q000235:genetics*; D008297:Male; D008875:Middle Aged; D009154:Mutation / Q000235:genetics*; D009369:Neoplasms / Q000235:genetics*; D016032:Randomized Controlled Trials as Topic; D055815:Young Adult
chemical_list: C000717249:FLG protein, human; D000091344:Filaggrin Proteins; D007381:Intermediate Filament Proteins