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Prostate cancer prevalence varies among countries, with some regions having higher rates than others. According to the International Agency for Research on Cancer (IARC) and the World Cancer Research Fund International, here is a general overview of prostate cancer prevalence worldwide:
High prevalence: Prostate cancer is most prevalent in developed countries, particularly in North America, Western and Northern Europe, and Australia. For example, the United States, Canada, Sweden, Norway, and the United Kingdom have some of the highest age-standardized incidence rates of prostate cancer globally.
Moderate prevalence: Some regions have moderate rates of prostate cancer, including Eastern and Southern Europe, Central and South America, and parts of Asia, such as Japan and South Korea. In these regions, the prevalence of prostate cancer is lower than in high-prevalence countries but still relatively high compared to the global average.
Low prevalence: Prostate cancer has a lower prevalence in many developing countries, particularly in Africa and Asia. For example, countries like Nigeria, India, and China have relatively low age-standardized incidence rates of prostate cancer.
Prostate cancer incidence and mortality rates differ among various racial and ethnic groups, and these differences may be partly due to genetic variations. Here are some genetic variants associated with prostate cancer that have been found to differ among Asian, Black, and White populations:
8q24 locus: This chromosomal region has been linked to prostate cancer risk, and several single nucleotide polymorphisms (SNPs) in this region have been associated with the disease. The risk associated with these SNPs varies among different populations, with a higher risk observed in individuals of African descent compared to those of European and Asian ancestry.
17q12 locus: The HNF1B gene located at the 17q12 locus has been found to have a strong association with prostate cancer risk. Studies have shown that the risk alleles at this locus are more common in individuals of European and Asian descent than in those of African descent.
17q24 locus: The 17q24 locus contains the SOX9 gene, which plays a role in prostate development. Genetic variants in this region have been associated with prostate cancer risk, and their frequency varies among different populations. The risk alleles are more common in individuals of European descent compared to Asian and African populations.
10q11 locus: The 10q11 locus contains the MSMB gene, which is involved in prostate function. Genetic variants in this region have been associated with prostate cancer risk, and their frequency differs among various populations. The risk alleles are more common in individuals of European descent than in those of Asian or African descent.
These differences in genetic variants among racial and ethnic groups might partly explain the observed differences in prostate cancer incidence and outcomes. However, it is important to note that environmental factors, lifestyle, and access to healthcare also contribute to these differences. Further research is needed to fully understand the complex interplay of genetics, environment, and other factors in prostate cancer risk and outcomes.
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