{"id":5157,"date":"2025-05-08T11:14:24","date_gmt":"2025-05-08T11:14:24","guid":{"rendered":"https:\/\/haber360.com\/index.php\/2025\/05\/08\/psoriasis-ve-33-kanser-turu-arasindaki-iliski\/"},"modified":"2025-05-08T11:14:24","modified_gmt":"2025-05-08T11:14:24","slug":"psoriasis-ve-33-kanser-turu-arasindaki-iliski","status":"publish","type":"post","link":"https:\/\/haber360.com\/index.php\/2025\/05\/08\/psoriasis-ve-33-kanser-turu-arasindaki-iliski\/","title":{"rendered":"Psoriasis ve 33 Kanser T\u00fcr\u00fc Aras\u0131ndaki \u0130li\u015fki"},"content":{"rendered":"<p>Mendelian randomizasyon y\u00f6ntemiyle yap\u0131lan yeni bir \u00e7al\u0131\u015fma, kronik inflamatuvar deri hastal\u0131\u011f\u0131 sedef hastal\u0131\u011f\u0131n\u0131n genetik yap\u0131s\u0131n\u0131n, 33 farkl\u0131 kanser t\u00fcr\u00fcne kar\u015f\u0131 olan etkilerini ortaya koydu. B\u00fcy\u00fck \u00f6l\u00e7ekli genetik veri setlerinin kullan\u0131ld\u0131\u011f\u0131 bu \u00e7al\u0131\u015fma, sedef hastal\u0131\u011f\u0131 ile kanser geli\u015fimi aras\u0131ndaki karma\u015f\u0131k ili\u015fkilere yeni bir bak\u0131\u015f a\u00e7\u0131s\u0131 getirirken, baz\u0131 kanser t\u00fcrlerine kar\u015f\u0131 potansiyel koruyucu etkileri g\u00fcndeme ta\u015f\u0131d\u0131. Bu, kronik inflamasyon hastal\u0131klar\u0131 ile kanser geli\u015fimi aras\u0131ndaki neden-sonu\u00e7 ili\u015fkilerinin ayd\u0131nlat\u0131lmas\u0131na y\u00f6nelik \u00f6nemli bir ad\u0131m olarak de\u011ferlendiriliyor.  <\/p>\n<p>Sedef hastal\u0131\u011f\u0131, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin a\u015f\u0131r\u0131 aktifle\u015ftirilmesi sonucunda ortaya \u00e7\u0131kan kronik bir hastal\u0131k olup, ciltte kal\u0131c\u0131 iltihaplanmay\u0131 tetikler. Daha \u00f6nce yap\u0131lan epidemiyolojik ara\u015ft\u0131rmalarda sedef hastal\u0131\u011f\u0131n\u0131n \u00e7e\u015fitli kanser t\u00fcrleri i\u00e7in risk fakt\u00f6r\u00fc olu\u015fturdu\u011fu belirtilmi\u015f olsa da bu bulgular, bir\u00e7ok d\u0131\u015f etkenin etkisi alt\u0131nda kalmak ve ters nedensellik problemi ya\u015famak gibi nedenlerle kesin nedensel ili\u015fkiyi g\u00f6sterememi\u015ftir. Bu zorluklar\u0131 a\u015fmak i\u00e7in Liu ve ekibi, genetik varyantlar\u0131n nedenselli\u011fi yorumlamak i\u00e7in kullan\u0131ld\u0131\u011f\u0131 Mendelian randomization (MR) y\u00f6ntemine ba\u015fvurdu.  <\/p>\n<p>Ara\u015ft\u0131rmac\u0131lar, \u00f6ncelikle sedef hastal\u0131\u011f\u0131yla g\u00fc\u00e7l\u00fc bir \u015fekilde ili\u015fkili olan 49 ba\u011f\u0131ms\u0131z tek n\u00fckleotid polimorfizmini (SNP) belirledi. Bu genetik belirte\u00e7ler, sedef hastal\u0131\u011f\u0131na yatk\u0131nl\u0131\u011f\u0131n \u00f6m\u00fcr boyu genetik yans\u0131malar\u0131n\u0131 temsil ederek, \u00e7al\u0131\u015fmada sedef hastal\u0131\u011f\u0131 maruziyetinin etkilerini izole etti. Kanser verileri ise 500 bini a\u015fk\u0131n kat\u0131l\u0131mc\u0131y\u0131 i\u00e7eren FinnGen konsorsiyumu, 420 binden fazla ki\u015fiyi kapsayan UK Biobank ve di\u011fer b\u00fcy\u00fck kanser kohortlar\u0131 gibi geni\u015f \u00e7apl\u0131 GWAS veri setlerinden topland\u0131.  <\/p>\n<p>Analizlerde a\u011f\u0131rl\u0131kl\u0131 ters varyans y\u00f6ntemi (IVW) kullan\u0131larak sedef hastal\u0131\u011f\u0131n\u0131n genetik yatk\u0131nl\u0131\u011f\u0131n\u0131n her bir kanser tipiyle ili\u015fkisinin derinlemesine incelenmesi sa\u011fland\u0131. Sonras\u0131nda farkl\u0131 veri kaynaklar\u0131ndan elde edilen sonu\u00e7lar meta-analiz yoluyla birle\u015ftirilerek istatistiksel g\u00fcc\u00fc art\u0131rd\u0131 ve genetik anlamda sedef hastal\u0131\u011f\u0131 ile 33 \u00e7e\u015fit kanser riski aras\u0131ndaki ba\u011flant\u0131lar ayr\u0131nt\u0131l\u0131 \u015fekilde de\u011ferlendirildi.  <\/p>\n<p>En ilgin\u00e7 bulgulardan biri, sedef hastal\u0131\u011f\u0131 genetik riskinin rahim i\u00e7i kanseri ve prostat kanserine kar\u015f\u0131 hafif koruyucu etki g\u00f6stermesiydi. UK Biobank verilerinde, sedef hastal\u0131\u011f\u0131 ile ili\u015fkili genetik varyantlar rahim i\u00e7i kanseri riskinde nispeten azalma ile ili\u015fkilendirildi. Benzer \u015fekilde, FinnGen konsorsiyumu ve ba\u011f\u0131ms\u0131z bir b\u00fcy\u00fck kanser veri setinde prostata y\u00f6nelik koruyucu genetik ba\u011flant\u0131lar tespit edildi. Bu sonu\u00e7lar, hormonal olarak etkilenebilen bu kanser t\u00fcrlerinde imm\u00fcn genetik mekanizmalar\u0131n rol oynayabilece\u011fini i\u015faret ediyor.  <\/p>\n<p>Bunun aksine, kolon ve vulva kanserlerinde sedef hastal\u0131\u011f\u0131 ile risk ili\u015fkileri \u00fczerinde tutars\u0131zl\u0131klar g\u00f6r\u00fcld\u00fc. UK Biobank verisi kolon kanserinde risk art\u0131\u015f\u0131 \u00f6ng\u00f6r\u00fcrken, FinnGen verisinde vulva kanseri i\u00e7in artan risk g\u00f6zlendi. Ancak meta-analiz a\u015famas\u0131nda bu ili\u015fkiler istatistiksel olarak tutars\u0131zl\u0131k g\u00f6sterdi ve pop\u00fclasyonlararas\u0131 farkl\u0131l\u0131klar\u0131n bu kanserlerde rol oynad\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcld\u00fc.  <\/p>\n<p>Di\u011fer 29 kanser t\u00fcr\u00fc i\u00e7in ise sedef hastal\u0131\u011f\u0131 genetik riskini belirten SNP\u2019ler ile anlaml\u0131 bir ili\u015fki saptanmad\u0131. Bu sonu\u00e7, sedef hastal\u0131\u011f\u0131n\u0131n t\u00fcm kanserlere y\u00f6nelik yayg\u0131n bir risk olu\u015fturmak yerine spesifik baz\u0131 kanser t\u00fcrlerinde genetik mekanizmalarla etkile\u015fim i\u00e7inde oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcr\u00fcyor. B\u00f6ylece kronik inflamasyonun sistematik etkilerinin kanser riskini genel olarak art\u0131rd\u0131\u011f\u0131n\u0131 varsayan geleneksel g\u00f6r\u00fc\u015fler sorgulanm\u0131\u015f oldu.  <\/p>\n<p>Bu \u00f6zg\u00fcn genetik korelasyonlar\u0131n alt\u0131nda, sedef hastal\u0131\u011f\u0131nda bask\u0131n olan ba\u011f\u0131\u015f\u0131kl\u0131k sistemi yollar\u0131n\u0131n, t\u00fcm\u00f6r olu\u015fumuna kar\u015f\u0131 koruyucu imm\u00fcn izlemi geli\u015ftirebildi\u011fi hipotezi yat\u0131yor. \u00d6zellikle rahim ve prostat kanserlerinde hormonal \u00e7evre ile ba\u011flant\u0131l\u0131 imm\u00fcn cevaplar\u0131n rol\u00fc merak konusu. Gelecekte molek\u00fcler d\u00fczeyde yap\u0131lacak detayl\u0131 fonksiyonel \u00e7al\u0131\u015fmalar, bu protektif etkilerin biyolojik temelini ayd\u0131nlatacakt\u0131r.  <\/p>\n<p>\u00c7al\u0131\u015fma, genetik epidemiyoloji alan\u0131ndaki ilerlemelerin hastal\u0131klar aras\u0131 karma\u015f\u0131k ili\u015fkilerin anla\u015f\u0131lmas\u0131nda yeni ufuklar a\u00e7t\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Geni\u015f biyobank veri setleri ve geli\u015fmi\u015f istatistiksel genetik y\u00f6ntemleri sayesinde sedef hastal\u0131\u011f\u0131 ile kanser aras\u0131ndaki ili\u015fki g\u00f6zlemsel \u00e7al\u0131\u015fmalardan daha ileri, nedensel \u00e7\u0131kar\u0131mlar ile incelenebiliyor. Bu da ki\u015fiye \u00f6zel t\u0131p uygulamalar\u0131nda risk tahminlerinin daha hassas hale gelmesini sa\u011flayacak.  <\/p>\n<p>Klinik a\u00e7\u0131dan bak\u0131ld\u0131\u011f\u0131nda, sedef hastalar\u0131n\u0131n kanser tarama ve \u00f6nleme stratejilerinin de\u011ferlendirilmesinde yeni perspektifler sunuluyor. \u00d6zellikle rahim ve prostat kanserleri a\u00e7\u0131s\u0131ndan hafif koruyucu genetik sinyaller saptanmas\u0131, izlemin ve y\u00f6netimin ki\u015fiselle\u015ftirilmesi i\u00e7in ipu\u00e7lar\u0131 verebilir. Ayr\u0131ca, hem dermatoloji hem onkoloji alanlar\u0131na hitap eden ba\u011f\u0131\u015f\u0131kl\u0131k merkezli tedavi hedefleri geli\u015ftirilmesi i\u00e7in yeni kap\u0131lar aralayabilir.  <\/p>\n<p>Elbette sonu\u00e7lar\u0131n yorumlanmas\u0131nda temkinli olunmas\u0131 gerekiyor. Bulgular\u0131n etki b\u00fcy\u00fckl\u00fcklerinin d\u00fc\u015f\u00fck olmas\u0131 ve \u00e7al\u0131\u015fman\u0131n do\u011frudan klinik fenotip yerine genetik g\u00f6stergelere dayanmas\u0131, daha fazla ba\u011f\u0131ms\u0131z pop\u00fclasyonda tekrarlanmas\u0131n\u0131 zorunlu k\u0131l\u0131yor. Farkl\u0131 etnik k\u00f6kenlerde yap\u0131lacak \u00e7al\u0131\u015fmalar ve mekanistik verilerle desteklenerek, translasyonel uygulamalara temel haz\u0131rlanmal\u0131.  <\/p>\n<p>Liu ve arkada\u015flar\u0131n\u0131n yapt\u0131\u011f\u0131 bu \u00f6nc\u00fc Mendelian randomizasyon ara\u015ft\u0131rmas\u0131, sedef hastal\u0131\u011f\u0131 ile kanser aras\u0131ndaki karma\u015f\u0131k etkile\u015fim a\u011f\u0131n\u0131 \u00e7\u00f6zmede anlaml\u0131 ilerleme kaydetti. Kronik inflamasyonun kanser geli\u015fimini do\u011frudan tetikledi\u011fi basit modellerin yerine, genetik ve ba\u011f\u0131\u015f\u0131kl\u0131k temelli koruyucu mekanizmalar\u0131n rol oynayabilece\u011fi daha karma\u015f\u0131k ve ba\u011flama \u00f6zg\u00fc yakla\u015f\u0131mlar\u0131n geli\u015ftirilmesini te\u015fvik ediyor.  <\/p>\n<p>Gelecekte, Mendelian randomizasyon ve \u00e7oklu -omik verilerin entegrasyonuyla imm\u00fcn arac\u0131l\u0131 hastal\u0131klar\u0131n kanser seyrini nas\u0131l etkiledi\u011finin kesinle\u015fmesi bekleniyor. Bu \u00e7al\u0131\u015fma, insan hastal\u0131k biyolojisinin ne kadar ge\u00e7irgen ve n\u00fcansl\u0131 oldu\u011funu g\u00f6zler \u00f6n\u00fcne sererken, ki\u015fiselle\u015ftirilmi\u015f t\u0131p ve \u00f6nleyici stratejileri geli\u015ftirirken genetik temelli yakla\u015f\u0131mlar\u0131n \u00f6nemini vurguluyor. Sonu\u00e7 olarak, bu t\u00fcr bulgular, tedavi ve risk y\u00f6netimini hastaya \u00f6zg\u00fc optimize etmeye ve do\u011fan\u0131n genetik varyasyonlar\u0131ndan faydalanmaya y\u00f6nelik yeni ufuklar a\u00e7\u0131yor.  <\/p>\n<p><strong>Ara\u015ft\u0131rma Konusu<\/strong>:<br \/>\nPsoriasis hastal\u0131\u011f\u0131 ile 33 ortak kanser t\u00fcr\u00fc aras\u0131ndaki genetik ili\u015fki ve neden-sonu\u00e7 ba\u011flant\u0131lar\u0131n\u0131n Mendelian randomization y\u00f6ntemiyle incelenmesi.  <\/p>\n<p><strong>Makale Ba\u015fl\u0131\u011f\u0131<\/strong>:<br \/>\nAssociations between psoriasis and risk of 33 cancers: a Mendelian randomization study  <\/p>\n<p><strong>Web References<\/strong>:<br \/>\nhttps:\/\/doi.org\/10.1186\/s12885-025-14243-4  <\/p>\n<p><strong>Doi Referans<\/strong>:<br \/>\nhttps:\/\/doi.org\/10.1186\/s12885-025-14243-4  <\/p>\n<p><strong>Resim Credits<\/strong>:<br \/>\nScienmag.com  <\/p>\n<p><strong>Anahtar Kelimeler<\/strong>:<br \/>\npsoriasis, genetik varyantlar, kanser riski, Mendelian randomizasyon, kronik inflamasyon, GWAS, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi, prostat kanseri, rahim i\u00e7i kanseri, cilt hastal\u0131klar\u0131 ve kanser ili\u015fkisi<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mendelian randomizasyon y\u00f6ntemiyle yap\u0131lan yeni bir \u00e7al\u0131\u015fma, kronik inflamatuvar deri hastal\u0131\u011f\u0131 sedef hastal\u0131\u011f\u0131n\u0131n genetik yap\u0131s\u0131n\u0131n, 33 farkl\u0131 kanser t\u00fcr\u00fcne kar\u015f\u0131 olan etkilerini ortaya koydu. B\u00fcy\u00fck \u00f6l\u00e7ekli genetik veri setlerinin kullan\u0131ld\u0131\u011f\u0131 bu \u00e7al\u0131\u015fma, sedef hastal\u0131\u011f\u0131 ile kanser geli\u015fimi aras\u0131ndaki karma\u015f\u0131k ili\u015fkilere yeni bir bak\u0131\u015f a\u00e7\u0131s\u0131 getirirken, baz\u0131 kanser t\u00fcrlerine kar\u015f\u0131 potansiyel koruyucu etkileri g\u00fcndeme ta\u015f\u0131d\u0131. Bu,&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_yoast_wpseo_focuskw":"","rank_math_title":"","rank_math_description":"","rank_math_focus_keyword":"","_wpan_schema_json_ld":"","_wpan_ai_seo_metadata":"","_wpan_ai_seo_status":"","_wpan_ai_seo_policy":"","_wpan_ai_seo_faq_block":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[28],"tags":[6292,6290,6288,6291,6289],"tmauthors":[],"class_list":{"0":"post-5157","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-kanser","8":"tag-buyuk-olcekli-genetik-veri-analizleri-ile-kanser-risk-degerlendirmesi","9":"tag-kronik-inflamasyon-ve-kanser-gelisimi","10":"tag-mendelian-randomizasyon-ile-sedef-hastaligi-ve-kanser-iliskisi","11":"tag-sedef-hastaligina-bagli-rahim-ici-kanseri-koruyucu-etkisi","12":"tag-sedef-hastaliginin-genetik-risk-faktorleri"},"jetpack_featured_media_url":"https:\/\/haber360.com\/wp-content\/uploads\/2025\/05\/Psoriasis-ve-33-Kanser-Turu-Arasindaki-Iliski-1746702868.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/posts\/5157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/comments?post=5157"}],"version-history":[{"count":0,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/posts\/5157\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/media\/5158"}],"wp:attachment":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/media?parent=5157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/categories?post=5157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/tags?post=5157"},{"taxonomy":"tmauthors","embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/tmauthors?post=5157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}