Purpose This study aimed to assess the association between inflammatory cytokines and the risk of gastric cancer (GC).
Materials and Methods We conducted a case-cohort study using Korean National Cancer Center Community (KNCCC) cohort data to investigate the associations between pro-inflammatory, anti-inflammatory cytokines, inflammatory mediators, and GC risk in the Korean general population (GC cases: n=159, subcohort: n=822). Serum levels of inflammatory cytokines were measured using Quantikine enzyme-linked immunosorbent assay and analyzed using a Cox proportional hazards regression model.
Results Compared to those with the lowest serum interleukin 6 (IL-6) levels, the risk of GC significantly increased in the second (hazard ratio [HR], 3.48; 95% confidence interval [CI], 1.73 to 6.99), third (HR, 3.74; 95% CI, 1.91 to 7.29), and fourth quartiles (HR, 3.79; 95% CI, 1.93 to 7.48). Elevated levels of interleukin 1β (IL-1β) (HR, 1.57; 95% CI, 1.12 to 2.21) and interferon-γ (IFN-γ) (HR, 2.49; 95% CI, 1.73 to 3.58) were also associated with an increased risk of GC.
Conclusion The findings of this study indicate associations between pro-inflammatory cytokines (IL-6, IL-1β, and IFN-γ) and the risk of GC, suggesting that regulating these cytokine levels may aid in GC prevention.
Citations
Citations to this article as recorded by
Inflammatory Cytokines and Oxidative Stress Markers in Relation to Colorectal Cancer Risk: A Case–Cohort Study in a Korean Population Eunjung Park, Seungju Baek, Jin-Kyoung Oh, Min Kyung Lim, Eun Young Park Cancers.2026; 18(3): 470. CrossRef
Beyond monotherapy: The evolving role of CTLA-4 in combination immunotherapy for gastrointestinal cancers Fuyuan Ma, Jingyuan Ma, Yaofan Lu, Jingxuan Xu, Jiale Mao, Ziyue Yin, Zikun Ni, Xueqin Zhao, Biao Huang, Yuan Qin The American Journal of the Medical Sciences.2026;[Epub] CrossRef
Serum pro-inflammatory cytokines as potential biomarkers for the diagnosis of gastric carcinoma Le Ren, Jun Liu, Ya-Yun Xu, Zhen-Wang Shi World Journal of Clinical Oncology.2025;[Epub] CrossRef
Inflammation and detection: Rethinking the biomarker landscape in gastric cancer Keykavous Parang, Koosha Paydary World Journal of Clinical Oncology.2025;[Epub] CrossRef
Purpose Occupational exposure to pesticides is thought to be associated with lung cancer, but studies have yielded conflicting results. We performed a propensity score (PS) based analyses to evaluate the relationship between occupational exposure to pesticides and lung cancer risk in the Korea National Cancer Center community-based cohort study (KNCCCS).
Materials and Methods During the follow-up period, 123 incidental lung cancer cases were identified, of the 7,471 subjects in the final statistical analysis. Information about occupational exposure to pesticides and other factors was collected at enrollment (2003-2010). Cox proportional hazards regression analyses were conducted. Four PS-based approaches (i.e., matching, stratification, inverse probability-of-treatment weighting, and the use of the PS as a covariate) were adopted, and the results were compared. PS was obtained from the logistic regression model. Absolute standardized differences according to occupational exposure to pesticides were provided to evaluate the balance in baseline characteristics.
Results In the Cox proportional hazards regression model, the hazard ratio (HR) for lung cancer according to occupational exposure to pesticides was 1.82 (95% confidence interval [CI], 1.11 to 2.98). With all the propensity score matching (PSM) methods, the HRs for lung cancer based on exposure to pesticides ranged from 1.65 (95% CI, 1.04 to 2.64) (continuous term with PSM) to 2.84 (95% CI, 1.81 to 4.46) (stratification by 5 strata of the PS). The results varied slightly based on the method used, but the direction and statistical significance remained the same.
Conclusion Our results strengthen the evidence for an association between occupational exposure to pesticides and the risk of lung cancer.
Citations
Citations to this article as recorded by
A comprehensive examination of the impact of environmental pollution on lung cancer: A review Hongyan Zhang, Hongyi Wei, Sijia Han, Lufeng Zheng, Xiaodong Chen, Ziwei Li, Lanbo Wang Journal of Advanced Research.2026; 81: 273. CrossRef
Pollutants as Hidden Triggers: A Computational View on Oral and Lung Cancer Development Surbhi Sharma, Vaishnavi Niranjan, Ajay Kumar Singh Archives of Computational Methods in Engineering.2026; 33(3): 3565. CrossRef
Long-term cancer trends among male Taiwanese farmers: an age-period-cohort analysis (2000–2023) Lynn M. Francis, Amr S. Soliman, Liang-You Wu, Chi-Jung Chung International Archives of Occupational and Environmental Health.2026;[Epub] CrossRef
Lifestyle, Environmental, Occupational, and Dietary Risk Factors in Small-Cell vs. Non-Small-Cell Advanced Lung Cancer Patients: Is There a Connection? Jelena Jovičić-Bata, Danica Sazdanić-Velikić, Mirjana Ševo, Maja Milanović, Teodora Tubić, Milorad Bijelović, Nataša Milošević, Nataša Milić Cancers.2025; 17(5): 864. CrossRef
Flavonoids as Insecticides in Crop Protection—A Review of Current Research and Future Prospects Verónica Pereira, Onofre Figueira, Paula C. Castilho Plants.2024; 13(6): 776. CrossRef
Comprehensive assessment of pesticide use patterns and increased cancer risk Jacob Gerken, Gear Thomas Vincent, Demi Zapata, Ileana G. Barron, Isain Zapata Frontiers in Cancer Control and Society.2024;[Epub] CrossRef
Dietary Exposure to Pesticide and Veterinary Drug Residues and Their Effects on Human Fertility and Embryo Development: A Global Overview Ambra Colopi, Eugenia Guida, Silvia Cacciotti, Serena Fuda, Matteo Lampitto, Angelo Onorato, Alice Zucchi, Carmela Rita Balistreri, Paola Grimaldi, Marco Barchi International Journal of Molecular Sciences.2024; 25(16): 9116. CrossRef
Longitudinal study and predictive modelling of urinary pesticide metabolite concentrations in residents of Guangzhou, China Xiangyu Jia, Xiaotong Li, Fenfang Deng, Jia He, Qin Li, Chongshan Guo, Jun Yuan, Lei Tan Chemosphere.2024; 365: 143353. CrossRef
Trend Analysis of Lung Cancer Incidence and Mortality in Xiamen (2011-2020) Jianni Cong, Jiahuang Chi, Junli Zeng, Yilan Lin Risk Management and Healthcare Policy.2024; Volume 17: 2375. CrossRef
Geographical disparities in cancer and occupational exposure to pesticides in a French-West Indies territory (2006–2019) Rémi Houpert, Jacqueline Véronique-Baudin, Thierry Almont, Murielle Beaubrun-Renard, Manon Boullard, Aimée Pierre-Louis, Mylène Vestris, Stephen Ulric-Gervaise, Christelle Montabord, Jonathan Macni, Emmanuelle Sylvestre, Clarisse Joachim BMC Cancer.2024;[Epub] CrossRef
Different types of pesticide exposure and lung cancer incidence in the Agricultural Health Study cohort: A systematic review and meta-analysis Yu Wang, Jingxuan Yang, Xialian Hu, Jingyi Shi, Jiaxin Deng Archives of Environmental & Occupational Health.2024; 79(7-8): 263. CrossRef
How Does Environmental and Occupational Exposure Contribute to Carcinogenesis in Genitourinary and Lung Cancers? Massimiliano Cani, Fabio Turco, Simona Butticè, Ursula Maria Vogl, Consuelo Buttigliero, Silvia Novello, Enrica Capelletto Cancers.2023; 15(10): 2836. CrossRef
How to promote agricultural enterprises to reduce the use of pesticides and fertilizers? An evolutionary game approach Qizheng He, Yong Sun, Maoan Yi, Huimin Huang Frontiers in Sustainable Food Systems.2023;[Epub] CrossRef
Vaping, Environmental Toxicants Exposure, and Lung Cancer Risk Shaimaa A. Shehata, Eman A. Toraih, Ezzat A. Ismail, Abeer M. Hagras, Ekramy Elmorsy, Manal S. Fawzy Cancers.2023; 15(18): 4525. CrossRef
Respiratory Tract Cancer Incidences across Industry Groups: A Nationwide Cohort Study with More Than 70 Million Person-Years of Follow-Up Seong-Uk Baek, Woo-Ri Lee, Ki-Bong Yoo, Jun-Hyeok Choi, Kyung-Eun Lee, Wanhyung Lee, Jin-Ha Yoon Cancers.2022; 14(21): 5219. CrossRef
A systematic review of mechanistic studies on the relationship between pesticide exposure and cancer induction Mahshid Ataei, Mohammad Abdollahi Toxicology and Applied Pharmacology.2022; 456: 116280. CrossRef