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@ARTICLE{Skarga:276103,
author = {E. Skarga$^*$ and H.-M. Surcel and R. Kaaks$^*$ and T.
Waterboer$^*$ and R. Turzanski-Fortner$^*$},
title = {{S}exually transmitted infections and risk of epithelial
ovarian cancer: results from the {F}innish {M}aternity
{C}ohort.},
journal = {The journal of infectious diseases},
volume = {228},
number = {11},
issn = {0022-1899},
address = {Oxford [u.a.]},
publisher = {Oxford Univ. Press},
reportid = {DKFZ-2023-01003},
pages = {1621-1629},
year = {2023},
note = {#EA:C020#LA:C020# / 2023 Nov 28;228(11):1621-1629},
abstract = {Sexually transmitted infections, specifically Chlamydia
trachomatis (CT), may be associated with epithelial ovarian
cancer (EOC) risk. The association between CT and EOC
subtypes is unclear. Our aim was to investigate whether
history of CT and other infections (M. genitalium (MG),
herpes simplex virus type 2, and human papillomaviruses) are
associated with EOC risk by histotype.We measured antibodies
(Ab) to CT, MG, HSV2, and HPV-16 and 18 in serum samples in
a nested case-control study in the Finnish Maternity Cohort
(n= 484 cases 1:1 matched to controls). Logistic Regression
was used to calculate relative risks (RRs) and $95\%$
confidence intervals [CIs] in seropositive vs. seronegative
individuals in all cases, as well as serous (n=249), clear
cell and endometrioid (n=91), and mucinous (n=142)
EOC.CT-seropositivity was not associated with EOC risk
(e.g., CT pGP3-Ab RR=0.92 [0.72- 1.19]), regardless of
disease subtype. We observed a positive association between
MG-seropositivity and mucinous EOC (RR=1.66 [1.09-2.54];
$p-het_histotype≤0.001),$ but not other subtypes. No
associations were observed with seropositivity to multiple
STIs.CT infection was not associated with EOC risk, with
associations observed only for MG and mucinous EOC.
Mechanisms linking MG to mucinous EOC remain to be
elucidated.},
keywords = {Chlamydia Trachomatis (Other) / Ovarian Cancer (Other) /
Risk (Other) / Serology (Other) / Sexually Transmitted
Infections (Other)},
cin = {C020 / F020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331 / I:(DE-He78)F020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37196097},
doi = {10.1093/infdis/jiad171},
url = {https://inrepo02.dkfz.de/record/276103},
}