Publications by authors named "Parichoy P Choudhury"

Introduction: Incorporation of mammographic density to breast cancer risk models could improve risk stratification to tailor screening and prevention strategies according to risk. Robust evaluation of the value of adding mammographic density to models with comprehensive information on questionnaire-based risk factors and polygenic risk score is needed to determine its effectiveness in improving risk stratification of such models.

Methods: We used the Individualized Coherent Absolute Risk Estimator (iCARE) tool for risk model building and validation to incorporate density to a previously validated literature-based model with questionnaire-based risk factors and a 313-variant polygenic risk score (PRS).

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  • Cannabis in the USA is moving from being illegal to being more accepted for medical and recreational use, which raises the need for updated information on its potential cancer risks.* -
  • Current evidence suggests a link between cannabis use and certain cancers, particularly non-seminoma testicular cancer, but overall, these connections are not yet definitive.* -
  • More rigorous research is necessary to better understand the health risks associated with cannabis use, as current limitations in studies hinder informed decision-making by policymakers and healthcare professionals.*
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  • * Current risk prediction models for ovarian cancer show limited effectiveness, with accuracy scores ranging from 0.58 to 0.65, indicating a need for improvement in identifying at-risk populations.
  • * Proposed thresholds for preventive surgery are around a 4% lifetime risk, yet the average predicted risk in the general population is only 0.6-2.5%, pointing to a gap in prevention strategies for lower-risk individuals.
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  • * The newly developed multi-ancestry PRS showed a strong correlation with LUAD risk, indicating that individuals in the highest PRS percentile had significantly increased risk compared to those in the lowest.
  • * Findings suggest that those in the highest risk category have a lifetime risk of about 6.69%, and they reach the average population's 10-year risk for LUAD by age 41, highlighting the importance of multi-ancestry PRS for better risk assessment in this group.
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Objectives: Absolute risk models estimate an individual's future disease risk over a specified time interval. Applications utilizing server-side risk tooling, the R-based iCARE (R-iCARE), to build, validate, and apply absolute risk models, face limitations in portability and privacy due to their need for circulating user data in remote servers for operation. We overcome this by porting iCARE to the web platform.

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  • Estimating the absolute risk of lung cancer in never-smokers is key for developing effective lung cancer screening programs, particularly in relation to the influence of environmental tobacco smoke (ETS).
  • This study focused on never-smoking women in Taiwan, integrating their genetic susceptibility (via a polygenic risk score) and exposure to ETS to evaluate the risk of lung adenocarcinoma (LUAD).
  • Findings revealed that the estimated lifetime risk of LUAD in women with no ETS exposure was 2.5%, highlighting the variability based on genetic and environmental factors, and the study examined how these elements interact in determining lung cancer risk.
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  • A recent study analyzed genetic data from over 156,000 prostate cancer cases and 788,000 controls from diverse populations, significantly increasing the representation of non-European participants.
  • Researchers identified 187 new genetic risk variants for prostate cancer, bringing the total to 451, enhancing understanding of genetic factors across different ancestries.
  • The developed genetic risk score (GRS) showed varying risk levels for prostate cancer among different ancestry groups, highlighting its potential for better risk assessment, especially in men of African descent.
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Objective: Absolute risk models estimate an individual's future disease risk over a specified time interval. Applications utilizing server-side risk tooling, such as the R-based iCARE (R-iCARE), to build, validate, and apply absolute risk models, face serious limitations in portability and privacy due to their need for circulating user data in remote servers for operation. Our objective was to overcome these limitations.

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Data sharing is essential for reproducibility of epidemiologic research, replication of findings, pooled analyses in consortia efforts, and maximizing study value to address multiple research questions. However, barriers related to confidentiality, costs, and incentives often limit the extent and speed of data sharing. Epidemiological practices that follow Findable, Accessible, Interoperable, Reusable (FAIR) principles can address these barriers by making data resources findable with the necessary metadata, accessible to authorized users, and interoperable with other data, to optimize the reuse of resources with appropriate credit to its creators.

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  • The study analyzed the impact of pathogenic variants (PVs) in breast cancer susceptibility genes on risk among Ghanaian women, finding significant associations in 871 breast cancer cases compared to 1,563 controls.
  • The frequency of PVs was notably higher in cases (8.38%) versus controls (1.22%), with substantial lifetime risk estimates for BRCA1, BRCA2, and PALB2 carriers, although these were lower than those seen in Western populations.
  • The results emphasize the importance of these findings for genetic counseling in West Africa, aiding localized risk assessment and informing medical practices.
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Genome-wide association studies (GWAS) have led to the identification of hundreds of susceptibility loci across cancers, but the impact of further studies remains uncertain. Here we analyse summary-level data from GWAS of European ancestry across fourteen cancer sites to estimate the number of common susceptibility variants (polygenicity) and underlying effect-size distribution. All cancers show a high degree of polygenicity, involving at a minimum of thousands of loci.

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  • The study analyzed the relationship between a new polygenic risk score (PRS313) and breast cancer risk factors in women of European ancestry, using a large sample from the Breast Cancer Association Consortium.
  • Results showed no significant differences in breast cancer risk associated with PRS313 across various individual risk factors, indicating a consistent effect of genetic predisposition.
  • Women with higher genetic risk experienced a greater variation in their projected absolute lifetime risk of breast cancer, suggesting tailored risk prevention strategies for those at increased risk.
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Interleukin 10tm1Cgn (IL 10tm) mice have been utilized as a model of chronic inflammation and declining health span because of their propensity to develop chronic activation in NFkB pathways, skeletal muscle and cardiac changes, and mitochondrial dysfunction. We hypothesized that older IL 10tm frail mice would have alterations similar to frail, older humans in measured parameters of glucose metabolism, oxygen consumption (VO2), respiratory quotient (RQ), spontaneous locomotor activity, body composition and plasma adipokine levels. To test this hypothesis, we investigated these metabolic parameters in cohorts of 3, 10, and 20 month old IL 10tm female mice and age and gender matched C57Bl/6 mice.

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Objectives: Evidence suggests vitamin D deficiency is associated with developing frailty. However, cardiometabolic factors are related to both conditions and may confound and/or mediate the vitamin D-frailty association. We aimed to determine the association of vitamin D concentration with incidence of frailty, and the role of cardiometabolic diseases (cardiovascular disease, diabetes, hyperlipidemia, hypertension) in this relationship.

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