Air Pollution, Gastric Cancers
Conditions
Keywords
Gastric Cancer, Macrogenome, Environmental Pollution, Air Pollution
Brief summary
The objectives of this study were to clarify how environmental factors such as air pollution affect the occurrence and development of gastric cancer; to identify patient-specific macrogenomic markers of gastric cancer; and to investigate the mechanism of gastric cancer development based on environmental factors and macrogenomic data.
Interventions
patients diagnosed with gastric cancer
healthy participants
Sponsors
Study design
Eligibility
Inclusion criteria
* age ≥ 18 years; * patients with preoperative diagnosis of gastric cancer confirmed by pathologic biopsy; * no chemotherapy, radiotherapy, targeted and immunotherapy, etc. before enrollment; * willing to participate in the study and sign the informed consent form; * complete clinical data.
Exclusion criteria
* concurrent primary malignant tumor other than gastric cancer; * patients with systemic diseases, such as severe cardiopulmonary; * insufficiency, that affect the choice of treatment plan; * not suitable for enrollment as assessed by the investigator; * incomplete clinical data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) | From date of diagnosis until the date of death from any cause or or loss to follow-up, whichever came first, assessed up to 60 months | Description: Time from diagnosis to death from any cause, measured via medical records and follow-up interviews. Unit: Months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gut microbiome composition differences assessed by shotgun metagenomic sequencing | Tissue samples collected intraoperatively, sequencing completed within 1 week post-surgery. | Measuring Tool: Shotgun metagenomic sequencing (Illumina NovaSeq 6000). Analysis Parameters: Alpha diversity (Shannon index); Beta diversity (Bray-Curtis dissimilarity); Differential abundance of bacterial species (ANCOM-BC). Unit: Relative abundance (%) / Diversity indices. |
Countries
China