Smoking initiation is followed by the early acquisition of epigenetic change in cervical epithelium: a longitudinal study
2011

Smoking and Epigenetic Changes in Cervical Cells

Sample size: 38 publication Evidence: moderate

Author Information

Author(s): Ma Y T, Collins S I, Young L S, Murray P G, Woodman C B J

Primary Institution: Cancer Research UK Institute for Cancer Studies, University of Birmingham

Hypothesis

Does smoking initiation lead to epigenetic changes in cervical epithelium?

Conclusion

Smoking initiation is associated with the appearance of methylated forms of CDKN2A.

Supporting Evidence

  • Women who started smoking during the study had a higher risk of acquiring CDKN2A methylation.
  • The odds ratio for acquiring CDKN2A methylation after smoking initiation was 3.67.
  • The median time to first detection of CDKN2A methylation after smoking initiation was 266 days.

Takeaway

Starting to smoke can change the DNA in the cervix, which might lead to cancer later.

Methodology

A cohort of women aged 15–19 was followed to observe the relationship between smoking and CDKN2A methylation in cervical samples.

Potential Biases

Self-reported smoking behavior may introduce inaccuracies.

Limitations

The study was limited to women who were cytologically normal and tested negative for HPV DNA.

Participant Demographics

Women aged 15–19 years, recruited from a family planning clinic in Birmingham, UK.

Statistical Information

P-Value

0.04

Confidence Interval

1.09–12.33

Statistical Significance

p=0.04

Digital Object Identifier (DOI)

10.1038/bjc.2011.113

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