The supplied evidence contains directly comparable prevalence figures from one large study: 348 prostate cancer patients at Juntendo University Hospital (blood-derived, SNP-array mLRR-Y) and ~30,000 BioBank Japan patients across four cancer types . A separate saliva study shows tissue of origin matters: saliva-derived mLOY prevalence was 0.50% (never-smokers) vs 0.44% (current smokers), with only 96 mLOY-positive subjects because most participants were below ages where mLOY is frequent β inconsistent with ~3-fold smoking effects reported for blood-derived mLOY .
Critical caveats: (1) Thresholds for defining mLOY differ across datasets (e.g., mLRR-Y β€ -0.15 in saliva), inflating cross-study heterogeneity ; (2) the radiotherapy association is observational (OR 2.55, 95% CI 1.08β6.50, P=0.04) and vulnerable to confounding and reverse causation; (3) the eLife cardiovascular study of 446 patients reported mLOY prevalence but did not supply comparable extracted prevalence values, so no independent blood estimate from that source can be plotted . What would change these conclusions: age-stratified prevalence tables, harmonized mLOY thresholds, and non-cancer male controls are missing from the supplied records; a sufficiently powered replication showing no radiotherapyβmLOY association would falsify the OR 2.55 finding.
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