Circulating amino acid levels and colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition and UK Biobank cohorts.


Journal

BMC medicine
ISSN: 1741-7015
Titre abrégé: BMC Med
Pays: England
ID NLM: 101190723

Informations de publication

Date de publication:
28 02 2023
Historique:
received: 08 11 2022
accepted: 16 01 2023
entrez: 1 3 2023
pubmed: 2 3 2023
medline: 3 3 2023
Statut: epublish

Résumé

Amino acid metabolism is dysregulated in colorectal cancer patients; however, it is not clear whether pre-diagnostic levels of amino acids are associated with subsequent risk of colorectal cancer. We investigated circulating levels of amino acids in relation to colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) and UK Biobank cohorts. Concentrations of 13-21 amino acids were determined in baseline fasting plasma or serum samples in 654 incident colorectal cancer cases and 654 matched controls in EPIC. Amino acids associated with colorectal cancer risk following adjustment for the false discovery rate (FDR) were then tested for associations in the UK Biobank, for which measurements of 9 amino acids were available in 111,323 participants, of which 1221 were incident colorectal cancer cases. Histidine levels were inversely associated with colorectal cancer risk in EPIC (odds ratio [OR] 0.80 per standard deviation [SD], 95% confidence interval [CI] 0.69-0.92, FDR P-value=0.03) and in UK Biobank (HR 0.93 per SD, 95% CI 0.87-0.99, P-value=0.03). Glutamine levels were borderline inversely associated with colorectal cancer risk in EPIC (OR 0.85 per SD, 95% CI 0.75-0.97, FDR P-value=0.08) and similarly in UK Biobank (HR 0.95, 95% CI 0.89-1.01, P=0.09) In both cohorts, associations changed only minimally when cases diagnosed within 2 or 5 years of follow-up were excluded. Higher circulating levels of histidine were associated with a lower risk of colorectal cancer in two large prospective cohorts. Further research to ascertain the role of histidine metabolism and potentially that of glutamine in colorectal cancer development is warranted.

Sections du résumé

BACKGROUND
Amino acid metabolism is dysregulated in colorectal cancer patients; however, it is not clear whether pre-diagnostic levels of amino acids are associated with subsequent risk of colorectal cancer. We investigated circulating levels of amino acids in relation to colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) and UK Biobank cohorts.
METHODS
Concentrations of 13-21 amino acids were determined in baseline fasting plasma or serum samples in 654 incident colorectal cancer cases and 654 matched controls in EPIC. Amino acids associated with colorectal cancer risk following adjustment for the false discovery rate (FDR) were then tested for associations in the UK Biobank, for which measurements of 9 amino acids were available in 111,323 participants, of which 1221 were incident colorectal cancer cases.
RESULTS
Histidine levels were inversely associated with colorectal cancer risk in EPIC (odds ratio [OR] 0.80 per standard deviation [SD], 95% confidence interval [CI] 0.69-0.92, FDR P-value=0.03) and in UK Biobank (HR 0.93 per SD, 95% CI 0.87-0.99, P-value=0.03). Glutamine levels were borderline inversely associated with colorectal cancer risk in EPIC (OR 0.85 per SD, 95% CI 0.75-0.97, FDR P-value=0.08) and similarly in UK Biobank (HR 0.95, 95% CI 0.89-1.01, P=0.09) In both cohorts, associations changed only minimally when cases diagnosed within 2 or 5 years of follow-up were excluded.
CONCLUSIONS
Higher circulating levels of histidine were associated with a lower risk of colorectal cancer in two large prospective cohorts. Further research to ascertain the role of histidine metabolism and potentially that of glutamine in colorectal cancer development is warranted.

Identifiants

pubmed: 36855092
doi: 10.1186/s12916-023-02739-4
pii: 10.1186/s12916-023-02739-4
pmc: PMC9976469
doi:

Substances chimiques

Amino Acids 0
Glutamine 0RH81L854J
Histidine 4QD397987E

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

80

Subventions

Organisme : Cancer Research UK
ID : 21351
Pays : United Kingdom
Organisme : Cancer Research UK
ID : 25004
Pays : United Kingdom

Informations de copyright

© 2023. The Author(s).

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Auteurs

Joseph A Rothwell (JA)

Centre for Epidemiology and Population Health (Inserm U1018), Exposome and Heredity team, Faculté de Médecine, Université Paris-Saclay, UVSQ, Gustave Roussy, F-94805, Villejuif, France. joseph.rothwell@inserm.fr.

Jelena Bešević (J)

Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Niki Dimou (N)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Marie Breeur (M)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Neil Murphy (N)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Mazda Jenab (M)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Roland Wedekind (R)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Vivian Viallon (V)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Pietro Ferrari (P)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

David Achaintre (D)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Audrey Gicquiau (A)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Sabina Rinaldi (S)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Augustin Scalbert (A)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Inge Huybrechts (I)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Cornelia Prehn (C)

Metabolomics and Proteomics Core, Helmholtz Zentrum München, 85764, Neuherberg, Germany.

Jerzy Adamski (J)

Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, 8 Medical Drive, Singapore, 117597, Singapore.
Institute of Experimental Genetics, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764, Neuherberg, Germany.
Institute of Biochemistry, Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000, Ljubljana, Slovenia.

Amanda J Cross (AJ)

School of Public Health, Imperial College London, London, UK.

Hector Keun (H)

Department of Surgery & Cancer, Imperial College London, London, UK.

Marc Chadeau-Hyam (M)

School of Public Health, Imperial College London, London, UK.

Marie-Christine Boutron-Ruault (MC)

Centre for Epidemiology and Population Health (Inserm U1018), Exposome and Heredity team, Faculté de Médecine, Université Paris-Saclay, UVSQ, Gustave Roussy, F-94805, Villejuif, France.

Kim Overvad (K)

Department of Public Health, Aarhus University, Bartholins Allé 2, DK-8000, Aarhus, Denmark.

Christina C Dahm (CC)

Department of Public Health, Aarhus University, Bartholins Allé 2, DK-8000, Aarhus, Denmark.

Therese Haugdahl Nøst (TH)

Faculty of Health Sciences, Department of Community Medicine, UiT the Arctic University of Norway, N-9037, Tromsø, Norway.

Torkjel M Sandanger (TM)

Faculty of Health Sciences, Department of Community Medicine, UiT the Arctic University of Norway, N-9037, Tromsø, Norway.

Guri Skeie (G)

Faculty of Health Sciences, Department of Community Medicine, UiT the Arctic University of Norway, N-9037, Tromsø, Norway.

Raul Zamora-Ros (R)

Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.

Kostas K Tsilidis (KK)

School of Public Health, Imperial College London, London, UK.
Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece.

Fabian Eichelmann (F)

German Center for Diabetes Research (DZD), Munchen-Neuherberg, Germany.
Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.

Matthias B Schulze (MB)

Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Institute of Nutritional Science, University of Potsdam, Potsdam, Germany.

Bethany van Guelpen (B)

Department of Radiation Sciences, Oncology Unit, Umeå University, Umeå, Sweden.
Wallenberg Centre for Molecular Medicine, Umeå University, Umeå, Sweden.

Linda Vidman (L)

Department of Radiation Sciences, Oncology Unit, Umeå University, Umeå, Sweden.

Maria-José Sánchez (MJ)

Escuela Andaluza de Salud Pública (EASP), 18011, Granada, Spain.
Instituto de Investigación Biosanitaria ibs. GRANADA, 18012, Granada, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Department of Preventive Medicine and Public Health, University of Granada, 18071, Granada, Spain.

Pilar Amiano (P)

Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastián, Spain.
Biodonostia Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain.
Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.

Eva Ardanaz (E)

Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Navarra Public Health Institute, Leyre 15, 31003, Pamplona, Spain.
IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.

Karl Smith-Byrne (K)

Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.

Ruth Travis (R)

Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Verena Katzke (V)

German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany.

Rudolf Kaaks (R)

German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany.

Jeroen W G Derksen (JWG)

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Sandra Colorado-Yohar (S)

Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain.
Research Group on Demography and Health, National Faculty of Public Health, University of Antioquia, Medellín, Colombia.

Rosario Tumino (R)

Cancer Registry and Histopathology Department, Provincial Health Authority (ASP), Ragusa, Italy.

Bas Bueno-de-Mesquita (B)

Department for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720, BA, Bilthoven, The Netherlands.

Paolo Vineis (P)

School of Public Health, Imperial College London, London, UK.
Italian Institute of Technology, Genova, Italy.

Domenico Palli (D)

Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network - ISPRO, Florence, Italy.

Fabrizio Pasanisi (F)

Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.

Anne Kirstine Eriksen (AK)

Danish Cancer Society Research Center, Diet, Genes and Environment, Strandboulevarden 49, DK-2100, Copenhagen, Denmark.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Anne Tjønneland (A)

Danish Cancer Society Research Center, Diet, Genes and Environment, Strandboulevarden 49, DK-2100, Copenhagen, Denmark.

Gianluca Severi (G)

Centre for Epidemiology and Population Health (Inserm U1018), Exposome and Heredity team, Faculté de Médecine, Université Paris-Saclay, UVSQ, Gustave Roussy, F-94805, Villejuif, France.
Department of Statistics, Computer Science, Applications "G. Parenti" University of Florence, Florence, Italy.

Marc J Gunter (MJ)

International Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
School of Public Health, Imperial College London, London, UK.

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