Prediagnostic serum glyceraldehyde-derived advanced glycation end products and mortality among colorectal cancer patients

  • Ziling Mao
  • , Jacqueline Roshelli Baker
  • , Masayoshi Takeuchi
  • , Hideyuki Hyogo
  • , Anne Tjønneland
  • , Anne Kirstine Eriksen
  • , Gianluca Severi
  • , Joseph Rothwell
  • , Nasser Laouali
  • , Verena Katzke
  • , Rudolf Kaaks
  • , Matthias B. Schulze
  • , Domenico Palli
  • , Sabina Sieri
  • , Maria Santucci de Magistris
  • , Rosario Tumino
  • , Carlotta Sacerdote
  • , Jeroen W.G. Derksen
  • , Inger T. Gram
  • , Guri Skeie
  • Torkjel M. Sandanger, Jose Ramón Quirós, Marta Crous-Bou, Maria Jose Sánchez, Pilar Amiano, Sandra M. Colorado-Yohar, Marcela Guevara, Sophia Harlid, Ingegerd Johansson, Aurora Perez-Cornago, Heinz Freisling, Marc Gunter, Elisabete Weiderpass, Alicia K. Heath, Elom Aglago, Mazda Jenab, Veronika Fedirko

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

Glyceraldehyde-derived advanced glycation end products (glycer-AGEs) could contribute to colorectal cancer development and progression due to their pro-oxidative and pro-inflammatory properties. However, the association of glycer-AGEs with mortality after colorectal cancer diagnosis has not been previously investigated. Circulating glycer-AGEs were measured by competitive ELISA. Multivariable Cox proportional hazards models were used to calculate hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) for associations of circulating glycer-AGEs concentrations with CRC-specific and all-cause mortality among 1034 colorectal cancer (CRC) cases identified within the European Prospective Investigation into Cancer and Nutrition (EPIC) study between 1993 and 2013. During a mean of 48 months of follow-up, 529 participants died (409 from CRC). Glycer-AGEs were statistically significantly positively associated with CRC-specific (HRQ5 vs Q1 = 1.53, 95% CI: 1.04-2.25, Ptrend =.002) and all-cause (HRQ5 vs Q1 = 1.62, 95% CI: 1.16-2.26, Ptrend <.001) mortality among individuals with CRC. There was suggestion of a stronger association between glycer-AGEs and CRC-specific mortality among patients with distal colon cancer (per SD increment: HRproximal colon = 1.02, 95% CI: 0.74-1.42; HRdistal colon = 1.51, 95% CI: 1.20-1.91; Peffect modification =.02). The highest HR was observed among CRC cases in the highest body mass index (BMI) and glycer-AGEs category relative to lowest BMI and glycer-AGEs category for both CRC-specific (HR = 1.78, 95% CI: 1.02-3.01) and all-cause mortality (HR = 2.15, 95% CI: 1.33-3.47), although no statistically significant effect modification was observed. Our study found that prediagnostic circulating glycer-AGEs are positively associated with CRC-specific and all-cause mortality among individuals with CRC. Further investigations in other populations and stratifying by tumor location and BMI are warranted.

Lingua originaleInglese
pagine (da-a)2257-2268
Numero di pagine12
RivistaInternational Journal of Cancer
Volume152
Numero di pubblicazione11
DOI
Stato di pubblicazionePubblicato - 1 giu 2023
Pubblicato esternamente

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