| Autor: |
Aleksandrova, Krasimira Chuang, Shu-Chun Boeing, Heiner Zuo, Hui Tell, Grethe S. Pischon, Tobias Jenab, Mazda and Bueno-de-Mesquita, Bas Vollset, Stein Emil Midttun, Oivind and Ueland, Per Magne Fedirko, Veronika Johansson, Mattias and Weiderpass, Elisabete Severi, Gianluca Racine, Antoine and Boutron-Ruault, Marie-Christine Kaaks, Rudolf Kuehn, Tilman and Tjonneland, Anne Overvad, Kim Ramon Quiros, J. Jakszyn, Paula Sanchez, Maria-Jose Dorronsoro, Miren Chirlaque, Maria-Dolores Ardanaz, Eva Khaw, Kay-Tee Wareham, Nicholas J. Travis, Ruth C. Trichopoulou, Antonia Lagiou, Pagona and Trichopoulos, Dimitrios Palli, Domenico Sieri, Sabina and Tumino, Rosario Panico, Salvatore May, Anne M. Palmqvist, Richard Ljuslinder, Ingrid Kong, So Yeon J. Freisling, Heinz and Gunter, Marc J. Lu, Yunxia Cross, Amanda J. Riboli, Elio and Vineis, Paolo |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Popis: |
Background: Neopterin may be relevant for colorectal cancer (CRC) development, as a biomarker of cellular immune activity exerting pleiotropic effects on cellular ageing, oxidative stress, and inflammation. So far, the association between prediagnostic neopterin and colon and rectal cancer risk has not been evaluated in human populations. Methods: A nested case-control study was conducted within the European Prospective Investigation into Cancer and Nutrition cohort using data on plasma concentrations of total neopterin (T-N, sum of neopterin and 7,8-dihydroneopterin) in 830 incident CRC case patients (561 colon and 269 rectal) matched within risk sets to 830 control participants. A subsequent replication study used data from the Hordaland Health Study, where 173 CRC case patients have been diagnosed among 6594 healthy participants over 12 years of follow-up. Results: After multivariable adjustment for a priori chosen CRC risk factors, a “U-shaped” association of T-N with CRC was revealed. Compared with the second quintile of the T-N distribution, the relative risks for the first, third, fourth, and fifth quintiles were 2.37 (95% CI = 1.66 to 3.39), 1.24 (95% CI = 0.87 to 1.77), 1.55 (95% CI = 1.08 to 2.22), and 2.31 (95% CI = 1.63 to 3.27), respectively. Replication of these associations within the Hordaland Health Study yielded similar results. No differences have been observed when the associations were explored by colon and rectal cancer site (two-sided P-difference = .87) and after excluding case patients diagnosed within the first four follow-up years. Conclusions: These novel findings provide evidence of the role of both suppressed and activated cell-mediated immunity as reflected by prediagnostic T-N concentrations in the development of CRC. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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