Ontology highlight
ABSTRACT: Background
Alcohol is an established risk factor for several cancers, but modest alcohol-cancer associations may be missed because of measurement error in self-reported assessments. Biomarkers of habitual alcohol intake may provide novel insight into the relationship between alcohol and cancer risk.Methods
Untargeted metabolomics was used to identify metabolites correlated with self-reported habitual alcohol intake in a discovery dataset from the European Prospective Investigation into Cancer and Nutrition (EPIC; n = 454). Statistically significant correlations were tested in independent datasets of controls from case-control studies nested within EPIC (n = 280) and the Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC; n = 438) study. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for associations of alcohol-associated metabolites and self-reported alcohol intake with risk of pancreatic cancer, hepatocellular carcinoma (HCC), liver cancer, and liver disease mortality in the contributing studies.Results
Two metabolites displayed a dose-response association with self-reported alcohol intake: 2-hydroxy-3-methylbutyric acid and an unidentified compound. A 1-SD (log2) increase in levels of 2-hydroxy-3-methylbutyric acid was associated with risk of HCC (OR = 2.54, 95% CI = 1.51 to 4.27) and pancreatic cancer (OR = 1.43, 95% CI = 1.03 to 1.99) in EPIC and liver cancer (OR = 2.00, 95% CI = 1.44 to 2.77) and liver disease mortality (OR = 2.16, 95% CI = 1.63 to 2.86) in ATBC. Conversely, a 1-SD (log2) increase in questionnaire-derived alcohol intake was not associated with HCC or pancreatic cancer in EPIC or liver cancer in ATBC but was associated with liver disease mortality (OR = 2.19, 95% CI = 1.60 to 2.98) in ATBC.Conclusions
2-hydroxy-3-methylbutyric acid is a candidate biomarker of habitual alcohol intake that may advance the study of alcohol and cancer risk in population-based studies.
SUBMITTER: Loftfield E
PROVIDER: S-EPMC8562969 | biostudies-literature | 2021 Nov
REPOSITORIES: biostudies-literature
Loftfield Erikka E Stepien Magdalena M Viallon Vivian V Trijsburg Laura L Rothwell Joseph A JA Robinot Nivonirina N Biessy Carine C Bergdahl Ingvar A IA Bodén Stina S Schulze Matthias B MB Bergman Manuela M Weiderpass Elisabete E Schmidt Julie A JA Zamora-Ros Raul R Nøst Therese H TH Sandanger Torkjel M TM Sonestedt Emily E Ohlsson Bodil B Katzke Verena V Kaaks Rudolf R Ricceri Fulvio F Tjønneland Anne A Dahm Christina C CC Sánchez Maria-Jose MJ Trichopoulou Antonia A Tumino Rosario R Chirlaque María-Dolores MD Masala Giovanna G Ardanaz Eva E Vermeulen Roel R Brennan Paul P Albanes Demetrius D Weinstein Stephanie J SJ Scalbert Augustin A Freedman Neal D ND Gunter Marc J MJ Jenab Mazda M Sinha Rashmi R Keski-Rahkonen Pekka P Ferrari Pietro P
Journal of the National Cancer Institute 20211101 11
<h4>Background</h4>Alcohol is an established risk factor for several cancers, but modest alcohol-cancer associations may be missed because of measurement error in self-reported assessments. Biomarkers of habitual alcohol intake may provide novel insight into the relationship between alcohol and cancer risk.<h4>Methods</h4>Untargeted metabolomics was used to identify metabolites correlated with self-reported habitual alcohol intake in a discovery dataset from the European Prospective Investigatio ...[more]