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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/10809


    Title: Results from the European Prospective Investigation into Cancer and Nutrition (EPIC) link vitamin B6 catabolism and lung cancer risk
    Authors: Zuo, H;Ueland, PM;Midttun, O;Vollset, SE;Tell, GS;Theofylaktopoulou, D;Travis, RC;Boutron-Ruault, MC;Fournier, A;Severi, G;Kvaskoff, M;Boeing, H;Bergmann, M;Fortner, RT;Kaaks, R;Trichopoulou, A;Kotanidou, A;Lagiou, P;Palli, D;Sieri, S;Panico, S;Bueno-de-Mesquita, HBA;Peeters, PH;Grankvist, K;Johansson, M;Agudo, A;Quiros Garcia, JR;Larranaga, N;Sanchez, MJ;Chirlaque, MD;Ardanaz, E;Chuang, SC;Gallo, V;Brennan, P;Johansson, M;Ulvik, A
    Contributors: Institute of Population Health Sciences
    Abstract: Circulating pyridoxal-5'-phosphate (PLP) has been linked to lung cancer risk. The PAr index, defined as the ratio 4-pyridoxic acid / (pyridoxal + PLP), reflects increased vitamin B6 catabolism during inflammation. PAr has been defined as a marker of lung cancer risk in a prospective cohort study, but analysis of a larger numbers of cases are needed to deepen the significance of this study. Here we conducted a nested case-control study within the European Prospective Investigation into Cancer and Nutrition (EPIC, n = 521,330), which included 892 incident lung cancer cases and 1748 controls matched by center, gender, date of blood collection and date of birth. The association of PAr with risk of lung cancer was evaluated by using conditional logistic regression. Study participants with elevated PAr experienced higher risk of lung cancer in a dose-response fashion, with a doubling in PAr levels associated with 52% higher odds of lung cancer after adjustment for tobacco smoking, serum cotinine levels, educational attainment, and BMI (OR=1.52, 95% CI=1.27 to 1.81, P < 0.001). Additional adjustment for intake of vegetables and fruits and physical activity did not materially affect risk association. The association of PAr with lung cancer risk was similar in both genders but slightly stronger in former smokers and in participants diagnosed with squamous cell carcinoma. This study provides robust evidence that increased vitamin B6 catabolism is independently associated with a higher risk of future lung cancer.
    Date: 2018-01
    Relation: Cancer Research. 2018 Jan;78(1):302-308.
    Link to: http://dx.doi.org/10.1158/0008-5472.can-17-1923
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0008-5472&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000419174000027
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85040119657
    Appears in Collections:[莊淑鈞] 期刊論文

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