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

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  • Ziling Mao
  • Jacqueline Roshelli Baker
  • Masayoshi Takeuchi
  • Hideyuki Hyogo
  • 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

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.

Original languageEnglish
JournalInternational Journal of Cancer
Volume152
Issue number11
Pages (from-to)2257-2268
Number of pages12
ISSN0020-7136
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 UICC.

    Research areas

  • advanced glycation end products, colorectal cancer, glyceraldehyde-derived advanced glycation end products, mortality, prospective study

ID: 345138744