Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.

OBJECTIVE: Examine the relationship between antibodies to 25 oral bacteria and pancreatic cancer risk in a prospective cohort study. DESIGN: We measured antibodies to oral bacteria in prediagnosis blood samples from 405 pancreatic cancer cases and 416 matched controls, nested within the European Pro...

תיאור מלא

מידע ביבליוגרפי
Main Authors: Michaud, D, Izard, J, Wilhelm-Benartzi, C, You, D, Grote, V, Tjønneland, A, Dahm, C, Overvad, K, Jenab, M, Fedirko, V, Boutron-Ruault, M, Clavel-Chapelon, F, Racine, A, Kaaks, R, Boeing, H, Foerster, J, Trichopoulou, A, Lagiou, P, Trichopoulos, D, Sacerdote, C, Sieri, S, Palli, D, Tumino, R, Panico, S, Siersema, P
פורמט: Journal article
שפה:English
יצא לאור: 2013
_version_ 1826267073310883840
author Michaud, D
Izard, J
Wilhelm-Benartzi, C
You, D
Grote, V
Tjønneland, A
Dahm, C
Overvad, K
Jenab, M
Fedirko, V
Boutron-Ruault, M
Clavel-Chapelon, F
Racine, A
Kaaks, R
Boeing, H
Foerster, J
Trichopoulou, A
Lagiou, P
Trichopoulos, D
Sacerdote, C
Sieri, S
Palli, D
Tumino, R
Panico, S
Siersema, P
author_facet Michaud, D
Izard, J
Wilhelm-Benartzi, C
You, D
Grote, V
Tjønneland, A
Dahm, C
Overvad, K
Jenab, M
Fedirko, V
Boutron-Ruault, M
Clavel-Chapelon, F
Racine, A
Kaaks, R
Boeing, H
Foerster, J
Trichopoulou, A
Lagiou, P
Trichopoulos, D
Sacerdote, C
Sieri, S
Palli, D
Tumino, R
Panico, S
Siersema, P
author_sort Michaud, D
collection OXFORD
description OBJECTIVE: Examine the relationship between antibodies to 25 oral bacteria and pancreatic cancer risk in a prospective cohort study. DESIGN: We measured antibodies to oral bacteria in prediagnosis blood samples from 405 pancreatic cancer cases and 416 matched controls, nested within the European Prospective Investigation into Cancer and Nutrition study. Analyses were conducted using conditional logistic regression and additionally adjusted for smoking status and body mass index. RESULTS: Individuals with high levels of antibodies against Porphyromonas gingivalis ATTC 53978, a pathogenic periodontal bacteria, had a twofold higher risk of pancreatic cancer than individuals with lower levels of these antibodies (OR 2.14; 95% CI 1.05 to 4.36; >200 ng/ml vs ≤200 ng/ml). To explore the association with commensal (non-pathogenic) oral bacteria, we performed a cluster analysis and identified two groups of individuals, based on their antibody profiles. A cluster with overall higher levels of antibodies had a 45% lower risk of pancreatic cancer than a cluster with overall lower levels of antibodies (OR 0.55; 95% CI 0.36 to 0.83). CONCLUSIONS: Periodontal disease might increase the risk for pancreatic cancer. Moreover, increased levels of antibodies against specific commensal oral bacteria, which can inhibit growth of pathogenic bacteria, might reduce the risk of pancreatic cancer. Studies are needed to determine whether oral bacteria have direct effects on pancreatic cancer pathogenesis or serve as markers of the immune response.
first_indexed 2024-03-06T20:48:37Z
format Journal article
id oxford-uuid:36cb8d67-af18-42e3-b92b-3ea726b90c5f
institution University of Oxford
language English
last_indexed 2024-03-06T20:48:37Z
publishDate 2013
record_format dspace
spelling oxford-uuid:36cb8d67-af18-42e3-b92b-3ea726b90c5f2022-03-26T13:40:08ZPlasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:36cb8d67-af18-42e3-b92b-3ea726b90c5fEnglishSymplectic Elements at Oxford2013Michaud, DIzard, JWilhelm-Benartzi, CYou, DGrote, VTjønneland, ADahm, COvervad, KJenab, MFedirko, VBoutron-Ruault, MClavel-Chapelon, FRacine, AKaaks, RBoeing, HFoerster, JTrichopoulou, ALagiou, PTrichopoulos, DSacerdote, CSieri, SPalli, DTumino, RPanico, SSiersema, POBJECTIVE: Examine the relationship between antibodies to 25 oral bacteria and pancreatic cancer risk in a prospective cohort study. DESIGN: We measured antibodies to oral bacteria in prediagnosis blood samples from 405 pancreatic cancer cases and 416 matched controls, nested within the European Prospective Investigation into Cancer and Nutrition study. Analyses were conducted using conditional logistic regression and additionally adjusted for smoking status and body mass index. RESULTS: Individuals with high levels of antibodies against Porphyromonas gingivalis ATTC 53978, a pathogenic periodontal bacteria, had a twofold higher risk of pancreatic cancer than individuals with lower levels of these antibodies (OR 2.14; 95% CI 1.05 to 4.36; >200 ng/ml vs ≤200 ng/ml). To explore the association with commensal (non-pathogenic) oral bacteria, we performed a cluster analysis and identified two groups of individuals, based on their antibody profiles. A cluster with overall higher levels of antibodies had a 45% lower risk of pancreatic cancer than a cluster with overall lower levels of antibodies (OR 0.55; 95% CI 0.36 to 0.83). CONCLUSIONS: Periodontal disease might increase the risk for pancreatic cancer. Moreover, increased levels of antibodies against specific commensal oral bacteria, which can inhibit growth of pathogenic bacteria, might reduce the risk of pancreatic cancer. Studies are needed to determine whether oral bacteria have direct effects on pancreatic cancer pathogenesis or serve as markers of the immune response.
spellingShingle Michaud, D
Izard, J
Wilhelm-Benartzi, C
You, D
Grote, V
Tjønneland, A
Dahm, C
Overvad, K
Jenab, M
Fedirko, V
Boutron-Ruault, M
Clavel-Chapelon, F
Racine, A
Kaaks, R
Boeing, H
Foerster, J
Trichopoulou, A
Lagiou, P
Trichopoulos, D
Sacerdote, C
Sieri, S
Palli, D
Tumino, R
Panico, S
Siersema, P
Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.
title Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.
title_full Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.
title_fullStr Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.
title_full_unstemmed Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.
title_short Plasma antibodies to oral bacteria and risk of pancreatic cancer in a large European prospective cohort study.
title_sort plasma antibodies to oral bacteria and risk of pancreatic cancer in a large european prospective cohort study
work_keys_str_mv AT michaudd plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT izardj plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT wilhelmbenartzic plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT youd plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT grotev plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT tjønnelanda plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT dahmc plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT overvadk plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT jenabm plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT fedirkov plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT boutronruaultm plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT clavelchapelonf plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT racinea plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT kaaksr plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT boeingh plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT foersterj plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT trichopouloua plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT lagioup plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT trichopoulosd plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT sacerdotec plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT sieris plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT pallid plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT tuminor plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT panicos plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy
AT siersemap plasmaantibodiestooralbacteriaandriskofpancreaticcancerinalargeeuropeanprospectivecohortstudy