Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort
Background. B vitamin status and their interaction with alcohol were suggested to play a role in breast carcinogenesis; however, results from epidemiological studies have been inconsistent. We investigated the association between biomarkers of folate and vitamin B12 and the risk of breast cancer (B...
मुख्य लेखकों: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
स्वरूप: | Journal article |
प्रकाशित: |
Wiley
2017
|
_version_ | 1826279847196884992 |
---|---|
author | Matejcic, M Ricci, C Perrier, F Huybrechts, I Buckland, G Amiano, P Zeleniuch-Jacquotte, A Gylling, B Sieri, S Key, T van Gils, C Peeters, P Trichopoulou, A Lagiou, P Benetou, V Sánchez, M His, M Barricarte, A Skeie, G Weiderpass, E Kaaks, R Fortner, R Chirlaque, M Cox, D Palli, D Boutron-Ruault, M Cadeau, C Bueno-de-Mesquita, H Ricceri, F Quirós, J Tumino, R Riboli, E Romieu, I Chajès, V |
author_facet | Matejcic, M Ricci, C Perrier, F Huybrechts, I Buckland, G Amiano, P Zeleniuch-Jacquotte, A Gylling, B Sieri, S Key, T van Gils, C Peeters, P Trichopoulou, A Lagiou, P Benetou, V Sánchez, M His, M Barricarte, A Skeie, G Weiderpass, E Kaaks, R Fortner, R Chirlaque, M Cox, D Palli, D Boutron-Ruault, M Cadeau, C Bueno-de-Mesquita, H Ricceri, F Quirós, J Tumino, R Riboli, E Romieu, I Chajès, V |
author_sort | Matejcic, M |
collection | OXFORD |
description | Background. B vitamin status and their interaction with alcohol were suggested to play a role in breast carcinogenesis; however, results from epidemiological studies have been inconsistent. We investigated the association between biomarkers of folate and vitamin B12 and the risk of breast cancer (BC) in a nested case-control study within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.<br/> Methods. Microbiological assays were used to determine plasma concentrations of folate and vitamin B12 in 2,491 BC cases individually matched to 2,521 controls among women participants to the EPIC study who provided baseline blood samples. Multivariable conditional logistic regression models were used to estimate odds ratios by quartiles of plasma B vitamins. Subgroup analyses by menopausal status, hormone receptor status of breast tumors (ER, PR, and HER2), levels of alcohol intake, and MTHFR polymorphisms (677C>T and 1298A>C) were also performed.<br/> Results. Plasma concentrations of folate and vitamin B12 were not significantly associated with the overall risk of BC. No significant association emerged by hormone receptor status. A borderline positive association was observed between plasma concentrations of vitamin B12 and BC risk in women consuming above the median level of alcohol (ORQ4-Q1 = 1.30; 95% CI 1.03-1.64; Ptrend = 0.051). Plasma concentrations of vitamin B12 were also marginally associated with BC risk in women with plasma folate levels below the median value (ORQ4-Q1 = 1.26; 95% CI 1.00–1.60; Ptrend = 0.014). However, no significant heterogeneity between subgroups of alcohol intake (Pheterogeneity = 0.14) and plasma folate (Pheterogeneity = 0.059) was found. The association between MTHFR polymorphisms and BC risk in a subsample of this study population was not statistically significant.<br/> Conclusions. The present study raises the possibility for a role of vitamin B12 in the etiology of BC, and provides support for potential interactions between nutrients involved in one-carbon metabolism. |
first_indexed | 2024-03-07T00:04:54Z |
format | Journal article |
id | oxford-uuid:7739ed59-3c2f-4d4b-a608-9784e52ea800 |
institution | University of Oxford |
last_indexed | 2024-03-07T00:04:54Z |
publishDate | 2017 |
publisher | Wiley |
record_format | dspace |
spelling | oxford-uuid:7739ed59-3c2f-4d4b-a608-9784e52ea8002022-03-26T20:22:29ZBiomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohortJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7739ed59-3c2f-4d4b-a608-9784e52ea800Symplectic Elements at OxfordWiley2017Matejcic, MRicci, CPerrier, FHuybrechts, IBuckland, GAmiano, PZeleniuch-Jacquotte, AGylling, BSieri, SKey, Tvan Gils, CPeeters, PTrichopoulou, ALagiou, PBenetou, VSánchez, MHis, MBarricarte, ASkeie, GWeiderpass, EKaaks, RFortner, RChirlaque, MCox, DPalli, DBoutron-Ruault, MCadeau, CBueno-de-Mesquita, HRicceri, FQuirós, JTumino, RRiboli, ERomieu, IChajès, V Background. B vitamin status and their interaction with alcohol were suggested to play a role in breast carcinogenesis; however, results from epidemiological studies have been inconsistent. We investigated the association between biomarkers of folate and vitamin B12 and the risk of breast cancer (BC) in a nested case-control study within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.<br/> Methods. Microbiological assays were used to determine plasma concentrations of folate and vitamin B12 in 2,491 BC cases individually matched to 2,521 controls among women participants to the EPIC study who provided baseline blood samples. Multivariable conditional logistic regression models were used to estimate odds ratios by quartiles of plasma B vitamins. Subgroup analyses by menopausal status, hormone receptor status of breast tumors (ER, PR, and HER2), levels of alcohol intake, and MTHFR polymorphisms (677C>T and 1298A>C) were also performed.<br/> Results. Plasma concentrations of folate and vitamin B12 were not significantly associated with the overall risk of BC. No significant association emerged by hormone receptor status. A borderline positive association was observed between plasma concentrations of vitamin B12 and BC risk in women consuming above the median level of alcohol (ORQ4-Q1 = 1.30; 95% CI 1.03-1.64; Ptrend = 0.051). Plasma concentrations of vitamin B12 were also marginally associated with BC risk in women with plasma folate levels below the median value (ORQ4-Q1 = 1.26; 95% CI 1.00–1.60; Ptrend = 0.014). However, no significant heterogeneity between subgroups of alcohol intake (Pheterogeneity = 0.14) and plasma folate (Pheterogeneity = 0.059) was found. The association between MTHFR polymorphisms and BC risk in a subsample of this study population was not statistically significant.<br/> Conclusions. The present study raises the possibility for a role of vitamin B12 in the etiology of BC, and provides support for potential interactions between nutrients involved in one-carbon metabolism. |
spellingShingle | Matejcic, M Ricci, C Perrier, F Huybrechts, I Buckland, G Amiano, P Zeleniuch-Jacquotte, A Gylling, B Sieri, S Key, T van Gils, C Peeters, P Trichopoulou, A Lagiou, P Benetou, V Sánchez, M His, M Barricarte, A Skeie, G Weiderpass, E Kaaks, R Fortner, R Chirlaque, M Cox, D Palli, D Boutron-Ruault, M Cadeau, C Bueno-de-Mesquita, H Ricceri, F Quirós, J Tumino, R Riboli, E Romieu, I Chajès, V Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort |
title | Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort |
title_full | Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort |
title_fullStr | Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort |
title_full_unstemmed | Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort |
title_short | Biomarkers of folate and vitamin B12, alcohol intake and breast cancer risk: report from the EPIC cohort |
title_sort | biomarkers of folate and vitamin b12 alcohol intake and breast cancer risk report from the epic cohort |
work_keys_str_mv | AT matejcicm biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT riccic biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT perrierf biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT huybrechtsi biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT bucklandg biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT amianop biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT zeleniuchjacquottea biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT gyllingb biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT sieris biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT keyt biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT vangilsc biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT peetersp biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT trichopouloua biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT lagioup biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT benetouv biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT sanchezm biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT hism biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT barricartea biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT skeieg biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT weiderpasse biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT kaaksr biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT fortnerr biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT chirlaquem biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT coxd biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT pallid biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT boutronruaultm biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT cadeauc biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT buenodemesquitah biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT riccerif biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT quirosj biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT tuminor biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT ribolie biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT romieui biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort AT chajesv biomarkersoffolateandvitaminb12alcoholintakeandbreastcancerriskreportfromtheepiccohort |