Evidence map›Paper›PMID 31547832›Full record

ArticleBMC medicine2019

Prospective analysis of circulating metabolites and breast cancer in EPIC.

Mathilde His, Vivian Viallon, Laure Dossus, Audrey Gicquiau, David Achaintre, Augustin Scalbert, Pietro Ferrari, Isabelle Romieu, N Charlotte Onland-Moret, Elisabete Weiderpass and 35 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Large-scale Integrated Analysis of Genetics and Metabolomic Data Reveals Potential Links Between Lipids and Colorectal Cancer Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
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  16. Identifying Metabolomic Mediators of the Physical Activity and Colorectal Cancer Relationship.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  17. Physical activity, metabolites, and breast cancer associations.Journal of the National Cancer Institute · 2025
    Article
  18. Plasma metabolomics profiles and breast cancer risk.Breast cancer research : BCR · 2024
    Article
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  20. Article

20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

45 authors at 20 institutions in 10 countries.

Mathilde HisInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Vivian ViallonInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Laure DossusInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Audrey GicquiauInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
David AchaintreInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Augustin ScalbertInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Pietro FerrariInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Isabelle RomieuCentre for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico.
N Charlotte Onland-MoretJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Elisabete WeiderpassInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Christina C DahmDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Kim OvervadDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Anja OlsenDanish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandDanish Cancer Society Research Center, Copenhagen, Denmark.
Agnès FournierCESP, Université Paris-Sud, UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
Joseph A RothwellCESP, Université Paris-Sud, UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
Gianluca SeveriCESP, Université Paris-Sud, UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
Tilman KühnDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Renée T FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Arthur-Scheunert-Allee 114-116, 14558, Nuthetal, Germany.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Anna KarakatsaniHellenic Health Foundation, Athens, Greece.
Georgia MartimianakiHellenic Health Foundation, Athens, Greece.
Giovanna MasalaCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network - ISPRO, Florence, Italy.
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Rosario TuminoCancer Registry and Histopathology Department, "M.P.Arezzo"Hospital, ASP Ragusa, Ragusa, Italy.
Paolo VineisItalian Institute for Genomic Medicine (IIGM), 10126, Turin, Italy.
Salvatore PanicoDipartimento di medicina clinica e chirurgia, Federico II University, Naples, Italy.
Carla H van GilsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Therese H NøstDepartment of Community Medicine, UiT the Arctic University of Norway, Tromso, Norway.
Torkjel M SandangerDepartment of Community Medicine, UiT the Arctic University of Norway, Tromso, Norway.
Guri SkeieDepartment of Community Medicine, UiT the Arctic University of Norway, Tromso, Norway.
J Ramón QuirósPublic Health Directorate, Asturias, Spain.
Antonio AgudoUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Maria-Jose SánchezEscuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Universidad de Granada, Granada, Spain.
Pilar AmianoCIBER Epidemiology and Public Health CIBERESP, Madrid, Spain.
José María HuertaCIBER Epidemiology and Public Health CIBERESP, Madrid, Spain.
Eva ArdanazCIBER Epidemiology and Public Health CIBERESP, Madrid, Spain.
Julie A SchmidtCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Ruth C TravisCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Elio RiboliDepartment of Epidemiology and Biostatistics, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Konstantinos K TsilidisDepartment of Epidemiology and Biostatistics, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Sofia ChristakoudiDepartment of Epidemiology and Biostatistics, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Marc J GunterInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Sabina RinaldiInternational Agency for Research on Cancer, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France. rinaldis@iarc.fr.
Centre International de Recherche sur le Cancer · FRHellenic Health Foundation · GRUiT The Arctic University of Norway · NOAarhus University · DKCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESDanish Cancer Society · DKHeidelberg University · DEUniversité Paris-Saclay · FRUniversity of Oxford · GBAndalusian School of Public Health · ESAzienda Usl 8 Arezzo · ITFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Institute of Human Nutrition · DEGobierno del Principado de Asturias · ESImperial College London · GBInserm · FRInstitut Català d'Oncologia · ESInstituto de Salud Pública de Navarra · ESInstituto Nacional de Salud Pública · MX

Funding

Cancer Research UK 14136Cancer Research UK C570/A16491Cancer Research UK C8221/A19170Medical Research Council 1000143Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/L01341X/1Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1World Health Organization 001
6 · The paper itself

Abstract

backgroundMetabolomics is a promising molecular tool to identify novel etiologic pathways leading to cancer. Using a targeted approach, we prospectively investigated the associations between metabolite concentrations in plasma and breast cancer risk.

methodsA nested case-control study was established within the European Prospective Investigation into Cancer cohort, which included 1624 first primary incident invasive breast cancer cases (with known estrogen and progesterone receptor and HER2 status) and 1624 matched controls. Metabolites (n = 127, acylcarnitines, amino acids, biogenic amines, glycerophospholipids, hexose, sphingolipids) were measured by mass spectrometry in pre-diagnostic plasma samples and tested for associations with breast cancer incidence using multivariable conditional logistic regression.

resultsAmong women not using hormones at baseline (n = 2248), and after control for multiple tests, concentrations of arginine (odds ratio [OR] per SD = 0.79, 95% confidence interval [CI] = 0.70-0.90), asparagine (OR = 0.83 (0.74-0.92)), and phosphatidylcholines (PCs) ae C36:3 (OR = 0.83 (0.76-0.90)), aa C36:3 (OR = 0.84 (0.77-0.93)), ae C34:2 (OR = 0.85 (0.78-0.94)), ae C36:2 (OR = 0.85 (0.78-0.88)), and ae C38:2 (OR = 0.84 (0.76-0.93)) were inversely associated with breast cancer risk, while the acylcarnitine C2 (OR = 1.23 (1.11-1.35)) was positively associated with disease risk. In the overall population, C2 (OR = 1.15 (1.06-1.24)) and PC ae C36:3 (OR = 0.88 (0.82-0.95)) were associated with risk of breast cancer, and these relationships did not differ by breast cancer subtype, age at diagnosis, fasting status, menopausal status, or adiposity.

conclusionsThese findings point to potentially novel pathways and biomarkers of breast cancer development. Results warrant replication in other epidemiological studies.

Indexed as

AdultAgedBiomarkersBreast NeoplasmsCase-Control StudiesCohort StudiesFemaleHumansIncidenceMass SpectrometryMetabolomicsMiddle AgedProspective StudiesRisk FactorsBiomarkersBreast cancerMetabolomicsProspective study

Identifiers

PMID31547832
PMCPMC6757362
OpenAlexW2971558915

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.