Evidence map›Paper›PMID 34010397›Full record

ArticleJournal of the National Cancer Institute2021

Novel Biomarkers of Habitual Alcohol Intake and Associations With Risk of Pancreatic and Liver Cancers and Liver Disease Mortality.

Erikka Loftfield, Magdalena Stepien, Vivian Viallon, Laura Trijsburg, Joseph A Rothwell, Nivonirina Robinot, Carine Biessy, Ingvar A Bergdahl, Stina Bodén, Matthias B Schulze and 30 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.6field-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

23 citing papers in PubMed, 47 citations in OpenAlex.

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  15. [Research advances of metabolomics in early diagnosis of hepatocellular carcinoma].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors at 20 institutions in 12 countries.

Erikka LoftfieldMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute,National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-3573-8748
Magdalena StepienNutritional Epidemiology Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0002-5795-5735
Vivian ViallonNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0002-9799-4421
Laura TrijsburgNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0002-3210-2242
Joseph A RothwellNutritional Epidemiology Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0002-6927-3360
Nivonirina RobinotCentre for Epidemiology and Population Health (U1018), Generations and Health team, Faculté de Médecine, Université Paris-Saclay, UVSQ, INSERM, Villejuif, France.ORCID 0000-0002-2532-1455
Carine BiessyNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.
Ingvar A BergdahlBiobank Research Unit, Umeå University, Sweden.ORCID 0000-0003-1227-6859
Stina BodénDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.ORCID 0000-0002-0830-5277
Manuela BergmanDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.ORCID 0000-0001-5064-227X
Elisabete WeiderpassInternational Agency for Research on Cancer, World Health Organization.
Julie A SchmidtCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0002-7733-8750
Raul Zamora-RosUnit of Nutrition and Cancer, Epidemiology Research Program, Catalan Institute of Oncology, Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0002-6236-6804
Therese H NøstDepartment of Community Medicine, UiT- The Arctic University of Norway, Tromsø, Norway.
Torkjel M SandangerDepartment of Community Medicine, UiT- The Arctic University of Norway, Tromsø, Norway.
Emily SonestedtDepartment of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-0747-4562
Bodil OhlssonDepartment of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-9142-5244
Verena KatzkeDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-6509-6555
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-3751-3929
Fulvio RicceriDepartment of Clinical and Biological Sciences, University of Turin, Italy; Unit of Epidemiology, Regional Health Service ASL TO3, Grugliasco, TO, Italy.ORCID 0000-0001-8749-9737
Anne TjønnelandDanish Cancer Society Research Center; University of Copenhagen, Department of Public Health.
Christina C DahmDepartment of Public Health, Aarhus University, Denmark.ORCID 0000-0003-0481-2893
Maria-Jose SánchezEscuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.ORCID 0000-0002-7204-6396
Rosario TuminoCancer Registry and Histopathology Department, Provincial Health Authority (ASP 7), Ragusa, Italy.ORCID 0000-0003-2666-414X
María-Dolores ChirlaqueDepartment of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia University, Murcia, Spain.ORCID 0000-0001-9242-3040
Giovanna MasalaCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network-ISPRO, Florence, Italy.ORCID 0000-0002-5758-9069
Eva ArdanazNavarra Public Health Institute, Pamplona, Spain.ORCID 0000-0001-8434-2013
Roel VermeulenInstitute for Risk Assessment Sciences, Division of Environmental Epidemiology, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0003-4082-8163
Paul BrennanGenetic Epidemiology Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.
Demetrius AlbanesMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute,National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0001-8330-4293
Stephanie J WeinsteinMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute,National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-3834-1535
Augustin ScalbertCentre for Epidemiology and Population Health (U1018), Generations and Health team, Faculté de Médecine, Université Paris-Saclay, UVSQ, INSERM, Villejuif, France.ORCID 0000-0001-6651-6710
Neal D FreedmanMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute,National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0003-0074-1098
Marc J GunterNutritional Epidemiology Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0001-5472-6761
Mazda JenabNutritional Epidemiology Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0002-0573-1852
Rashmi SinhaMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute,National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-2466-7462
Pekka Keski-RahkonenCentre for Epidemiology and Population Health (U1018), Generations and Health team, Faculté de Médecine, Université Paris-Saclay, UVSQ, INSERM, Villejuif, France.
Pietro FerrariNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer (IARC-WHO), Lyon, France.ORCID 0000-0001-9358-7338
Centre international de recherche sur le cancer · FRNational Institutes of Health · USInserm · FRGerman Cancer Research Center · DELund University · SEUiT The Arctic University of Norway · NOUmeå University · SEUniversity of Potsdam · DEAarhus University · DKHellenic Health Foundation · GRInstitut d'Investigació Biomédica de Bellvitge · ESInstitut Gustave Roussy · FRInstituto de Salud Pública de Navarra · ESInstituto Murciano de Investigación Biosanitaria · ESPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversidad de Granada · ESUniversity of Copenhagen · DKUniversity of Oxford · GBUniversity of Turin · ITUtrecht University · NL

Funding

Physical Activity, Energy Balance, and CancerZIACP010197 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALBANES, DEMETRIUS · 2009 to 2025
$17.5M
Medical Research Council MR/M012190/1World Health Organization 001
6 · The paper itself

Abstract

backgroundAlcohol is an established risk factor for several cancers, but modest alcohol-cancer associations may be missed because of measurement error in self-reported assessments. Biomarkers of habitual alcohol intake may provide novel insight into the relationship between alcohol and cancer risk.

methodsUntargeted metabolomics was used to identify metabolites correlated with self-reported habitual alcohol intake in a discovery dataset from the European Prospective Investigation into Cancer and Nutrition (EPIC; n = 454). Statistically significant correlations were tested in independent datasets of controls from case-control studies nested within EPIC (n = 280) and the Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC; n = 438) study. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for associations of alcohol-associated metabolites and self-reported alcohol intake with risk of pancreatic cancer, hepatocellular carcinoma (HCC), liver cancer, and liver disease mortality in the contributing studies.

resultsTwo metabolites displayed a dose-response association with self-reported alcohol intake: 2-hydroxy-3-methylbutyric acid and an unidentified compound. A 1-SD (log2) increase in levels of 2-hydroxy-3-methylbutyric acid was associated with risk of HCC (OR = 2.54, 95% CI = 1.51 to 4.27) and pancreatic cancer (OR = 1.43, 95% CI = 1.03 to 1.99) in EPIC and liver cancer (OR = 2.00, 95% CI = 1.44 to 2.77) and liver disease mortality (OR = 2.16, 95% CI = 1.63 to 2.86) in ATBC. Conversely, a 1-SD (log2) increase in questionnaire-derived alcohol intake was not associated with HCC or pancreatic cancer in EPIC or liver cancer in ATBC but was associated with liver disease mortality (OR = 2.19, 95% CI = 1.60 to 2.98) in ATBC.

conclusions2-hydroxy-3-methylbutyric acid is a candidate biomarker of habitual alcohol intake that may advance the study of alcohol and cancer risk in population-based studies.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsAlcohol DrinkingBiomarkersCase-Control StudiesHumansProspective StudiesRisk FactorsBiomarkers

Identifiers

PMID34010397
PMCPMC8562969
OpenAlexW3163137992

What OpenQuestion holds

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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.