Evidence map›Paper›PMID 34469519›Full record

ArticleCardiovascular research2022

Cardiovascular disease related circulating biomarkers and cancer incidence and mortality: is there an association?

Manol Jovani, Elizabeth E Liu, Samantha M Paniagua, Emily S Lau, Shawn X Li, Katherine S Takvorian, Bernard E Kreger, Greta Lee Splansky, Rudolf A de Boer, Amit D Joshi and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Cardiovascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

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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

18 authors at 6 institutions in 2 countries.

Manol JovaniDivision of Gastroenterology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0001-6803-8521
Elizabeth E LiuCardiovascular Research Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0002-6031-3047
Samantha M PaniaguaCardiovascular Research Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Emily S LauCorrigan Minehan Heart Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0001-9361-6397
Shawn X LiDepartment of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0002-4094-7085
Katherine S TakvorianDepartment of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0003-4806-4356
Bernard E KregerGeneral Internal Medicine, Department of Medicine, Boston University School of Medicine, 72 E Concord Street, Boston, MA 02118, USA.
Greta Lee SplanskyThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.ORCID 0000-0002-0738-4196
Rudolf A de BoerDepartment of Cardiology, University Medical Centre Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Amit D JoshiDivision of Gastroenterology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Shih Jen HwangThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.ORCID 0000-0002-2129-5704
Chen YaoThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.ORCID 0000-0002-3944-7788
Tianxiao HuanThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.
Paul CourchesneThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.ORCID 0000-0001-5691-6913
Martin G LarsonThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.
Daniel LevyThe Framingham Heart Study, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.
Andrew T ChanDivision of Gastroenterology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0001-7284-6767
Jennifer E HoClinical and Translational Epidemiology Unit, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.ORCID 0000-0002-7987-4768
Massachusetts General Hospital · USNational Institutes of Health · USHarvard University · USBoston University · USFramingham Heart Study · USUniversity Medical Center Groningen · NL

Funding

Framingham Project/LevyZIAHL006001 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEVY, DANIEL · 2009 to 2025
$51.1M
Main Administrative CoreU19AG062682 · NIA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI CHAN, ANDREW T, MURRAY, ANNE M · 2019 to 2023
$42.9M
Inflammation and Colorectal NeoplasiaR01CA137178 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CHAN, ANDREW T · 2009 to 2019
$6.5M
Eicosanoid Profiles as Determinants of HFpEFR01HL140224 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2018 to 2021
$3.1M
The Association of Metabolic Disease and Pulmonary HypertensionR01HL134893 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2017 to 2021
$2.9M
Mentoring in Patient-Oriented and Translational HFpEF ResearchK24HL153669 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Jennifer E Ho · 2020 to 2026
$744k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NCI NIH HHS R01 CA137178NHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS HHSN268201500001INHLBI NIH HHS K24 HL153669NHLBI NIH HHS N01 HC025195NHLBI NIH HHS R01 HL134893NHLBI NIH HHS R01 HL140224NIA NIH HHS U19 AG062682
6 · The paper itself

Abstract

aimsRecent studies suggest an association between cardiovascular disease (CVD) and cancer incidence/mortality, but the pathophysiological mechanisms underlying these associations are unclear. We aimed to examine biomarkers previously associated with CVD and study their association with incident cancer and cancer-related death in a prospective cohort study. METHODS AND

resultsWe used a proteomic platform to measure 71 cardiovascular biomarkers among 5032 participants in the Framingham Heart Study who were free of cancer at baseline. We used multivariable-adjusted Cox models to examine the association of circulating protein biomarkers with risk of cancer incidence and mortality. To account for multiple testing, we set a 2-sided false discovery rate <0.05. Growth differentiation factor-15 (also known as macrophage inhibitory cytokine-1) was associated with increased risk of incident cancer [hazards ratio (HR) per 1 standard deviation increment 1.31, 95% CI 1.17-1.47], incident gastrointestinal cancer (HR 1.85, 95% CI 1.37-2.50), incident colorectal cancer (HR 1.94, 95% CI 1.29-2.91), and cancer-related death (HR 2.15, 95% CI 1.72-2.70). Stromal cell-derived factor-1 showed an inverse association with cancer-related death (HR 0.75, 95% CI 0.65-0.86). Fibroblast growth factor-23 showed an association with colorectal cancer (HR 1.55, 95% CI 1.20-2.00), and granulin was associated with haematologic cancer (HR 1.61, 95% CI 1.30-1.99). Other circulating biomarkers of inflammation, immune activation, metabolism, and fibrosis showed suggestive associations with future cancer diagnosis.

conclusionWe observed several significant associations between circulating CVD biomarkers and cancer, supporting the idea that shared biological pathways underlie both diseases. Further investigations of specific mechanisms that lead to both CVD and cancer are warranted.

Indexed as

Cardiovascular DiseasesColorectal NeoplasmsBiomarkersHumansIncidenceProspective StudiesProteomicsRisk FactorsBiomarkersbiomarkercancercardio-oncologycohort studyGDF15

Identifiers

PMID34469519
PMCPMC9328284
OpenAlexW3197386123

What OpenQuestion holds

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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.