Evidence map›Paper›PMID 36501181›Full record

ArticleNutrients2022

Longitudinal Associations of Adherence to the Dietary World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) and Dutch Healthy Diet (DHD) Recommendations with Plasma Kynurenines in Colorectal Cancer Survivors after Treatment.

Daniëlle D B Holthuijsen, Martijn J L Bours, Eline H van Roekel, Stéphanie O Breukink, Maryska L G Janssen-Heijnen, Eric T P Keulen, Per M Ueland, Øivind Midttun, Stefanie Brezina, Biljana Gigic and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02328677 (ColoCare Transdisciplinary Research in Colorectal Cancer Prognosis), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 38% 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.

NCT02328677 recruitingnot on this map

ColoCare Transdisciplinary Research in Colorectal Cancer Prognosis

TypeobservationalSponsorUniversity of UtahRan2007 to 2030Enrolled5,000ConditionsColorectal Cancer
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. 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

16 authors at 9 institutions in 5 countries.

Daniëlle D B HolthuijsenDepartment of Epidemiology, CARIM School for Cardivascular Diseases, Maastricht University, 6200 MD Maastricht, The Netherlands.
Martijn J L BoursDepartment of Epidemiology, GROW School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0002-5558-1258
Eline H van RoekelDepartment of Epidemiology, GROW School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0002-9402-2029
Stéphanie O BreukinkDepartment of Epidemiology, GROW School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0002-5445-4011
Maryska L G Janssen-HeijnenDepartment of Epidemiology, GROW School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.
Eric T P KeulenDepartment Internal Medicine and Gastroentology, Zuyderland Medical Centre Sittard-Geleen, 6162 BG Geleen, The Netherlands.ORCID 0000-0001-6666-8773
Per M UelandBevital AS, 5021 Bergen, Norway.
Øivind MidttunBevital AS, 5021 Bergen, Norway.
Stefanie BrezinaCenter for Cancer Research, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0001-5238-6900
Biljana GigicDepartment of General, Visceral and Transplantation Surgery, University of Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0002-8085-2072
Andrea GsurCenter for Cancer Research, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-9795-1528
Dieuwertje E KokDivision of Human Nutrition and Health, Wageningen University & Research, 6700 AA Wageningen, The Netherlands.ORCID 0000-0001-7154-8207
Jennifer OseHuntsman Cancer Institute, Salt Lake City, UT 84112, USA.
Cornelia M UlrichHuntsman Cancer Institute, Salt Lake City, UT 84112, USA.
Matty P WeijenbergDepartment of Epidemiology, GROW School for Oncology and Reproduction, Maastricht University, 6200 MD Maastricht, The Netherlands.
Simone J P M EussenDepartment of Epidemiology, CARIM School for Cardivascular Diseases, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0003-0559-6838
Maastricht University · NLBevital (Norway) · NOComprehensive Cancer Center Vienna · ATHeidelberg University · DEHuntsman Cancer Institute · USMaastricht University Medical Centre · NLUniversity of Utah · USWageningen University & Research · NLZuyderland Medisch Centrum · NL

Funding

Transdisciplinary Team Science in Colorectal Cancer Prognosis: the ColoCare StudyU01CA206110 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jane C. Figueiredo, Christopher I Li · 2016 to 2026
$18.6M
Discovery and verification of novel biomarkers of colorectal cancer recurrenceR01CA189184 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LI, CHRISTOPHER I, ULRICH, CORNELIA M · 2015 to 2020
$5.6M
Metabolomic Strategies for Discovery and Validation of Biomarkers of Colorectal Cancer RecurrenceR01CA207371 · NCI · UNIVERSITY OF UTAH · PI LI, CHRISTOPHER I, ULRICH, CORNELIA M · 2017 to 2022
$3.9M
NCI NIH HHS R01 CA189184NCI NIH HHS R01 CA207371NCI NIH HHS U01 CA206110World Cancer Research Fund International IIG_FULL_2020_018
6 · The paper itself

Abstract

The tryptophan-kynurenine pathway has been linked to cancer aetiology and survivorship, and diet potentially affects metabolites of this pathway, but evidence to date is scarce. Among 247 stage I-III CRC survivors, repeated measurements were performed at 6 weeks, 6 months, and 1 year post-treatment. Adherence to the World Cancer Research Fund/ American Institute for Cancer Research (WCRF) and Dutch Healthy Diet (DHD) recommendations was operationalized using seven-day dietary records. Plasma kynurenines of nine metabolites were analysed. Longitudinal associations of adherence to these dietary patterns and plasma kynurenines were analysed using confounder-adjusted linear mixed-models. In general, higher adherence to the dietary WCRF/AICR and DHD recommendations was associated with lower concentrations of kynurenines with pro-oxidative, pro-inflammatory, and neurotoxic properties (3-hydroxykynurenine (HK) and quinolinic acid (QA)), and higher concentrations of kynurenines with anti-oxidative, anti-inflammatory, and neuroprotective properties (kynurenic acid (KA) and picolinic acid (Pic)), but associations were weak and not statistically significant. Statistically significant positive associations between individual recommendations and kynurenines were observed for: nuts with kynurenic-acid-to-quinolinic-acid ratio (KA/QA); alcohol with KA/QA, KA, and xanthurenic acid (XA); red meat with XA; and cheese with XA. Statistically significant inverse associations were observed for: nuts with kynurenine-to-tryptophan ratio (KTR) and hydroxykynurenine ratio; alcohol with KTR; red meat with 3-hydroxyanthranilic-to-3-hydroxykynurenine ratio; ultra-processed foods with XA and KA/QA; and sweetened beverages with KA/QA. Our findings suggest that CRC survivors might benefit from adhering to the dietary WCRF and DHD recommendations in the first year after treatment, as higher adherence to these dietary patterns is generally, but weakly associated with more favourable concentrations of kynurenines and their ratios. These results need to be validated in other studies.

Indexed as

Cancer SurvivorsColorectal NeoplasmsDietDiet, HealthyHumansKynurenic AcidTryptophanUnited StatesKynurenic AcidTryptophancolorectal cancer survivorshipdietary patternsdietary recommendationskynurenineslifestyle

Identifiers

PMID36501181
PMCPMC9738623
OpenAlexW4311526951

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Registered trials

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.