Evidence map›Paper›PMID 36855092›Full record

ArticleBMC medicine2023

Circulating amino acid levels and colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition and UK Biobank cohorts.

Joseph A Rothwell, Jelena Bešević, Niki Dimou, Marie Breeur, Neil Murphy, Mazda Jenab, Roland Wedekind, Vivian Viallon, Pietro Ferrari, David Achaintre and 39 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  9. Investigating stage-specific metabolic alterations in colorectal cancer through urine metabolomics.Metabolomics : Official journal of the Metabolomic Society · 2025
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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

49 authors at 20 institutions in 13 countries.

Joseph A Rothwell *Centre for Epidemiology and Population Health (Inserm U1018), Exposome and Heredity team, Faculté de Médecine, Université Paris-Saclay, UVSQ, Gustave Roussy, F-94805, Villejuif, France. joseph.rothwell@inserm.fr.ORCID http://orcid.org/0000-0002-6927-3360
Jelena Bešević *Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Niki DimouInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Marie BreeurInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Neil MurphyInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Mazda JenabInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Roland WedekindInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Vivian ViallonInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Pietro FerrariInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
David AchaintreInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Audrey GicquiauInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Sabina RinaldiInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Augustin ScalbertInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Inge HuybrechtsInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Cornelia PrehnMetabolomics and Proteomics Core, Helmholtz Zentrum München, 85764, Neuherberg, Germany.
Jerzy AdamskiDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, 8 Medical Drive, Singapore, 117597, Singapore.
Amanda J CrossSchool of Public Health, Imperial College London, London, UK.
Hector KeunDepartment of Surgery & Cancer, Imperial College London, London, UK.
Marc Chadeau-HyamSchool of Public Health, Imperial College London, London, UK.
Marie-Christine Boutron-RuaultCentre for Epidemiology and Population Health (Inserm U1018), Exposome and Heredity team, Faculté de Médecine, Université Paris-Saclay, UVSQ, Gustave Roussy, F-94805, Villejuif, France.
Kim OvervadDepartment of Public Health, Aarhus University, Bartholins Allé 2, DK-8000, Aarhus, Denmark.
Christina C DahmDepartment of Public Health, Aarhus University, Bartholins Allé 2, DK-8000, Aarhus, Denmark.
Therese Haugdahl NøstFaculty of Health Sciences, Department of Community Medicine, UiT the Arctic University of Norway, N-9037, Tromsø, Norway.
Torkjel M SandangerFaculty of Health Sciences, Department of Community Medicine, UiT the Arctic University of Norway, N-9037, Tromsø, Norway.
Guri SkeieFaculty of Health Sciences, Department of Community Medicine, UiT the Arctic University of Norway, N-9037, Tromsø, Norway.
Raul Zamora-RosUnit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
Kostas K TsilidisSchool of Public Health, Imperial College London, London, UK.
Fabian EichelmannGerman Center for Diabetes Research (DZD), Munchen-Neuherberg, Germany.
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Bethany van GuelpenDepartment of Radiation Sciences, Oncology Unit, Umeå University, Umeå, Sweden.
Linda VidmanDepartment of Radiation Sciences, Oncology Unit, Umeå University, Umeå, Sweden.
Maria-José SánchezEscuela Andaluza de Salud Pública (EASP), 18011, Granada, Spain.
Pilar AmianoMinistry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastián, Spain.
Eva ArdanazCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Karl Smith-ByrneCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Ruth TravisCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Verena KatzkeGerman Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany.
Rudolf KaaksGerman Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany.
Jeroen W G DerksenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Sandra Colorado-YoharCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Rosario TuminoCancer Registry and Histopathology Department, Provincial Health Authority (ASP), Ragusa, Italy.
Bas Bueno-de-MesquitaDepartment for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720, BA, Bilthoven, The Netherlands.
Paolo VineisSchool of Public Health, Imperial College London, London, UK.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network - ISPRO, Florence, Italy.
Fabrizio PasanisiDipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
Anne Kirstine EriksenDanish Cancer Society Research Center, Diet, Genes and Environment, Strandboulevarden 49, DK-2100, Copenhagen, Denmark.
Anne TjønnelandDanish Cancer Society Research Center, Diet, Genes and Environment, Strandboulevarden 49, DK-2100, Copenhagen, Denmark.
Gianluca SeveriCentre for Epidemiology and Population Health (Inserm U1018), Exposome and Heredity team, Faculté de Médecine, Université Paris-Saclay, UVSQ, Gustave Roussy, F-94805, Villejuif, France.
Marc J GunterInternational Agency for Research on Cancer (IARC), 150 cours Albert Thomas, 69008, Lyon, France.
Centre international de recherche sur le cancer · FRImperial College London · GBInserm · FRUiT The Arctic University of Norway · NOUniversity of Oxford · GBAarhus University · DKGerman Cancer Research Center · DEUmeå University · SEBasque Government · ESDanish Cancer Society · DKDeutsches Diabetes-Zentrum e.V. · DEFederico II University Hospital · ITHelmholtz Zentrum München · DEInstitut d'Investigació Biomédica de Bellvitge · ESInstituto de Salud Pública de Navarra · ESItalian Institute of Technology · ITNational Institute for Public Health and the Environment · NLPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversidad de Antioquia · COUniversidad de Granada · ES

Funding

Cancer Research UK 21351Cancer Research UK 25004Cancer Research UK 29017World Health Organization 001
6 · The paper itself

Abstract

backgroundAmino acid metabolism is dysregulated in colorectal cancer patients; however, it is not clear whether pre-diagnostic levels of amino acids are associated with subsequent risk of colorectal cancer. We investigated circulating levels of amino acids in relation to colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) and UK Biobank cohorts.

methodsConcentrations of 13-21 amino acids were determined in baseline fasting plasma or serum samples in 654 incident colorectal cancer cases and 654 matched controls in EPIC. Amino acids associated with colorectal cancer risk following adjustment for the false discovery rate (FDR) were then tested for associations in the UK Biobank, for which measurements of 9 amino acids were available in 111,323 participants, of which 1221 were incident colorectal cancer cases.

resultsHistidine levels were inversely associated with colorectal cancer risk in EPIC (odds ratio [OR] 0.80 per standard deviation [SD], 95% confidence interval [CI] 0.69-0.92, FDR P-value=0.03) and in UK Biobank (HR 0.93 per SD, 95% CI 0.87-0.99, P-value=0.03). Glutamine levels were borderline inversely associated with colorectal cancer risk in EPIC (OR 0.85 per SD, 95% CI 0.75-0.97, FDR P-value=0.08) and similarly in UK Biobank (HR 0.95, 95% CI 0.89-1.01, P=0.09) In both cohorts, associations changed only minimally when cases diagnosed within 2 or 5 years of follow-up were excluded.

conclusionsHigher circulating levels of histidine were associated with a lower risk of colorectal cancer in two large prospective cohorts. Further research to ascertain the role of histidine metabolism and potentially that of glutamine in colorectal cancer development is warranted.

Indexed as

Amino AcidsColorectal NeoplasmsBiological Specimen BanksGlutamineHistidineHumansProspective StudiesUnited KingdomAmino AcidsGlutamineHistidineAmino acidsColorectal cancerGlutamineHistidine

Identifiers

PMID36855092
PMCPMC9976469
OpenAlexW4322625355

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LicenceCC BY
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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.