Evidence map›Paper›PMID 40857027›Full record

ArticleInternational journal of cancer2026

Circulating fatty acid binding protein 4 (FABP-4) concentrations and mortality in individuals with colorectal cancer in the European Prospective Investigation into Cancer and Nutrition study.

Thu Thi Pham, Katharina Nimptsch, Krasimira Aleksandrova, Mazda Jenab, Veronika Fedirko, Anja Olsen, Anne Tjønneland, Claire Cadeau, Gianluca Severi, Matthias B Schulze and 16 more

Abstract read
In one paragraph

Article in International journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

26 authors.

Thu Thi PhamMolecular Epidemiology Research Group, Max-Delbrueck-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.ORCID https://orcid.org/0000-0002-2129-0911
Katharina NimptschMolecular Epidemiology Research Group, Max-Delbrueck-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.ORCID https://orcid.org/0000-0001-7877-205X
Krasimira AleksandrovaDepartment of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.ORCID https://orcid.org/0000-0002-1275-1827
Mazda JenabNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), World Health Organization, Lyon, France.ORCID https://orcid.org/0000-0002-0573-1852
Veronika FedirkoDepartment of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-7805-9913
Anja OlsenDanish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandDanish Cancer Society Research Center, Copenhagen, Denmark.
Claire CadeauParis-Saclay University, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.
Gianluca SeveriParis-Saclay University, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.ORCID https://orcid.org/0000-0001-7157-419X
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Renée Turzanski FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID https://orcid.org/0000-0002-1426-8505
Verena KatzkeDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Claudia AgnoliEpidemiology and Prevention Unit, Department of Epidemiology and Data Science, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Carlotta SacerdoteDepartment of Health Sciences, University of Eastern Piedmont, Novara, Italy.ORCID https://orcid.org/0000-0002-8008-5096
Rosario TuminoHyblean Association for Epidemiology Research, AIRE ONLUS, Ragusa, Italy.
Simona SignorielloMedical Statistics Units, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Camino Trobajo-SanmartínInstituto de Salud Pública y Laboral de Navarra, Pamplona, Spain.
Jesús-Humberto GómezCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
María-Dolores ChirlaqueCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Maria-Jose SánchezCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Marta Crous-BouUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology (ICO), Catalonia, Spain.
Anne MayJulius Center for Health Sciences and Primary Care, Epidemiology & Health Economics, University Medical Center Utrecht, Utrecht, The Netherlands.
Alicia HeathDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-6517-1300
Dagfinn AuneDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-4533-1722
Elisabete WeiderpassInternational Agency for Research on Cancer (IARC), World Health Organization, Lyon, France.
Tobias PischonMolecular Epidemiology Research Group, Max-Delbrueck-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.

Funding

Associazione Italiana per la Ricerca sul Cancro-AIRC-ItalyCancer Research UK 14136 to EPIC-Norfolk; C8221/A29017 to EPIC-OxfordCompagnia di SanPaolo and National Research CouncilDanish Cancer SocietyDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College LondonDutch Ministry of Public Health, Welfare and Sports (VWS)Dutch Prevention FundsDutch ZON (Zorg Onderzoek Nederland)Federal Ministry of Education and Research (BMBF)German Cancer AidGerman Cancer Research Center (DKFZ)German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE)Health Research Fund (FIS)-Instituto de Salud Carlos III (ISCIII)Institut Gustave RoussyInstitut National de la Santé et de la Recherche Médicale (INSERM)International Agency for Research on Cancer (IARC)Ligue Contre le CancerLK Research FundsMedical Research Council 1000143 to EPIC-Norfolk; MR/M012190/1 to EPIC-OxfordMutuelle Générale de l'Education NationaleNetherlands Cancer Registry (NKR)Regional Governments of Andalucía, Asturias, Basque Country, Murcia and Navarra, and the Catalan Institute of Oncology-ICOStatistics Netherlands (The Netherlands)Swedish Cancer SocietySwedish Research Council and County Councils of Skåne and VästerbottenWorld Cancer Research Fund (WCRF)World Health Organization 001
6 · The paper itself

Abstract

Human fatty acid binding protein-4 (FABP-4), a protein elevated in obesity that promotes colon cancer cell invasiveness and metastasis, may be associated with higher mortality in individuals with colorectal cancer (CRC) and may serve as a mediator of the obesity-mortality association in these individuals. We used a causal diagram to inform covariate selection and applied Cox proportional hazards models to estimate hazard ratios (HRs) for CRC-specific, non-CRC-specific, and all-cause mortality by FABP-4 levels measured in baseline blood samples from 1371 incident CRC cases from the European Prospective Investigation into Cancer and Nutrition cohort. Competing risk analyses were adapted for CRC and non-CRC deaths. Mediation analyses were conducted to estimate total effects (TEs), direct effects (DEs), and mediation proportions (MPs) by FABP-4 of pre-diagnostic body mass index (BMI) on mortality. In the fully adjusted model including BMI, higher circulating FABP-4 concentrations were associated with higher CRC mortality (HR

Indexed as

Biomarkers, TumorColorectal NeoplasmsFatty Acid-Binding ProteinsAgedBody Mass IndexEuropeFemaleHumansMaleMiddle AgedObesityProportional Hazards ModelsProspective StudiesRisk FactorsBiomarkers, TumorFABP4 protein, humanFatty Acid-Binding ProteinsEPICFABP‐4human fatty acid binding protein‐4incident colorectal cancermortality

Identifiers

PMID40857027
PMCPMC12670333

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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.