Dietary intake of advanced glycation endproducts and risk of hepatobiliary cancers: A multinational cohort study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Ana Lucia Mayén
  • Elom K. Aglago
  • Viktoria Knaze
  • Reynalda Cordova
  • Casper G. Schalkwijk
  • Karl Heinz Wagner
  • Krasimira Aleksandrova
  • Veronika Fedirko
  • Pekka Keski-Rahkonen
  • Michael F. Leitzmann
  • Verena Katzke
  • Bernard Srour
  • Matthias B. Schulze
  • Giovanna Masala
  • Vittorio Krogh
  • Salvatore Panico
  • Rosario Tumino
  • Bas Bueno-de-Mesquita
  • Magritt Brustad
  • Antonio Agudo
  • María Dolores Chirlaque López
  • Pilar Amiano
  • Bodil Ohlsson
  • Dagfinn Aune
  • Elisabete Weiderpass
  • Mazda Jenab
  • Heinz Freisling

Advanced glycation endproducts (AGEs) may contribute to liver carcinogenesis because of their proinflammatory and prooxidative properties. Diet is a major source of AGEs, but there is sparse human evidence on the role of AGEs intake in liver cancer etiology. We examined the association between dietary AGEs and the risk of hepatobiliary cancers in the European Prospective Investigation into Cancer and Nutrition prospective cohort (n = 450 111). Dietary intake of three AGEs, Nε-[carboxymethyl]lysine (CML), Nε-[1-carboxyethyl]lysine (CEL) and Nδ-[5-hydro-5-methyl-4-imidazolon-2-yl]-ornithine (MG-H1), was estimated using country-specific dietary questionnaires linked to an AGEs database. Cause-specific hazard ratios (HR) and their 95% confidence intervals (CI) for associations between dietary AGEs and risk of hepatocellular carcinoma (HCC), gallbladder and biliary tract cancers were estimated using multivariable Cox proportional hazard regression. After a median follow-up time of 14.9 years, 255 cases of HCC, 100 cases of gallbladder cancer and 173 biliary tract cancers were ascertained. Higher intakes of dietary AGEs were inversely associated with the risk of HCC (per 1 SD increment, HR-CML = 0.87, 95% CI: 0.76-0.99, HR-CEL = 0.84, 95% CI: 0.74-0.96 and HR-MH-G1 = 0.84, 95% CI: 0.74-0.97). In contrast, positive associations were observed with risk of gallbladder cancer (per 1 SD, HR-CML = 1.28, 95% CI: 1.05-1.56, HR-CEL = 1.17; 95% CI: 0.96-1.40, HR-MH-G1 = 1.27, 95% CI: 1.06-1.54). No associations were observed for cancers of the intra and extrahepatic bile ducts. Our findings suggest that higher intakes of dietary AGEs are inversely associated with the risk of HCC and positively associated with the risk of gallbladder cancer.

OriginalsprogEngelsk
TidsskriftInternational Journal of Cancer
Vol/bind149
Udgave nummer4
Sider (fra-til)854-864
Antal sider11
ISSN0020-7136
DOI
StatusUdgivet - 2021
Eksternt udgivetJa

Bibliografisk note

Publisher Copyright:
© 2021 The Authors. International Journal of Cancer published by John Wiley & Sons Ltd on behalf of UICC.

ID: 288801436