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@ARTICLE{Butt:154617,
author = {J. A. Butt$^*$ and M. Jenab and M. Pawlita$^*$ and A.
Tjonneland and C. Kyrø and M.-C. Boutron-Ruault and F.
Carbonnel and C. Dong and R. Kaaks$^*$ and T. Kühn$^*$ and
H. Boeing and M. B. Schulze and A. Trichopoulou and A.
Karakatsani and C. La Vecchia and D. Palli and C. Agnoli and
R. Tumino and C. Sacerdote and S. Panico and B.
Bueno-de-Mesquita and R. Vermeulen and I. T. Gram and E.
Weiderpass and K. Benjaminsen Borch and J. R. Quirós and A.
Agudo and M. Rodríguez-Barranco and C. Santiuste and E.
Ardanaz and B. Van Guelpen and S. Harlid and L. Imaz and A.
Perez-Cornago and M. J. Gunter and S. Zouiouich and J. Y.
Park and E. Riboli and A. J. Cross and A. K. Heath and T.
Waterboer$^*$ and D. J. Hughes},
title = {{A}ntibody responses to {H}elicobacter pylori and risk of
developing colorectal cancer in a {E}uropean cohort.},
journal = {Cancer epidemiology, biomarkers $\&$ prevention},
volume = {29},
number = {7},
issn = {1538-7755},
address = {Philadelphia, Pa.},
publisher = {AACR},
reportid = {DKFZ-2020-00890},
pages = {1475-1481},
year = {2020},
note = {2020 Jul;29(7):1475-1481.#EA:F022#LA:F022#},
abstract = {While Helicobacter pylori (H. pylori) is the major cause of
gastric cancer, it has also been suggested to be involved in
colorectal cancer (CRC) development. However, prospective
studies addressing H. pylori and CRC are sparse and
inconclusive. We assessed the association of antibody
responses to H. pylori proteins with CRC in the European
Prospective Investigation into Cancer and Nutrition (EPIC)
cohort.We applied H. pylori multiplex serology to measure
antibody responses to 13 H. pylori proteins in
pre-diagnostic serum samples from 485 CRC cases and 485
matched controls nested within the EPIC study. Odds ratios
(OR) and $95\%$ confidence intervals (CI) were calculated
using multivariable conditional logistic regression to
estimate the association of H. pylori overall and
protein-specific sero-positivity with odds of developing
CRC.Fifty-one percent of CRC cases were H. pylori
sero-positive compared to $44\%$ of controls resulting in an
OR of 1.36 $(95\%$ CI: 1.00-1.85). Among the 13 individual
H. pylori proteins, the association was driven mostly by
sero-positivity to Helicobacter cysteine-rich protein C
(HcpC) (OR: 1.66, $95\%$ CI: 1.19-2.30) and Vacuolating
cytotoxin A (VacA) (OR: 1.34, $95\%$ CI: 0.99-1.82), the
latter being non-statistically significant only in the fully
adjusted model.In this prospective multi-center European
study, antibody responses to H. pylori proteins,
specifically HcpC and VacA, were associated with an
increased risk of developing CRC.Biological mechanisms for a
potential causal role of H. pylori in colorectal
carcinogenesis need to be elucidated, and subsequently
whether H. pylori eradication may decrease CRC incidence.},
cin = {F022 / F020 / C020},
ddc = {610},
cid = {I:(DE-He78)F022-20160331 / I:(DE-He78)F020-20160331 /
I:(DE-He78)C020-20160331},
pnm = {316 - Infections and cancer (POF3-316)},
pid = {G:(DE-HGF)POF3-316},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32332031},
doi = {10.1158/1055-9965.EPI-19-1545},
url = {https://inrepo02.dkfz.de/record/154617},
}