TY - JOUR AU - Clasen, Joanna L AU - Heath, Alicia K AU - Van Puyvelde, Heleen AU - Huybrechts, Inge AU - Park, Jin Young AU - Ferrari, Pietro AU - Johansson, Mattias AU - Scelo, Ghislaine AU - Ulvik, Arve AU - Midttun, Øivind AU - Ueland, Per Magne AU - Dahm, Christina C AU - Halkjær, Jytte AU - Olsen, Anja AU - Johnson, Theron AU - Katzke, Verena AU - Schulze, Matthias B AU - Masala, Giovanna AU - Segrado, Francesco AU - de Magistris, Maria Santucci AU - Sacerdote, Carlotta AU - Ocké, Marga C AU - Luján-Barroso, Leila AU - Ching-López, Ana AU - Huerta, José María AU - Ardanaz, Eva AU - Amiano, Pilar AU - Ericson, Ulrika AU - Manjer, Jonas AU - Gylling, Björn AU - Johansson, Ingegerd AU - Schmidt, Julie AU - Weiderpass, Elisabete AU - Riboli, Elio AU - Cross, Amanda J AU - Muller, David C TI - A comparison of complementary measures of vitamin B6 status, function, and metabolism in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. JO - The American journal of clinical nutrition VL - 114 IS - 1 SN - 1938-3207 CY - Oxford PB - Oxford University Press M1 - DKFZ-2021-00829 SP - 338-347 PY - 2021 N1 - 2021 Jul 1;114(1):338-347 AB - Vitamin B6 insufficiency has been linked to increased risk of cancer and other chronic diseases. The circulating concentration of pyridoxal 5'-phosphate (PLP) is a commonly used measure of vitamin B6 status. Ratios of substrates indicating PLP coenzymatic function and metabolism may be useful complementary measures to further explore the role of vitamin B6 in health.We explored the sensitivity of 5 outcomes, namely PLP concentration, homocysteine:cysteine (Hcy:Cys), cystathionine:cysteine (Cysta:Cys), the 3´-hydroxykynurenine ratio (HKr), and the 4-pyridoxic acid ratio (PAr) to vitamin B6 intake as well as personal and lifestyle characteristics.Dietary intake and biomarker data were collected from participants from 3 nested case-control studies within the European Prospective Investigation into Cancer and Nutrition (EPIC). Bayesian regression models assessed the associations of the 5 biomarker outcomes with vitamin B6 intake and personal and lifestyle covariates. Analogous models examined the relations of Hcy:Cys, Cysta:Cys, and HKr with PLP.In total, 4608 participants were included in the analyses. Vitamin B6 intake was most strongly associated with PLP, moderately associated with Hcy:Cys, Cysta:Cys, and HKr, and not associated with PAr (fold change in marker given a doubling of vitamin B6 intake: PLP 1.60 [95 KW - PLP (Other) KW - dietary biomarkers (Other) KW - kynurenine pathway (Other) KW - transsulfuration pathway (Other) KW - vitamin B6 (Other) LB - PUB:(DE-HGF)16 C6 - pmid:33829249 DO - DOI:10.1093/ajcn/nqab045 UR - https://inrepo02.dkfz.de/record/168321 ER -