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@ARTICLE{Mayn:168847,
author = {A.-L. Mayén and E. K. Aglago and V. Knaze and R. Cordova
and C. G. Schalkwijk and K.-H. Wagner and K. Aleksandrova
and V. Fedirko and P. Keski-Rahkonen and M. F. Leitzmann and
V. Katzke$^*$ and B. Srour$^*$ and M. B. Schulze and G.
Masala and V. Krogh and S. Panico and R. Tumino and B.
Bueno-de-Mesquita and M. Brustad and A. Agudo and M. D.
Chirlaque López and P. Amiano and B. Ohlsson and S. Ramne
and D. Aune and E. Weiderpass and M. Jenab and H. Freisling},
title = {{D}ietary intake of advanced glycation endproducts and risk
of hepatobiliary cancers: {A} multinational cohort study.},
journal = {International journal of cancer},
volume = {149},
number = {4},
issn = {0020-7136},
address = {Bognor Regis},
publisher = {Wiley-Liss},
reportid = {DKFZ-2021-01098},
pages = {854-864},
year = {2021},
note = {2021 Apr 25;149(4):854-864},
abstract = {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.},
keywords = {EPIC study (Other) / advanced glycation endproducts (Other)
/ bile duct cancers (Other) / gallbladder cancer (Other) /
hepatocellular carcinoma (Other)},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:33899229},
doi = {10.1002/ijc.33612},
url = {https://inrepo02.dkfz.de/record/168847},
}