RT Journal Article T1 Prospective analysis of circulating metabolites and breast cancer in EPIC. A1 His, Mathilde A1 Viallon, Vivian A1 Dossus, Laure A1 Gicquiau, Audrey A1 Achaintre, David A1 Scalbert, Augustin A1 Ferrari, Pietro A1 Romieu, Isabelle A1 Onland-Moret, N Charlotte A1 Weiderpass, Elisabete A1 Dahm, Christina C A1 Overvad, Kim A1 Olsen, Anja A1 Tjønneland, Anne A1 Fournier, Agnès A1 Rothwell, Joseph A A1 Severi, Gianluca A1 Kühn, Tilman A1 Fortner, Renée T A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Karakatsani, Anna A1 Martimianaki, Georgia A1 Masala, Giovanna A1 Sieri, Sabina A1 Tumino, Rosario A1 Vineis, Paolo A1 Panico, Salvatore A1 van Gils, Carla H A1 Nøst, Therese H A1 Sandanger, Torkjel M A1 Skeie, Guri A1 Quirós, J Ramón A1 Agudo, Antonio A1 Sánchez, Maria-Jose A1 Amiano, Pilar A1 Huerta, José María A1 Ardanaz, Eva A1 Schmidt, Julie A A1 Travis, Ruth C A1 Riboli, Elio A1 Tsilidis, Konstantinos K A1 Christakoudi, Sofia A1 Gunter, Marc J A1 Rinaldi, Sabina K1 Breast cancer K1 Metabolomics K1 Prospective study AB Metabolomics is a promising molecular tool to identify novel etiologic pathways leading to cancer. Using a targeted approach, we prospectively investigated the associations between metabolite concentrations in plasma and breast cancer risk. A nested case-control study was established within the European Prospective Investigation into Cancer cohort, which included 1624 first primary incident invasive breast cancer cases (with known estrogen and progesterone receptor and HER2 status) and 1624 matched controls. Metabolites (n = 127, acylcarnitines, amino acids, biogenic amines, glycerophospholipids, hexose, sphingolipids) were measured by mass spectrometry in pre-diagnostic plasma samples and tested for associations with breast cancer incidence using multivariable conditional logistic regression. Among women not using hormones at baseline (n = 2248), and after control for multiple tests, concentrations of arginine (odds ratio [OR] per SD = 0.79, 95% confidence interval [CI] = 0.70-0.90), asparagine (OR = 0.83 (0.74-0.92)), and phosphatidylcholines (PCs) ae C36:3 (OR = 0.83 (0.76-0.90)), aa C36:3 (OR = 0.84 (0.77-0.93)), ae C34:2 (OR = 0.85 (0.78-0.94)), ae C36:2 (OR = 0.85 (0.78-0.88)), and ae C38:2 (OR = 0.84 (0.76-0.93)) were inversely associated with breast cancer risk, while the acylcarnitine C2 (OR = 1.23 (1.11-1.35)) was positively associated with disease risk. In the overall population, C2 (OR = 1.15 (1.06-1.24)) and PC ae C36:3 (OR = 0.88 (0.82-0.95)) were associated with risk of breast cancer, and these relationships did not differ by breast cancer subtype, age at diagnosis, fasting status, menopausal status, or adiposity. These findings point to potentially novel pathways and biomarkers of breast cancer development. Results warrant replication in other epidemiological studies. YR 2019 FD 2019-09-24 LK http://hdl.handle.net/10668/14538 UL http://hdl.handle.net/10668/14538 LA en DS RISalud RD May 11, 2025