RT Journal Article T1 Alteration of amino acid and biogenic amine metabolism in hepatobiliary cancers: Findings from a prospective cohort study. A1 Stepien, Magdalena A1 Duarte-Salles, Talita A1 Fedirko, Veronika A1 Floegel, Anne A1 Barupal, Dinesh Kumar A1 Rinaldi, Sabina A1 Achaintre, David A1 Assi, Nada A1 Tjønneland, Anne A1 Overvad, Kim A1 Bastide, Nadia A1 Boutron-Ruault, Marie-Christine A1 Severi, Gianluca A1 Kühn, Tilman A1 Kaaks, Rudolf A1 Aleksandrova, Krasimira A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Bamia, Christina A1 Lagiou, Pagona A1 Saieva, Calogero A1 Agnoli, Claudia A1 Panico, Salvatore A1 Tumino, Rosario A1 Naccarati, Alessio A1 Bueno-de-Mesquita, H B As A1 Peeters, Petra H A1 Weiderpass, Elisabete A1 Quirós, J Ramón A1 Agudo, Antonio A1 Sanchez-Perez, Maria-Jose A1 Dorronsoro, Miren A1 Gavrila, Diana A1 Barricarte, Aurelio A1 Ohlsson, Bodil A1 Sjöberg, Klas A1 Werner, Mårten A1 Sund, Malin A1 Wareham, Nick A1 Khaw, Kay-Tee A1 Travis, Ruth C A1 Schmidt, Julie A A1 Gunter, Marc A1 Cross, Amanda A1 Vineis, Paolo A1 Romieu, Isabelle A1 Scalbert, Augustin A1 Jenab, Mazda K1 amino acids K1 biliary tract cancers K1 hepatocellular carcinoma K1 prospective cohort K1 targeted metabolomics AB Perturbations in levels of amino acids (AA) and their derivatives are observed in hepatocellular carcinoma (HCC). Yet, it is unclear whether these alterations precede or are a consequence of the disease, nor whether they pertain to anatomically related cancers of the intrahepatic bile duct (IHBC), and gallbladder and extrahepatic biliary tract (GBTC). Circulating standard AA, biogenic amines and hexoses were measured (Biocrates AbsoluteIDQ-p180Kit) in a case-control study nested within a large prospective cohort (147 HCC, 43 IHBC and 134 GBTC cases). Liver function and hepatitis status biomarkers were determined separately. Multivariable conditional logistic regression was used to calculate odds ratios and 95% confidence intervals (OR; 95%CI) for log-transformed standardised (mean = 0, SD = 1) serum metabolite levels and relevant ratios in relation to HCC, IHBC or GBTC risk. Fourteen metabolites were significantly associated with HCC risk, of which seven metabolites and four ratios were the strongest predictors in continuous models. Leucine, lysine, glutamine and the ratio of branched chain to aromatic AA (Fischer's ratio) were inversely, while phenylalanine, tyrosine and their ratio, glutamate, glutamate/glutamine ratio, kynurenine and its ratio to tryptophan were positively associated with HCC risk. Confounding by hepatitis status and liver enzyme levels was observed. For the other cancers no significant associations were observed. In conclusion, imbalances of specific AA and biogenic amines may be involved in HCC development. YR 2015 FD 2015-08-21 LK http://hdl.handle.net/10668/10061 UL http://hdl.handle.net/10668/10061 LA en DS RISalud RD Apr 18, 2025