RT Journal Article T1 Serum Phospholipids Fatty Acids and Breast Cancer Risk by Pathological Subtype A1 Lope, Virginia A1 Guerrero-Zotano, Ángel A1 Casas, Ana A1 Baena-Cañada, José Manuel A1 Bermejo, Begoña A1 Pérez-Gómez, Beatriz A1 Criado-Navarro, Inmaculada A1 Antolín, Silvia A1 Sánchez-Rovira, Pedro A1 Ramos-Vázquez, Manuel A1 Antón, Antonio A1 Castelló, Adela A1 García-Saénz, José Ángel A1 Muñoz, Montserrat A1 de Juan, Ana A1 Andrés, Raquel A1 Llombart-Cussac, Antonio A1 Hernando, Blanca A1 Franquesa, Rosa María A1 Caballero, Rosalia A1 Priego-Capote, Feliciano A1 Martín, Miguel A1 Pollán, Marina K1 Breast neoplasm K1 Breast cancer subtypes K1 Desaturation indices K1 Fats K1 EpiGEICAM K1 Neoplasias de la mama K1 Grasas K1 Estudios de casos y controles K1 Fosfolípidos K1 Ácidos grasos AB This study evaluates whether serum phospholipids fatty acids (PL-FAs) and markers of their endogenous metabolism are associated with breast cancer (BC) subtypes. EpiGEICAM is a Spanish multicenter matched case-control study. A lifestyle and food frequency questionnaire was completed by 1017 BC cases and healthy women pairs. Serum PL-FA percentages were measured by gas chromatography-mass spectrometry. Conditional and multinomial logistic regression models were used to quantify the association of PL-FA tertiles with BC risk, overall and by pathological subtype (luminal, HER2+ and triple negative). Stratified analyses by body mass index and menopausal status were also performed. Serum PL-FAs were measured in 795 (78%) pairs. Women with high serum levels of stearic acid (odds ratio (OR)T3vsT1 = 0.44; 95% confidence interval (CI) = 0.30-0.66), linoleic acid (ORT3vsT1 = 0.66; 95% CI = 0.49-0.90) and arachidonic to dihomo-γ-linolenic acid ratio (OR T3vsT1 = 0.64; 95% CI = 0.48-0.84) presented lower BC risk. Participants with high concentrations of palmitoleic acid (ORT3vsT1 = 1.65; 95% CI = 1.20-2.26), trans-ruminant palmitelaidic acid (ORT3vsT1 = 1.51; 95% CI = 1.12-2.02), trans-industrial elaidic acid (ORT3vsT1 = 1.52; 95% CI = 1.14-2.03), and high oleic to stearic acid ratio (ORT3vsT1 = 2.04; 95% CI = 1.45-2.87) showed higher risk. These associations were similar in all BC pathological subtypes. Our results emphasize the importance of analyzing fatty acids individually, as well as the desaturase activity indices. PB MDPI YR 2020 FD 2020-10-14 LK http://hdl.handle.net/10668/3895 UL http://hdl.handle.net/10668/3895 LA en NO Lope V, Guerrero-Zotano Á, Casas A, Baena-Cañada JM, Bermejo B, Pérez-Gómez B, et al. Serum Phospholipids Fatty Acids and Breast Cancer Risk by Pathological Subtype. Nutrients. 2020 Oct 14;12(10):3132 DS RISalud RD Apr 11, 2025