RT Journal Article T1 Pan-cancer analysis of pre-diagnostic blood metabolite concentrations in the European Prospective Investigation into Cancer and Nutrition. A1 Breeur, Marie A1 Ferrari, Pietro A1 Dossus, Laure A1 Jenab, Mazda A1 Johansson, Mattias A1 Rinaldi, Sabina A1 Travis, Ruth C A1 His, Mathilde A1 Key, Tim J A1 Schmidt, Julie A A1 Overvad, Kim A1 Tjønneland, Anne A1 Kyrø, Cecilie A1 Rothwell, Joseph A A1 Laouali, Nasser A1 Severi, Gianluca A1 Kaaks, Rudolf A1 Katzke, Verena A1 Schulze, Matthias B A1 Eichelmann, Fabian A1 Palli, Domenico A1 Grioni, Sara A1 Panico, Salvatore A1 Tumino, Rosario A1 Sacerdote, Carlotta A1 Bueno-de-Mesquita, Bas A1 Olsen, Karina Standahl A1 Sandanger, Torkjel Manning A1 Nøst, Therese Haugdahl A1 Quirós, J Ramón A1 Bonet, Catalina A1 Barranco, Miguel Rodríguez A1 Chirlaque, María-Dolores A1 Ardanaz, Eva A1 Sandsveden, Malte A1 Manjer, Jonas A1 Vidman, Linda A1 Rentoft, Matilda A1 Muller, David A1 Tsilidis, Kostas A1 Heath, Alicia K A1 Keun, Hector A1 Adamski, Jerzy A1 Keski-Rahkonen, Pekka A1 Scalbert, Augustin A1 Gunter, Marc J A1 Viallon, Vivian K1 Breast K1 Cancer K1 Colorectal K1 EPIC K1 Endometrial K1 Kidney K1 Lasso K1 Liver K1 Metabolomics K1 Prostate AB Epidemiological studies of associations between metabolites and cancer risk have typically focused on specific cancer types separately. Here, we designed a multivariate pan-cancer analysis to identify metabolites potentially associated with multiple cancer types, while also allowing the investigation of cancer type-specific associations. We analysed targeted metabolomics data available for 5828 matched case-control pairs from cancer-specific case-control studies on breast, colorectal, endometrial, gallbladder, kidney, localized and advanced prostate cancer, and hepatocellular carcinoma nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. From pre-diagnostic blood levels of an initial set of 117 metabolites, 33 cluster representatives of strongly correlated metabolites and 17 single metabolites were derived by hierarchical clustering. The mutually adjusted associations of the resulting 50 metabolites with cancer risk were examined in penalized conditional logistic regression models adjusted for body mass index, using the data-shared lasso penalty. Out of the 50 studied metabolites, (i) six were inversely associated with the risk of most cancer types: glutamine, butyrylcarnitine, lysophosphatidylcholine a C18:2, and three clusters of phosphatidylcholines (PCs); (ii) three were positively associated with most cancer types: proline, decanoylcarnitine, and one cluster of PCs; and (iii) 10 were specifically associated with particular cancer types, including histidine that was inversely associated with colorectal cancer risk and one cluster of sphingomyelins that was inversely associated with risk of hepatocellular carcinoma and positively with endometrial cancer risk. These results could provide novel insights for the identification of pathways for cancer development, in particular those shared across different cancer types. PB BioMed Central Ltd. YR 2022 FD 2022-09-05 LK http://hdl.handle.net/10668/20309 UL http://hdl.handle.net/10668/20309 LA en NO Breeur M, Ferrari P, Dossus L, Jenab M, Johansson M, Rinaldi S,, et al. Pan-cancer analysis of pre-diagnostic blood metabolite concentrations in the European Prospective Investigation into Cancer and Nutrition. BMC Med. 2022 Oct 19;20(1):351 DS RISalud RD Apr 10, 2025