RT Journal Article T1 Results from the European Prospective Investigation into Cancer and Nutrition Link Vitamin B6 Catabolism and Lung Cancer Risk. A1 Zuo, Hui A1 Ueland, Per M A1 Midttun, Øivind A1 Vollset, Stein E A1 Tell, Grethe S A1 Theofylaktopoulou, Despoina A1 Travis, Ruth C A1 Boutron-Ruault, Marie-Christine A1 Fournier, Agnès A1 Severi, Gianluca A1 Kvaskoff, Marina A1 Boeing, Heiner A1 Bergmann, Manuela M A1 Fortner, Renée T A1 Kaaks, Rudolf A1 Trichopoulou, Antonia A1 Kotanidou, Anastasia A1 Lagiou, Pagona A1 Palli, Domenico A1 Sieri, Sabina A1 Panico, Salvatore A1 Bueno-de-Mesquita, H Bas A1 Peeters, Petra H A1 Grankvist, Kjell A1 Johansson, Mikael A1 Agudo, Antonio A1 Garcia, Jose Ramon Quiros A1 Larranaga, Nerea A1 Sanchez-Perez, Maria-Jose A1 Chirlaque, Maria Dolores A1 Ardanaz, Eva A1 Chuang, Shu-Chun A1 Gallo, Valentina A1 Brennan, Paul A1 Johansson, Mattias A1 Ulvik, Arve AB Circulating pyridoxal-5'-phosphate (PLP) has been linked to lung cancer risk. The PAr index, defined as the ratio 4-pyridoxic acid/(pyridoxal + PLP), reflects increased vitamin B6 catabolism during inflammation. PAr has been defined as a marker of lung cancer risk in a prospective cohort study, but analysis of a larger numbers of cases are needed to deepen the significance of this study. Here, we conducted a nested case-control study within the European Prospective Investigation into Cancer and Nutrition (EPIC, n = 521,330), which included 892 incident lung cancer cases and 1,748 controls matched by center, gender, date of blood collection, and date of birth. The association of PAr with risk of lung cancer was evaluated by using conditional logistic regression. Study participants with elevated PAr experienced higher risk of lung cancer in a dose-response fashion, with a doubling in PAr levels associated with 52% higher odds of lung cancer after adjustment for tobacco smoking, serum cotinine levels, educational attainment, and BMI [OR, 1.52; 95% confidence interval (CI) 1.27-1.81; P YR 2017 FD 2017-10-25 LK http://hdl.handle.net/10668/11731 UL http://hdl.handle.net/10668/11731 LA en DS RISalud RD Apr 20, 2025