Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density

Abstract Mammographic breast density (MBD) is a strong independent risk factor for breast cancer (BC). We designed a matched case–case study in the EPIC Florence cohort, to evaluate possible associations between the pre-diagnostic metabolomic profile and the risk of BC in high- versus low-MBD women...

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Autores principales: Benedetta Bendinelli, Alessia Vignoli, Domenico Palli, Melania Assedi, Daniela Ambrogetti, Claudio Luchinat, Saverio Caini, Calogero Saieva, Paola Turano, Giovanna Masala
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/a312cd504eb74c948dcfb825e52ec742
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spelling oai:doaj.org-article:a312cd504eb74c948dcfb825e52ec7422021-12-02T17:12:21ZPrediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density10.1038/s41598-021-92508-12045-2322https://doaj.org/article/a312cd504eb74c948dcfb825e52ec7422021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92508-1https://doaj.org/toc/2045-2322Abstract Mammographic breast density (MBD) is a strong independent risk factor for breast cancer (BC). We designed a matched case–case study in the EPIC Florence cohort, to evaluate possible associations between the pre-diagnostic metabolomic profile and the risk of BC in high- versus low-MBD women who developed BC during the follow-up. A case–case design with 100 low-MBD (MBD ≤ 25%) and 100 high-MDB BC cases (MBD > 50%) was performed. Matching variables included age, year and type of mammographic examination. 1H NMR metabolomic spectra were available for 87 complete case–case sets. The conditional logistic analyses showed an inverse association between serum levels of alanine, leucine, tyrosine, valine, lactic acid, pyruvic acid, triglycerides lipid main fraction and 11 VLDL lipid subfractions and high-MBD cases. Acetic acid was directly associated with high-MBD cases. In models adjusted for confounding variables, tyrosine remained inversely associated with high-MBD cases while 3 VLDL subfractions of free cholesterol emerged as directly associated with high-MBD cases. A pathway analysis showed that the “phenylalanine, tyrosine and tryptophan pathway” emerged and persisted after applying the FDR procedure. The supervised OPLS-DA analysis revealed a slight but significant separation between high- and low-MBD cases. This case–case study suggested a possible role for pre-diagnostic levels of tyrosine in modulating the risk of BC in high- versus low-MBD women. Moreover, some differences emerged in the pre-diagnostic concentration of other metabolites as well in the metabolomic fingerprints among the two groups of patients.Benedetta BendinelliAlessia VignoliDomenico PalliMelania AssediDaniela AmbrogettiClaudio LuchinatSaverio CainiCalogero SaievaPaola TuranoGiovanna MasalaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Benedetta Bendinelli
Alessia Vignoli
Domenico Palli
Melania Assedi
Daniela Ambrogetti
Claudio Luchinat
Saverio Caini
Calogero Saieva
Paola Turano
Giovanna Masala
Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
description Abstract Mammographic breast density (MBD) is a strong independent risk factor for breast cancer (BC). We designed a matched case–case study in the EPIC Florence cohort, to evaluate possible associations between the pre-diagnostic metabolomic profile and the risk of BC in high- versus low-MBD women who developed BC during the follow-up. A case–case design with 100 low-MBD (MBD ≤ 25%) and 100 high-MDB BC cases (MBD > 50%) was performed. Matching variables included age, year and type of mammographic examination. 1H NMR metabolomic spectra were available for 87 complete case–case sets. The conditional logistic analyses showed an inverse association between serum levels of alanine, leucine, tyrosine, valine, lactic acid, pyruvic acid, triglycerides lipid main fraction and 11 VLDL lipid subfractions and high-MBD cases. Acetic acid was directly associated with high-MBD cases. In models adjusted for confounding variables, tyrosine remained inversely associated with high-MBD cases while 3 VLDL subfractions of free cholesterol emerged as directly associated with high-MBD cases. A pathway analysis showed that the “phenylalanine, tyrosine and tryptophan pathway” emerged and persisted after applying the FDR procedure. The supervised OPLS-DA analysis revealed a slight but significant separation between high- and low-MBD cases. This case–case study suggested a possible role for pre-diagnostic levels of tyrosine in modulating the risk of BC in high- versus low-MBD women. Moreover, some differences emerged in the pre-diagnostic concentration of other metabolites as well in the metabolomic fingerprints among the two groups of patients.
format article
author Benedetta Bendinelli
Alessia Vignoli
Domenico Palli
Melania Assedi
Daniela Ambrogetti
Claudio Luchinat
Saverio Caini
Calogero Saieva
Paola Turano
Giovanna Masala
author_facet Benedetta Bendinelli
Alessia Vignoli
Domenico Palli
Melania Assedi
Daniela Ambrogetti
Claudio Luchinat
Saverio Caini
Calogero Saieva
Paola Turano
Giovanna Masala
author_sort Benedetta Bendinelli
title Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
title_short Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
title_full Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
title_fullStr Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
title_full_unstemmed Prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
title_sort prediagnostic circulating metabolites in female breast cancer cases with low and high mammographic breast density
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a312cd504eb74c948dcfb825e52ec742
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