Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study

Salicylic acid (SA) has observationally been shown to decrease colorectal cancer (CRC) risk. Aspirin (acetylsalicylic acid, that rapidly deacetylates to SA) is an effective primary and secondary chemopreventive agent. Through a Mendelian randomization (MR) approach, we aimed to address whether level...

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Autores principales: Aayah Nounu, Rebecca C. Richmond, Isobel D. Stewart, Praveen Surendran, Nicholas J. Wareham, Adam Butterworth, Stephanie J. Weinstein, Demetrius Albanes, John A. Baron, John L. Hopper, Jane C. Figueiredo, Polly A. Newcomb, Noralane M. Lindor, Graham Casey, Elizabeth A. Platz, Loïc Le Marchand, Cornelia M. Ulrich, Christopher I. Li, Fränzel J. B. van Dujinhoven, Andrea Gsur, Peter T. Campbell, Víctor Moreno, Pavel Vodicka, Ludmila Vodickova, Efrat Amitay, Elizabeth Alwers, Jenny Chang-Claude, Lori C. Sakoda, Martha L. Slattery, Robert E. Schoen, Marc J. Gunter, Sergi Castellví-Bel, Hyeong-Rok Kim, Sun-Seog Kweon, Andrew T. Chan, Li Li, Wei Zheng, D. Timothy Bishop, Daniel D. Buchanan, Graham G. Giles, Stephen B. Gruber, Gad Rennert, Zsofia K. Stadler, Tabitha A. Harrison, Yi Lin, Temitope O. Keku, Michael O. Woods, Clemens Schafmayer, Bethany Van Guelpen, Steven Gallinger, Heather Hampel, Sonja I. Berndt, Paul D. P. Pharoah, Annika Lindblom, Alicja Wolk, Anna H. Wu, Emily White, Ulrike Peters, David A. Drew, Dominique Scherer, Justo Lorenzo Bermejo, Hermann Brenner, Michael Hoffmeister, Ann C. Williams, Caroline L. Relton
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spelling oai:doaj.org-article:e30a5ff9584c4ac6a79691fbd1a22a9a2021-11-25T18:37:15ZSalicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study10.3390/nu131141642072-6643https://doaj.org/article/e30a5ff9584c4ac6a79691fbd1a22a9a2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4164https://doaj.org/toc/2072-6643Salicylic acid (SA) has observationally been shown to decrease colorectal cancer (CRC) risk. Aspirin (acetylsalicylic acid, that rapidly deacetylates to SA) is an effective primary and secondary chemopreventive agent. Through a Mendelian randomization (MR) approach, we aimed to address whether levels of SA affected CRC risk, stratifying by aspirin use. A two-sample MR analysis was performed using GWAS summary statistics of SA (INTERVAL and EPIC-Norfolk, N = 14,149) and CRC (CCFR, CORECT, GECCO and UK Biobank, 55,168 cases and 65,160 controls). The DACHS study (4410 cases and 3441 controls) was used for replication and stratification of aspirin-use. SNPs proxying SA were selected via three methods: (1) functional SNPs that influence the activity of aspirin-metabolising enzymes; (2) pathway SNPs present in enzymes’ coding regions; and (3) genome-wide significant SNPs. We found no association between functional SNPs and SA levels. The pathway and genome-wide SNPs showed no association between SA and CRC risk (OR: 1.03, 95% CI: 0.84–1.27 and OR: 1.08, 95% CI: 0.86–1.34, respectively). Results remained unchanged upon aspirin use stratification. We found little evidence to suggest that an SD increase in genetically predicted SA protects against CRC risk in the general population and upon stratification by aspirin use.Aayah NounuRebecca C. RichmondIsobel D. StewartPraveen SurendranNicholas J. WarehamAdam ButterworthStephanie J. WeinsteinDemetrius AlbanesJohn A. BaronJohn L. HopperJane C. FigueiredoPolly A. NewcombNoralane M. LindorGraham CaseyElizabeth A. PlatzLoïc Le MarchandCornelia M. UlrichChristopher I. LiFränzel J. B. van DujinhovenAndrea GsurPeter T. CampbellVíctor MorenoPavel VodickaLudmila VodickovaEfrat AmitayElizabeth AlwersJenny Chang-ClaudeLori C. SakodaMartha L. SlatteryRobert E. SchoenMarc J. GunterSergi Castellví-BelHyeong-Rok KimSun-Seog KweonAndrew T. ChanLi LiWei ZhengD. Timothy BishopDaniel D. BuchananGraham G. GilesStephen B. GruberGad RennertZsofia K. StadlerTabitha A. HarrisonYi LinTemitope O. KekuMichael O. WoodsClemens SchafmayerBethany Van GuelpenSteven GallingerHeather HampelSonja I. BerndtPaul D. P. PharoahAnnika LindblomAlicja WolkAnna H. WuEmily WhiteUlrike PetersDavid A. DrewDominique SchererJusto Lorenzo BermejoHermann BrennerMichael HoffmeisterAnn C. WilliamsCaroline L. ReltonMDPI AGarticlesalicylic acidaspirincolorectal cancerMendelian randomizationNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4164, p 4164 (2021)
institution DOAJ
collection DOAJ
language EN
topic salicylic acid
aspirin
colorectal cancer
Mendelian randomization
Nutrition. Foods and food supply
TX341-641
spellingShingle salicylic acid
aspirin
colorectal cancer
Mendelian randomization
Nutrition. Foods and food supply
TX341-641
Aayah Nounu
Rebecca C. Richmond
Isobel D. Stewart
Praveen Surendran
Nicholas J. Wareham
Adam Butterworth
Stephanie J. Weinstein
Demetrius Albanes
John A. Baron
John L. Hopper
Jane C. Figueiredo
Polly A. Newcomb
Noralane M. Lindor
Graham Casey
Elizabeth A. Platz
Loïc Le Marchand
Cornelia M. Ulrich
Christopher I. Li
Fränzel J. B. van Dujinhoven
Andrea Gsur
Peter T. Campbell
Víctor Moreno
Pavel Vodicka
Ludmila Vodickova
Efrat Amitay
Elizabeth Alwers
Jenny Chang-Claude
Lori C. Sakoda
Martha L. Slattery
Robert E. Schoen
Marc J. Gunter
Sergi Castellví-Bel
Hyeong-Rok Kim
Sun-Seog Kweon
Andrew T. Chan
Li Li
Wei Zheng
D. Timothy Bishop
Daniel D. Buchanan
Graham G. Giles
Stephen B. Gruber
Gad Rennert
Zsofia K. Stadler
Tabitha A. Harrison
Yi Lin
Temitope O. Keku
Michael O. Woods
Clemens Schafmayer
Bethany Van Guelpen
Steven Gallinger
Heather Hampel
Sonja I. Berndt
Paul D. P. Pharoah
Annika Lindblom
Alicja Wolk
Anna H. Wu
Emily White
Ulrike Peters
David A. Drew
Dominique Scherer
Justo Lorenzo Bermejo
Hermann Brenner
Michael Hoffmeister
Ann C. Williams
Caroline L. Relton
Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
description Salicylic acid (SA) has observationally been shown to decrease colorectal cancer (CRC) risk. Aspirin (acetylsalicylic acid, that rapidly deacetylates to SA) is an effective primary and secondary chemopreventive agent. Through a Mendelian randomization (MR) approach, we aimed to address whether levels of SA affected CRC risk, stratifying by aspirin use. A two-sample MR analysis was performed using GWAS summary statistics of SA (INTERVAL and EPIC-Norfolk, N = 14,149) and CRC (CCFR, CORECT, GECCO and UK Biobank, 55,168 cases and 65,160 controls). The DACHS study (4410 cases and 3441 controls) was used for replication and stratification of aspirin-use. SNPs proxying SA were selected via three methods: (1) functional SNPs that influence the activity of aspirin-metabolising enzymes; (2) pathway SNPs present in enzymes’ coding regions; and (3) genome-wide significant SNPs. We found no association between functional SNPs and SA levels. The pathway and genome-wide SNPs showed no association between SA and CRC risk (OR: 1.03, 95% CI: 0.84–1.27 and OR: 1.08, 95% CI: 0.86–1.34, respectively). Results remained unchanged upon aspirin use stratification. We found little evidence to suggest that an SD increase in genetically predicted SA protects against CRC risk in the general population and upon stratification by aspirin use.
format article
author Aayah Nounu
Rebecca C. Richmond
Isobel D. Stewart
Praveen Surendran
Nicholas J. Wareham
Adam Butterworth
Stephanie J. Weinstein
Demetrius Albanes
John A. Baron
John L. Hopper
Jane C. Figueiredo
Polly A. Newcomb
Noralane M. Lindor
Graham Casey
Elizabeth A. Platz
Loïc Le Marchand
Cornelia M. Ulrich
Christopher I. Li
Fränzel J. B. van Dujinhoven
Andrea Gsur
Peter T. Campbell
Víctor Moreno
Pavel Vodicka
Ludmila Vodickova
Efrat Amitay
Elizabeth Alwers
Jenny Chang-Claude
Lori C. Sakoda
Martha L. Slattery
Robert E. Schoen
Marc J. Gunter
Sergi Castellví-Bel
Hyeong-Rok Kim
Sun-Seog Kweon
Andrew T. Chan
Li Li
Wei Zheng
D. Timothy Bishop
Daniel D. Buchanan
Graham G. Giles
Stephen B. Gruber
Gad Rennert
Zsofia K. Stadler
Tabitha A. Harrison
Yi Lin
Temitope O. Keku
Michael O. Woods
Clemens Schafmayer
Bethany Van Guelpen
Steven Gallinger
Heather Hampel
Sonja I. Berndt
Paul D. P. Pharoah
Annika Lindblom
Alicja Wolk
Anna H. Wu
Emily White
Ulrike Peters
David A. Drew
Dominique Scherer
Justo Lorenzo Bermejo
Hermann Brenner
Michael Hoffmeister
Ann C. Williams
Caroline L. Relton
author_facet Aayah Nounu
Rebecca C. Richmond
Isobel D. Stewart
Praveen Surendran
Nicholas J. Wareham
Adam Butterworth
Stephanie J. Weinstein
Demetrius Albanes
John A. Baron
John L. Hopper
Jane C. Figueiredo
Polly A. Newcomb
Noralane M. Lindor
Graham Casey
Elizabeth A. Platz
Loïc Le Marchand
Cornelia M. Ulrich
Christopher I. Li
Fränzel J. B. van Dujinhoven
Andrea Gsur
Peter T. Campbell
Víctor Moreno
Pavel Vodicka
Ludmila Vodickova
Efrat Amitay
Elizabeth Alwers
Jenny Chang-Claude
Lori C. Sakoda
Martha L. Slattery
Robert E. Schoen
Marc J. Gunter
Sergi Castellví-Bel
Hyeong-Rok Kim
Sun-Seog Kweon
Andrew T. Chan
Li Li
Wei Zheng
D. Timothy Bishop
Daniel D. Buchanan
Graham G. Giles
Stephen B. Gruber
Gad Rennert
Zsofia K. Stadler
Tabitha A. Harrison
Yi Lin
Temitope O. Keku
Michael O. Woods
Clemens Schafmayer
Bethany Van Guelpen
Steven Gallinger
Heather Hampel
Sonja I. Berndt
Paul D. P. Pharoah
Annika Lindblom
Alicja Wolk
Anna H. Wu
Emily White
Ulrike Peters
David A. Drew
Dominique Scherer
Justo Lorenzo Bermejo
Hermann Brenner
Michael Hoffmeister
Ann C. Williams
Caroline L. Relton
author_sort Aayah Nounu
title Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
title_short Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
title_full Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
title_fullStr Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
title_full_unstemmed Salicylic Acid and Risk of Colorectal Cancer: A Two-Sample Mendelian Randomization Study
title_sort salicylic acid and risk of colorectal cancer: a two-sample mendelian randomization study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/e30a5ff9584c4ac6a79691fbd1a22a9a
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