Abstract
Introduction
Prostate cancer is a multifactorial disease whose aetiology is still not fully understood. Metabolomics, by measuring several hundred metabolites simultaneously, could enhance knowledge on the metabolic changes involved and the potential impact of external factors.
Objectives
The aim of the present study was to investigate whether pre-diagnostic plasma metabolomic profiles were associated with the risk of developing a prostate cancer within the following decade.
Methods
A prospective nested case-control study was set up among the 5141 men participant of the SU.VI.MAX cohort, including 171 prostate cancer cases, diagnosed between 1994 and 2007, and 171 matched controls. Nuclear magnetic resonance (NMR) metabolomic profiles were established from baseline plasma samples using NOESY1D and CPMG sequences. Multivariable conditional logistic regression models were computed for each individual NMR signal and for metabolomic patterns derived using principal component analysis.
Results
Men with higher fasting plasma levels of valine (odds ratio (OR) = 1.37 [1.07–1.76], p = .01), glutamine (OR = 1.30 [1.00–1.70], p = .047), creatine (OR = 1.37 [1.04–1.80], p = .02), albumin lysyl (OR = 1.48 [1.12–1.95], p = .006 and OR = 1.51 [1.13–2.02], p = .005), tyrosine (OR = 1.40 [1.06–1.85], p = .02), phenylalanine (OR = 1.39 [1.08–1.79], p = .01), histidine (OR = 1.46 [1.12–1.88], p = .004), 3-methylhistidine (OR = 1.37 [1.05–1.80], p = .02) and lower plasma level of urea (OR = .70 [.54–.92], p = .009) had a higher risk of developing a prostate cancer during the 13 years of follow-up.
Conclusions
This exploratory study highlighted associations between baseline plasma metabolomic profiles and long-term risk of developing prostate cancer. If replicated in independent cohort studies, such signatures may improve the identification of men at risk for prostate cancer well before diagnosis and the understanding of this disease.
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Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Abbreviations
- SU.VI.MAX:
-
Supplémentation en Vitamines et Minéraux Antioxydants
- BMI:
-
Body mass index
- NMR:
-
Nuclear magnetic resonance
- OR:
-
Odds ratio
- SD:
-
Standard deviation
- CI:
-
Confidence interval
- FDR:
-
False discovery rate
- PSA:
-
Prostate-specific antigen
- PCA:
-
Principal component analysis
- HDL:
-
High density lipoproteins
- LDL:
-
Low density lipoproteins
- BCAA:
-
Branched chain amino acids
- AAA:
-
Aromatic amino acids
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Acknowledgements
The authors thank all participants of the SU.VI.MAX study as well as Younes Esseddik, Thi Hong Van Duong, Régis Gatibelza, and Jagatjit Mohinder (computer scientists), Cédric Agaesse (dietitian), Fabien Szabo de Edelenyi, PhD, Julien Allègre, Nathalie Arnault, Laurent Bourhis (data-managers/biostatisticians), and Fatoumata Diallo, MD, Roland Andrianasolo, MD and Sandrine Kamdem (physicians), for their technical contribution. This work was conducted in the framework of the French network for Nutrition And Cancer Research (NACRe network), and received the NACRe Partnership Label.
Funding
This work was supported by the Fondation de France [Grant Number 2015 00060743 for the project], by the French National Cancer Institute [PhD Grant Number INCa_11323 for L. Lecuyer]; and the Federative Institute for Biomedical Research IFRB Paris 13. The funders had no role in the design, analysis, or writing of this article.
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The author’s responsibilities were as follow—LL and MT: designed the research; SH, PG, MT, EKG: conducted the research; NB, AVB: acquired NMR spectra; LL: performed statistical analysis; MT, MNT: supervised statistical analysis; LL and MT: wrote the paper; LL, AVB, AD, AR, NB, MNT, PG, SH, VP, LLM, BS, PLM, EKG, NDP, MD, PS, MT: contributed to the data interpretation and revised each draft for important intellectual content; and MT had primary responsibility for final content. All authors read and approved the final manuscript.
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Lécuyer, L., Victor Bala, A., Demidem, A. et al. NMR metabolomic profiles associated with long-term risk of prostate cancer. Metabolomics 17, 32 (2021). https://doi.org/10.1007/s11306-021-01780-9
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DOI: https://doi.org/10.1007/s11306-021-01780-9