Plasma enterolactone and incidence of endometrial cancer in a case-cohort study of Danish women

Julie Aarestrup; Cecilie Kyrø; Knud Erik Bach Knudsen; Elisabete Weiderpass; Jane Christensen; Mette Bredal Kristensen; Anne Mette Lund Würtz; Nina F Johnsen; Kim Overvad; Anne Tjønneland; Anja Olsen

doi:10.1017/S0007114512004424

Plasma enterolactone and incidence of endometrial cancer in a case-cohort study of Danish women

Julie Aarestrup, Cecilie Kyrø, Knud Erik Bach Knudsen, Elisabete Weiderpass, Jane Christensen, Mette Bredal Kristensen, Anne Mette Lund Würtz, Nina F Johnsen, Kim Overvad, Anne Tjønneland, Anja Olsen

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Abstract

The phyto-oestrogen enterolactone has been hypothesised to protect against hormone-dependent cancers, probably through its anti-oestrogenic potential. We investigated whether a higher level of plasma enterolactone was associated with a lower incidence of endometrial cancer in a case-cohort study in the 'Diet, Cancer and Health' cohort. The cohort study included 29 875 women aged 50-64 years enrolled between 1993 and 1997. Information on diet and lifestyle was provided by self-administrated questionnaires and blood was drawn from each participant. Time-resolved fluoroimmunoassay was used for biochemical determination of plasma enterolactone. A total of 173 cases and 149 randomly selected cohort members were included. We estimated incidence rate ratio (IRR) and 95 % CI by a Cox proportional hazards model. A 20 nmol/l higher plasma concentration of enterolactone was associated with a non-significant lower risk of endometrial cancer (IRR 0·93, 95 % CI 0·84, 1·04). When excluding women with low enterolactone concentrations (quartile 1) due to potential recent antibiotic use, the association became slightly stronger, but remained non-significant (IRR 0·90, 95 % CI 0·79, 1·02). Menopausal status, hormone replacement therapy or BMI did not modify the association. In conclusion, we found some support for a possible inverse association between plasma enterolactone concentration and endometrial cancer incidence.

Originalsprog	Engelsk
Tidsskrift	British Journal of Nutrition
Vol/bind	109
Udgave nummer	12
Sider (fra-til)	2269-2275
Antal sider	7
ISSN	0007-1145
DOI	https://doi.org/10.1017/S0007114512004424
Status	Udgivet - 28 jun. 2013

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10.1017/S0007114512004424

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title = "Plasma enterolactone and incidence of endometrial cancer in a case-cohort study of Danish women",

abstract = "The phyto-oestrogen enterolactone has been hypothesised to protect against hormone-dependent cancers, probably through its anti-oestrogenic potential. We investigated whether a higher level of plasma enterolactone was associated with a lower incidence of endometrial cancer in a case-cohort study in the 'Diet, Cancer and Health' cohort. The cohort study included 29 875 women aged 50-64 years enrolled between 1993 and 1997. Information on diet and lifestyle was provided by self-administrated questionnaires and blood was drawn from each participant. Time-resolved fluoroimmunoassay was used for biochemical determination of plasma enterolactone. A total of 173 cases and 149 randomly selected cohort members were included. We estimated incidence rate ratio (IRR) and 95 % CI by a Cox proportional hazards model. A 20 nmol/l higher plasma concentration of enterolactone was associated with a non-significant lower risk of endometrial cancer (IRR 0·93, 95 % CI 0·84, 1·04). When excluding women with low enterolactone concentrations (quartile 1) due to potential recent antibiotic use, the association became slightly stronger, but remained non-significant (IRR 0·90, 95 % CI 0·79, 1·02). Menopausal status, hormone replacement therapy or BMI did not modify the association. In conclusion, we found some support for a possible inverse association between plasma enterolactone concentration and endometrial cancer incidence.",

author = "Julie Aarestrup and Cecilie Kyr{\o} and Knudsen, {Knud Erik Bach} and Elisabete Weiderpass and Jane Christensen and Kristensen, {Mette Bredal} and W{\"u}rtz, {Anne Mette Lund} and Johnsen, {Nina F} and Kim Overvad and Anne Tj{\o}nneland and Anja Olsen",

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T1 - Plasma enterolactone and incidence of endometrial cancer in a case-cohort study of Danish women

AU - Aarestrup, Julie

AU - Kyrø, Cecilie

AU - Knudsen, Knud Erik Bach

AU - Weiderpass, Elisabete

AU - Christensen, Jane

AU - Kristensen, Mette Bredal

AU - Würtz, Anne Mette Lund

AU - Johnsen, Nina F

AU - Overvad, Kim

AU - Tjønneland, Anne

AU - Olsen, Anja

N1 - CURIS 2013 NEXS 119

PY - 2013/6/28

Y1 - 2013/6/28

N2 - The phyto-oestrogen enterolactone has been hypothesised to protect against hormone-dependent cancers, probably through its anti-oestrogenic potential. We investigated whether a higher level of plasma enterolactone was associated with a lower incidence of endometrial cancer in a case-cohort study in the 'Diet, Cancer and Health' cohort. The cohort study included 29 875 women aged 50-64 years enrolled between 1993 and 1997. Information on diet and lifestyle was provided by self-administrated questionnaires and blood was drawn from each participant. Time-resolved fluoroimmunoassay was used for biochemical determination of plasma enterolactone. A total of 173 cases and 149 randomly selected cohort members were included. We estimated incidence rate ratio (IRR) and 95 % CI by a Cox proportional hazards model. A 20 nmol/l higher plasma concentration of enterolactone was associated with a non-significant lower risk of endometrial cancer (IRR 0·93, 95 % CI 0·84, 1·04). When excluding women with low enterolactone concentrations (quartile 1) due to potential recent antibiotic use, the association became slightly stronger, but remained non-significant (IRR 0·90, 95 % CI 0·79, 1·02). Menopausal status, hormone replacement therapy or BMI did not modify the association. In conclusion, we found some support for a possible inverse association between plasma enterolactone concentration and endometrial cancer incidence.

AB - The phyto-oestrogen enterolactone has been hypothesised to protect against hormone-dependent cancers, probably through its anti-oestrogenic potential. We investigated whether a higher level of plasma enterolactone was associated with a lower incidence of endometrial cancer in a case-cohort study in the 'Diet, Cancer and Health' cohort. The cohort study included 29 875 women aged 50-64 years enrolled between 1993 and 1997. Information on diet and lifestyle was provided by self-administrated questionnaires and blood was drawn from each participant. Time-resolved fluoroimmunoassay was used for biochemical determination of plasma enterolactone. A total of 173 cases and 149 randomly selected cohort members were included. We estimated incidence rate ratio (IRR) and 95 % CI by a Cox proportional hazards model. A 20 nmol/l higher plasma concentration of enterolactone was associated with a non-significant lower risk of endometrial cancer (IRR 0·93, 95 % CI 0·84, 1·04). When excluding women with low enterolactone concentrations (quartile 1) due to potential recent antibiotic use, the association became slightly stronger, but remained non-significant (IRR 0·90, 95 % CI 0·79, 1·02). Menopausal status, hormone replacement therapy or BMI did not modify the association. In conclusion, we found some support for a possible inverse association between plasma enterolactone concentration and endometrial cancer incidence.

U2 - 10.1017/S0007114512004424

DO - 10.1017/S0007114512004424

M3 - Journal article

C2 - 23114205

SN - 0007-1145

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EP - 2275

JO - British Journal of Nutrition

JF - British Journal of Nutrition

IS - 12

ER -

Plasma enterolactone and incidence of endometrial cancer in a case-cohort study of Danish women

Abstract

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