AS195 - Candidate pathways in colorectal carcinogenesis: one-carbon metabolism and inflammation

Investigator Names and Contact Information

Cornelia Ulrich (neli.ulrich@hci.utah.edu)

Introduction/Intent

Introduction/Intent

Colorectal carcinogenesis is a multistage process and modifications in one-carbon metabolism and inflammation (both environmental and genetic) appear involved in the progression of this disease. Genetically defined groups of individuals may benefit from targeted interventions, such as an increase in nutritional intakes, or use of NSAIDs. However, no prospective studies of sufficient sample size have comprehensively assessed genetic variability in these pathways and interactions with appropriate environmental factors. Preliminary data show that vitamin B6 and B12 status are relevant for inflammatory conditions, yet no studies to date have combined analyses on both one-carbon metabolism and inflammation. As part of an ancillary study within the WHI Observational Cohort, we propose to investigate these two interrelated biologic pathways of demonstrated relevance to colorectal carcinogenesis. We propose to explore both genetic variability (e.g., polymorphisms with demonstrated functional relevance) and relevant biomarkers, and their associations with colorectal cancer. A nested case-control study is proposed, comprised of incident cases with colorectal cancer (CRC) risk and frequency-matched controls. Specific aims include to investigate CRC risk as related to 1) biomarkers relevant to one-carbon metabolism, including global DNA methylation; 2) biomarkers signaling the presence of inflammation; 3) polymorphisms in one-carbon metabolism; 4) polymorphisms in prostaglandin synthesis or pro-inflammatory cytokines.

The primary aims of this ancillary study will be to investigate two interrelated biologic pathways of demonstrated relevance to colorectal carcinogenesis. We plan to explore both genetic variability and relevant biomarkers, and their influence on colorectal cancer risk. The study population will consist of 988 cases and 988 controls.

Primary specific aims will be to investigate:

To investigate the association between biomarkers or polymorphisms relevant to one-carbon metabolism and colorectal cancer risk

To investigate the association between biomarkers or polymorphisms relevant to inflammatory processes and colorectal cancer risk

To investigate risk associated with specific genetic polymorphisms in one-carbon metabolism and variation in nutritional status of vitamins B6, B12 and folate (gene-nutrient interactions)

To investigate risk associated with genetic variation in prostaglandin synthesis or proinflammatory cytokines and variation in use of non-steroidal anti-inflammatory drugs (NSAIDs)

Secondary specific aims will be to investigate:

Associations between the above mentioned genetic variants and biomarkers in the respective biologic pathway

Associations between vitamin B6, B12, or folate status and inflammation markers (CRP. IL-6, IL-8, SAA, sICAM1, sVCAM1, VEGF-A and VEGF-D)

The combined effects of multiple genetic polymorphisms within one biologic pathway on relevant biomarkers and colorectal cancer risk

Results/Findings

Some of the publications related to this ancillary study are: 530, 1181, 1226.

For a complete, up-to-date list of WHI papers related to this ancillary study, please use the searchable Bibliography section of this website. To search for papers by study number, access the Simple Search, and enter the study number in the “Related Studies” field.

Data Dictionaries and Study Documentation

This section displays all study-related data dictionaries and study-related files. The investigators for this study will upload the datasets, data dictionaries, and other study-related files. Study-related files will be made available to the public one year after the completion of the ancillary study, with the exception of the datasets, which will only be available to those with a Data Distribution Agreement. Those will be available to those with permission to download and will appear as a download link next to the data dictionary

Data Dictionaries

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Description
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Study Documents

Name
Description
NameAS195 case control selection 9-12-08.pdfDescription

Related Papers

Plasma choline metabolites and colorectal cancer risk in the Women's Health Initiative Observational Study

Sajin Bae et al., 2014/10 PubMed #25336191 MSID: 1951
Few studies have examined associations between plasma choline metabolites and risk of colorectal cancer. Therefore, we investigated associations between plasma biomarkers of choline metabolism [choline, betaine, dimethylglycine, and trimethylamine N-oxide (TMAO)] and colorectal cancer risk among postmenopausal women in a case-control study nested within the Women's Health Initiative Observational Study. We selected 835 matched case-control pairs, and cases were further stratified by tumor site (...
Related Studies: 195

Relationship between vitamin B12 and risk of incident colorectal cancer in the Women’s Health Initiative Observational Cohort

Approved Proposal, Miller, Joshua et al., 2013/2 MSID: 2062
Keywords: Vitamin B12; Methylmalonic Acid (Mma); Colorectal Cancer; One-Carbon Metabolism; Inflammation
Related Studies: 195

B vitamin intakes and incidence of colorectal cancer: Results from the Women’s Health Initiative Observational Study cohort

Stefanie Zschaebitz et al., 2012/12 PubMed #23255571 MSID: 530
The role of one-carbon metabolism nutrients in colorectal carcinogenesis is not fully understood. Associations might be modified by mandated folic acid (FA) fortification or alcohol intake.We investigated associations between intakes of folate, riboflavin, vitamin B-6, and vitamin B-12 and colorectal cancer (CRC) in the Women's Health Initiative Observational Study, stratified by time exposed to FA fortification and alcohol intake.A total of 88,045 postmenopausal women were recruited during 1993...
Keywords: Colorectal Cancer; Folate; Vitamins B12; B6; B2; Alcohol; Methylation
Related Studies: 195

Homocysteine, cysteine and risk of incident colorectal cancer in the Women’s Health Initiative observational cohort

Joshua Miller et al., 2013/2 PubMed #23426034 MSID: 1226
Inflammation underlies the etiology of colorectal cancer (CRC). Hyperhomocysteinemia is associated with inflammation and may be a risk marker for CRC. Cysteine is a metabolic product of homocysteine and a precursor of the antioxidant glutathione. It is unknown whether cysteine is associated with CRC.The objective was to assess the associations between homocysteine and cysteine and CRC incidence in postmenopausal women.Associations between homocysteine and cysteine and incident CRC in the Women's...
Keywords: Colorectal Cancer; Homocysteine; Cysteine; One-Carbon Metabolism
Related Studies: 195

Biomarkers of inflammation are associated with colorectal cancer risk in women but are not suitable as early detection markers

Adetunji Toriola et al., 2012/11 PubMed #23161620 MSID: 1181
Initial studies have investigated the association between inflammation and colorectal cancer (CRC) using C-reactive protein (CRP) as a proinflammatory biomarker and have noted inconsistent results among women. We here report the findings from a large prospective study with repeat measurements of CRP, as well as serum amyloid A (SAA), an additional biomarker of inflammation, and risk of CRC. In the Women's Health Initiative Observational Study, we examined associations of CRP and SAA with CRC usi...
Keywords: Colorectal Cancer; Inflammation; Biomarker; Crp; Saa
Related Studies: 195

Red blood cell folate and plasma folate are not associated with risk of incident colorectal cancer in the Women’s Health Initiative Observational Study

Marian Neuhouser et al., 2014/2 PubMed #25643945 MSID: 1227
The relationship between folate and colorectal cancer (CRC) risk is unclear. We investigated the association of two biomarkers of folate status, plasma folate and red blood cell (RBC) folate, with CRC risk using a nested case-control design in the Women's Health Initiative Observational Study. Postmenopausal women (n = 93,676) aged 50-79 years were enrolled in the Women's Health Initiative Observational Study (1993-1998). A fasting blood draw and extensive health, dietary and lifestyle data were...
Keywords: Colorectal Cancer; Red Blood Cell Folate; Plasma Folate
Related Studies: 195

Modeling the relationship between one-carbon metabolism genes and colorectal cancer risk using biomarkers from the Women’s Health Initiative Observational Study

Approved Proposal, Thomas, Duncan et al., 2014/1 MSID: 2325
Keywords: One-Carbon Metabolism; Genetics; Biomarkers; Colorectal Cancer; Pathway Modeling; Statistical Methods
Related Studies: 195

Interaction of genetic variation in inflammation and NSAID use on colorectal cancer in the Women’s Health Initiative Observational Study as part of a multi-study meta-analysis

Approved Proposal, Ulrich, Cornelia et al., 2013/5 MSID: 2138
Keywords: Inflammation; Non-Steroidal Anti-Inflammatory Drugs (Nsaids); Colorectal Cancer; Genetic Variation; Meta-Analysis
Related Studies: 195

Vitamin B6 status and risk of incident colorectal cancer in the Women’s Health Initiative Observational Cohort

Approved Manuscript, Miller, David et al., 2014/8 MSID: 1377
Keywords: Colorectal Cancer; One-Carbon Metabolism; Plasma Vitamin B6 (Pyridoxal-5'-Phosphate); Alcohol Intake; Inflammation
Related Studies: 195

Selenium, and colorectal incidence, is inflammation the missing link: The Women’s Health Initiative Observational Study Cohort

Approved Proposal, Botma, Akke et al., 2013/8 MSID: 2211
Keywords: Colorectal Cancer; Inflammation; Selenium; Crp
Related Studies: 195, 206

Meta-analysis of genome-wide association studies of circulating one-carbon metabolites in the Women’s Health Initiative Observational Cohort as a part of the Nutritional Genomics Consortium

Approved Proposal, Ulrich, Cornelia et al., 2012/1 MSID: 1652
Keywords: Vitamin B12; Folate; One-Carbon Metabolism; Gwas; Genetics
Related Studies: 195

Impact of folic acid fortification on global DNA methylation and one-carbon biomarkers in the Women's Health Initiative Observational Study cohort

Sajin Bae et al., 2013/12 PubMed #24300587 MSID: 1561
DNA methylation is an epigenetic mechanism that regulates gene expression and can be modified by one-carbon nutrients. The objective of this study was to investigate the impact of folic acid (FA) fortification of the US food supply on leukocyte global DNA methylation and the relationship between DNA methylation, red blood cell (RBC) folate, and other one-carbon biomarkers among postmenopausal women enrolled in the Women's Health Initiative Observational Study. We selected 408 women from the high...
Keywords: Colorectal Cancer; One-Carbon Metabolism; Global Dna Methylation; Rbc Folate; Folate Fortification
Related Studies: 195

The association of metabolomic markers with colorectal cancer risk in the Women’s Health Initiative Observational Cohort

Approved Proposal, Ulrich, Cornelia et al., 2014/3 MSID: 2396
Keywords: Biomarker; Metabolomics; Inflammation; Angiogenesis; Colorectal Cancer
Related Studies: 195

Associations between plasma choline metabolites and genetic polymorphisms in one-carbon metabolism in postmenopausal women: The Women's Health Initiative Observational Study

Mmadili Ilozumba et al., 2020/9 PubMed #32939549 MSID: 3897
Background: Choline plays an integral role in one-carbon metabolism in the body, but it is unclear whether genetic polymorphisms are associated with variations in plasma choline and its metabolites. Objectives: This study aimed to evaluate the association of genetic variants in choline and one-carbon metabolism with plasma choline and its metabolites. Methods: We analyzed data from 1423 postmenopausal women in a case-control study nested within the Women's Health Initiative Observational Study. ...
Keywords: Choline Metabolites; Genetic Polymorphisms; One-Carbon Metabolism
Related Studies: 195

Folate-mediated one-carbon metabolism genes and interactions with nutritional factors on colorectal cancer risk: Women’s Health Initiative Observational Study

David Cheng et al., 2015/6 PubMed #26108676 MSID: 1734
Investigations of folate-mediated one-carbon metabolism (FOCM) genes and gene-nutrient interactions with respect to colorectal cancer (CRC) risk are limited to candidate polymorphisms and dietary folate. This study comprehensively investigated associations between genetic variants in FOCM and CRC risk and whether the FOCM nutrient status modified these associations.Two hundred eighty-eight candidate and tagging single-nucleotide polymorphisms (SNPs) in 30 FOCM genes were genotyped for 821 incide...
Keywords: One-Carbon Metabolism; Genetics; Inflammation; Angiogenesis; Colorectal Cancer
Related Studies: 195

The association of genetic variation in inflammation and angiogenesis pathways with colorectal cancer risk in the Women’s Health Initiative Observational Cohort

Approved Proposal, Ulrich, Cornelia et al., 2012/2 MSID: 1735
Keywords: One-Carbon Metabolism; Genetics; Inflammation; Angiogenesis; Colorectal Cancer
Related Studies: 195

Associations between plasma choline metabolites and genetic polymorphisms in one-carbon metabolism in postmenopausal women: The Women's Health Initiative Observational Study

David Cheng et al., 2021/11 PubMed #32939549 MSID: 2214
Background: Choline plays an integral role in one-carbon metabolism in the body, but it is unclear whether genetic polymorphisms are associated with variations in plasma choline and its metabolites. Objectives: This study aimed to evaluate the association of genetic variants in choline and one-carbon metabolism with plasma choline and its metabolites. Methods: We analyzed data from 1423 postmenopausal women in a case-control study nested within the Women's Health Initiative Observational Study. ...
Related Studies: 195

Metabolomic profiles of an atherogenic TMAO-diet pattern among postmenopausal women

Approved Manuscript, Burns, Kaelyn et al., 2024/7 MSID: 4890
Keywords: Dietary Patterns; Reduced Rank Regression; Choline; Betaine; Tmao; Inflammation
Related Studies: 195, BA24

Developing and evaluating the construct validity of a dietary pattern predictive of plasma TMAO and choline

Kaelyn Burns et al., 2024/9 PubMed #39003134 MSID: 4632
Background and aims: The metabolism of choline (highly present in animal products) can produce trimethylamine N-oxide (TMAO), a metabolite with atherosclerotic effects; however, dietary fiber may suppress this metabolic pathway. This study aimed to develop a dietary pattern predictive of plasma TMAO and choline concentrations using reduced rank regression (RRR) and to evaluate its construct validity. Methods and results: Diet and plasma concentrations of choline (μmol/L) and TMAO (μmol/L) were a...
Keywords: Dietary Patterns; Reduced Rank Regression; Choline; Betaine; Tmao; Inflammation
Related Studies: 195, BA24

Biomarkers of one-carbon metabolism are associated with biomarkers of inflammation in women

Clare Abbenhardt et al., 2014/3 PubMed #24647390 MSID: 1654
Folate-mediated one-carbon metabolism is essential for DNA synthesis, repair, and methylation. Perturbations in one-carbon metabolism have been implicated in increased risk of some cancers and may also affect inflammatory processes. We investigated these interrelated pathways to understand their relation. The objective was to explore associations between inflammation and biomarkers of nutritional status and one-carbon metabolism. In a cross-sectional study in 1976 women selected from the Women's...
Keywords: One-Carbon Metabolism; Inflammation; C-Reactive Protein; Serum-Amyloid A; Pyridoxal-5’-Phosphate (Plp); Cobalamin; Methylmalonic Acid; Red Blod Cell Folate
Related Studies: 195