Cited by 57Folate and B Vitamins ResearchNutritional Studies and DietColorectal Cancer Treatments and Studies

Plasma methionine, choline, betaine, and dimethylglycine in relation to colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)

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Nitter, M., Norgård, B., de Vogel, S., Eussen, S.J.P.M., Meyer, K., Ulvik, A., Ueland, P.M., Nygård, O. +36 more·2014·Annals of Oncology

Abstract

Background Disturbances in one carbon metabolism may contribute to carcinogenesis by affecting methylation and synthesis of DNA. Choline and its oxidation product betaine are involved in this metabolism and can serve as alternative methyl group donors when folate status is low.Patients and methods We conducted a case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC), to investigate plasma concentrations of the methyl donors methionine, choline, betaine (trimethylglycine), and dimethylglycine (DMG) in relation to colorectal cancer (CRC) risk. Our study included 1367 incident CRC cases (965 colon and 402 rectum) and 2323 controls matched by gender, age group, and study center. Multivariate-adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) for CRC risk were estimated by conditional logistic regression, comparing the fifth to the first quintile of plasma concentrations.Results Overall, methionine (OR: 0.79, 95% CI: 0.63-0.99, P-trend = 0.05), choline (OR: 0.77, 95% CI: 0.60-0.99, P-trend = 0.07), and betaine (OR: 0.85, 95% CI: 0.66-1.09, P-trend = 0.06) concentrations were inversely associated with CRC risk of borderline significance. In participants with folate concentration below the median of 11.3 nmol/l, high betaine concentration was associated with reduced CRC risk (OR: 0.71, 95% CI: 0.50-1.00, P-trend = 0.02), which was not observed for those having a higher folate status. Among women, but not men, high choline concentration was associated with decreased CRC risk (OR: 0.62, 95% CI: 0.43-0.88, P-trend = 0.01). Plasma DMG was not associated with CRC risk.Conclusions Individuals with high plasma concentrations of methionine, choline, and betaine may be at reduced risk of CRC.

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  • Some but not all prospective studies associated higher dietary and plasma levels of choline with increased risk of colorectal neoplasia.

    “Some,147, 148 but not all,149–151 prospective studies have associated higher dietary and plasma levels of choline with increased risk of colorectal neoplasia.”

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  1. Eussen SJ, Vollset SE, Hustad S et al. Plasma vitamins B2, B6, and B12, and related genetic variants as predictors of colorectal cancer risk. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 2010; 19: 2549-2561.

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Authors
Nitter, M., Norgård, B., de Vogel, S., Eussen, S. J. P. M., Meyer, K., Ulvik, A., Ueland, P. M., Nygård, O., Vollset, S. E., Bjørge, T., Tjønneland, A., Hansen, L., Boutron-Ruault, M., Racine, A., Cottet, V., Kaaks, R., Kühn, T., Trichopoulou, A., Bamia, C., Naska, A., Grioni, S., Palli, D., Panico, S., Tumino, R., Vineis, P., Bueno-de-Mesquita, H. B., van Kranen, H., Peeters, P. H., Weiderpass, E., Dorronsoro, M., Jakszyn, P., Sánchez, M., Argüelles, M., Huerta, J. M., Barricarte, A., Johansson, M., Ljuslinder, I., Khaw, K., Wareham, N., Freisling, H., Duarte-Salles, T., Stepien, M., Gunter, M. J., & Riboli, E.
Affiliations
  • Maastricht University (NL)
  • Bevital (Norway) (NO)
  • Haukeland University Hospital (NO)
  • Norwegian Institute of Public Health (NO)
  • Danish Cancer Society (DK)
  • Université Paris-Sud (FR)
  • Inserm (FR)
  • German Cancer Research Center (DE)
  • National and Kapodistrian University of Athens (GR)
  • Fondazione IRCCS Istituto Nazionale dei Tumori (IT)
  • Istituto per lo Studio e la Prevenzione Oncologica (IT)
  • Federico II University Hospital (IT)
  • Azienda Usl 8 Arezzo (IT)
  • Italian institute for Genomic Medicine (IT)
  • National Institute for Public Health and the Environment (NL)
  • University Medical Center Utrecht (NL)
  • Karolinska Institutet (SE)
  • Biogipuzkoa Health Research Institute (ES)
  • Institut Català d'Oncologia (ES)
  • Universidad de Granada (ES)
  • Gobierno del Principado de Asturias (ES)
  • Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
  • Instituto de Salud Pública de Navarra (ES)
  • Centre international de recherche sur le cancer (FR)
  • Umeå University (SE)
  • University of Cambridge (GB)
  • Imperial College London (GB)
Venue
Annals of Oncology
Publisher
Elsevier BV
Published
2014-08
Volume
25
Issue
8
Pages
1609-1615
ISSN
0923-7534 (ISSN-L)
OpenAlex
W2158110124
Cited by
57
References
44
Citations by year
2026: 3 · 2025: 2 · 2024: 7 · 2023: 9 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 8 · 2017: 6 · 2016: 3 · 2015: 2 · 2014: 3
FWCI
3.88
Type
journal article
Language
en
Open access
Locations
  • Annals of Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, other-oa)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
  • BIBSYS Brage (BIBSYS (Norway)) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • Rivm (National Institute for Public Health and the Environment) (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders
  • World Health Organization
  • Wellcome Trust
  • Cancer Research UK
  • National Institute for Health and Care Research (NF-SI-0512-10135)
  • British Heart Foundation
  • Medical Research Council (MC_UU_12015/1)
Topics
  • Health Sciences › Medicine › Rheumatology › Folate and B Vitamins Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
Keywords
colorectal cancer risk, plasma methionine, choline, betaine, dimethylglycine, one-carbon metabolism, methyl donors, folate status, DNA methylation, colon cancer, rectal cancer, sex differences, EPIC cohort, cancer risk biomarkers, chemoprevention
MeSH terms
Aged, Betaine, Choline, Europe, Female, Humans, Male, Methionine, Middle Aged, Nutritional Status, Prospective Studies, Risk Factors, Sarcosine, Colorectal Neoplasms, Case-Control Studies

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