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Carotenoids, retinol, tocopherols, and prostate cancer risk: pooled analysis of 15 studies123

Identifieur interne : 003080 ( Main/Exploration ); précédent : 003079; suivant : 003081

Carotenoids, retinol, tocopherols, and prostate cancer risk: pooled analysis of 15 studies123

Auteurs : Timothy J. Key ; Paul N. Appleby ; Ruth C. Travis ; Demetrius Albanes [États-Unis] ; Anthony J. Alberg [États-Unis] ; Aurelio Barricarte [Espagne] ; Amanda Black [États-Unis] ; Heiner Boeing [Allemagne] ; H Bas Bueno-De-Mesquita ; June M. Chan [États-Unis] ; Chu Chen ; Michael B. Cook [États-Unis] ; Jenny L. Donovan [Royaume-Uni] ; Pilar Galan [France] ; Rebecca Gilbert [Royaume-Uni] ; Graham G. Giles [Australie] ; Edward Giovannucci [États-Unis] ; Gary E. Goodman [États-Unis] ; Phyllis J. Goodman ; Marc J. Gunter [Royaume-Uni] ; Freddie C. Hamdy ; Markku Heliövaara [Finlande] ; Kathy J. Helzlsouer [États-Unis] ; Brian E. Henderson [États-Unis] ; Serge Hercberg [France] ; Judy Hoffman-Bolton [États-Unis] ; Robert N. Hoover [États-Unis] ; Mattias Johansson [France, Suède] ; Kay-Tee Khaw ; Irena B. King [États-Unis] ; Paul Knekt [Finlande] ; Laurence N. Kolonel [États-Unis] ; Loic Le Marchand [États-Unis] ; Satu M Nnistö [Finlande] ; Richard M. Martin [Royaume-Uni] ; Haakon E. Meyer [Norvège] ; Alison M. Mondul [États-Unis] ; Kristin A. Moy [États-Unis] ; David E. Neal [Royaume-Uni] ; Marian L. Neuhouser ; Domenico Palli [Italie] ; Elizabeth A. Platz [États-Unis] ; Camille Pouchieu [Australie] ; Harri Rissanen [Finlande] ; Jeannette M. Schenk [États-Unis] ; Gianluca Severi [Australie] ; Meir J. Stampfer [États-Unis] ; Anne Tj Nneland [Danemark] ; Mathilde Touvier [France] ; Antonia Trichopoulou [Grèce] ; Stephanie J. Weinstein [États-Unis] ; Regina G. Ziegler [États-Unis] ; Cindy Ke Zhou [États-Unis] ; Naomi E. Allen [Royaume-Uni]

Source :

RBID : PMC:4625592

Descripteurs français

English descriptors

Abstract

Background: Individual studies have suggested that circulating carotenoids, retinol, or tocopherols may be associated with prostate cancer risk, but the studies have not been large enough to provide precise estimates of associations, particularly by stage and grade of disease.

Objective: The objective of this study was to conduct a pooled analysis of the associations of the concentrations of 7 carotenoids, retinol, α-tocopherol, and γ-tocopherol with risk of prostate cancer and to describe whether any associations differ by stage or grade of the disease or other factors.

Design: Principal investigators of prospective studies provided individual participant data for prostate cancer cases and controls. Risk by study-specific fifths of each biomarker was estimated by using multivariable-adjusted conditional logistic regression in matched case-control sets.

Results: Data were available for up to 11,239 cases (including 1654 advanced stage and 1741 aggressive) and 18,541 controls from 15 studies. Lycopene was not associated with overall risk of prostate cancer, but there was statistically significant heterogeneity by stage of disease, and the OR for aggressive disease for the highest compared with the lowest fifth of lycopene was 0.65 (95% CI: 0.46, 0.91; P-trend = 0.032). No other carotenoid was significantly associated with overall risk of prostate cancer or with risk of advanced-stage or aggressive disease. For retinol, the OR for the highest compared with the lowest fifth was 1.13 (95% CI: 1.04, 1.22; P-trend = 0.015). For α-tocopherol, the OR for the highest compared with the lowest fifth was 0.86 (95% CI: 0.78, 0.94; P-trend < 0.001), with significant heterogeneity by stage of disease; the OR for aggressive prostate cancer was 0.74 (95% CI: 0.59, 0.92; P-trend = 0.001). γ-Tocopherol was not associated with risk.

Conclusions: Overall prostate cancer risk was positively associated with retinol and inversely associated with α-tocopherol, and risk of aggressive prostate cancer was inversely associated with lycopene and α-tocopherol. Whether these associations reflect causal relations is unclear.


Url:
DOI: 10.3945/ajcn.115.114306
PubMed: 26447150
PubMed Central: 4625592


Affiliations:

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<name sortKey="Hoover, Robert N" sort="Hoover, Robert N" uniqKey="Hoover R" first="Robert N" last="Hoover">Robert N. Hoover</name>
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<region type="state">Massachusetts</region>
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<region type="state">Maryland</region>
</placeName>
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<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
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<region type="state">Maryland</region>
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<wicri:regionArea>Department of Epidemiology, German Institute of Human Nutrition Potsdam–Rehbruecke, Nuthetal</wicri:regionArea>
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<wicri:noRegion>Nuthetal</wicri:noRegion>
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<nlm:aff>NONE</nlm:aff>
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<nlm:aff>NONE</nlm:aff>
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<nlm:aff id="aff12">Departments of Epidemiology & Biostatistics and Urology, University of California, San Francisco, San Francisco, CA;</nlm:aff>
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<region type="state">Californie</region>
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<name sortKey="Chen, Chu" sort="Chen, Chu" uniqKey="Chen C" first="Chu" last="Chen">Chu Chen</name>
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<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Maryland</region>
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<name sortKey="Donovan, Jenny L" sort="Donovan, Jenny L" uniqKey="Donovan J" first="Jenny L" last="Donovan">Jenny L. Donovan</name>
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<nlm:aff id="aff18">School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom;</nlm:aff>
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<name sortKey="Galan, Pilar" sort="Galan, Pilar" uniqKey="Galan P" first="Pilar" last="Galan">Pilar Galan</name>
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<nlm:aff id="aff19">Sorbonne Paris Cité Epidemiology and Biostatistics Research Center, Nutritional Epidemiology Research Team (Nutritional Epidemiology Research Team), Inserm U1153, Inra U1125, Cnam, University Paris 13, University Paris 5, University Paris 7, Bobigny, France;</nlm:aff>
<country xml:lang="fr">France</country>
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<name sortKey="Gilbert, Rebecca" sort="Gilbert, Rebecca" uniqKey="Gilbert R" first="Rebecca" last="Gilbert">Rebecca Gilbert</name>
<affiliation wicri:level="1">
<nlm:aff id="aff18">School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>School of Social and Community Medicine, University of Bristol, Bristol</wicri:regionArea>
<wicri:noRegion>Bristol</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G" last="Giles">Graham G. Giles</name>
<affiliation wicri:level="3">
<nlm:aff id="aff20">Cancer Epidemiology Centre, The Cancer Council Victoria, Melbourne, Australia;</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Epidemiology Centre, The Cancer Council Victoria, Melbourne</wicri:regionArea>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Giovannucci, Edward" sort="Giovannucci, Edward" uniqKey="Giovannucci E" first="Edward" last="Giovannucci">Edward Giovannucci</name>
<affiliation wicri:level="2">
<nlm:aff id="aff21">Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston, MA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff22">Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Goodman, Gary E" sort="Goodman, Gary E" uniqKey="Goodman G" first="Gary E" last="Goodman">Gary E. Goodman</name>
<affiliation wicri:level="2">
<nlm:aff id="aff23">Departments of Epidemiology and Environmental Health, University of Washington, Seattle, WA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Departments of Epidemiology and Environmental Health, University of Washington, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Goodman, Phyllis J" sort="Goodman, Phyllis J" uniqKey="Goodman P" first="Phyllis J" last="Goodman">Phyllis J. Goodman</name>
<affiliation>
<nlm:aff id="aff14">SWOG Statistical Center,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gunter, Marc J" sort="Gunter, Marc J" uniqKey="Gunter M" first="Marc J" last="Gunter">Marc J. Gunter</name>
<affiliation wicri:level="3">
<nlm:aff id="aff11">School of Public Health, Imperial College, London, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>School of Public Health, Imperial College, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hamdy, Freddie C" sort="Hamdy, Freddie C" uniqKey="Hamdy F" first="Freddie C" last="Hamdy">Freddie C. Hamdy</name>
<affiliation>
<nlm:aff wicri:cut=", and" id="aff2">Department of Surgery</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Heliovaara, Markku" sort="Heliovaara, Markku" uniqKey="Heliovaara M" first="Markku" last="Heliövaara">Markku Heliövaara</name>
<affiliation wicri:level="1">
<nlm:aff id="aff24">National Institute for Health and Welfare, Helsinki, Finland;</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>National Institute for Health and Welfare, Helsinki</wicri:regionArea>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Helzlsouer, Kathy J" sort="Helzlsouer, Kathy J" uniqKey="Helzlsouer K" first="Kathy J" last="Helzlsouer">Kathy J. Helzlsouer</name>
<affiliation wicri:level="2">
<nlm:aff id="aff25">Prevention and Research Center Mercy Medical Center, Baltimore, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Prevention and Research Center Mercy Medical Center, Baltimore</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Henderson, Brian E" sort="Henderson, Brian E" uniqKey="Henderson B" first="Brian E" last="Henderson">Brian E. Henderson</name>
<affiliation wicri:level="2">
<nlm:aff id="aff26">Keck School of Medicine, University of Southern California, Los Angeles, CA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>Keck School of Medicine, University of Southern California, Los Angeles</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Hercberg, Serge" sort="Hercberg, Serge" uniqKey="Hercberg S" first="Serge" last="Hercberg">Serge Hercberg</name>
<affiliation wicri:level="3">
<nlm:aff id="aff19">Sorbonne Paris Cité Epidemiology and Biostatistics Research Center, Nutritional Epidemiology Research Team (Nutritional Epidemiology Research Team), Inserm U1153, Inra U1125, Cnam, University Paris 13, University Paris 5, University Paris 7, Bobigny, France;</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Sorbonne Paris Cité Epidemiology and Biostatistics Research Center, Nutritional Epidemiology Research Team (Nutritional Epidemiology Research Team), Inserm U1153, Inra U1125, Cnam, University Paris 13, University Paris 5, University Paris 7, Bobigny</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Bobigny</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hoffman Bolton, Judy" sort="Hoffman Bolton, Judy" uniqKey="Hoffman Bolton J" first="Judy" last="Hoffman-Bolton">Judy Hoffman-Bolton</name>
<affiliation wicri:level="2">
<nlm:aff id="aff27">George W Comstock Center for Public Health Research and Prevention, Hagerstown, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>George W Comstock Center for Public Health Research and Prevention, Hagerstown</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Hoover, Robert N" sort="Hoover, Robert N" uniqKey="Hoover R" first="Robert N" last="Hoover">Robert N. Hoover</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Johansson, Mattias" sort="Johansson, Mattias" uniqKey="Johansson M" first="Mattias" last="Johansson">Mattias Johansson</name>
<affiliation wicri:level="3">
<nlm:aff id="aff28">International Agency for Research on Cancer, Lyon, France;</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>International Agency for Research on Cancer, Lyon</wicri:regionArea>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff29">Department for Biobank Research, Umeå University, Umeå, Sweden;</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department for Biobank Research, Umeå University, Umeå</wicri:regionArea>
<wicri:noRegion>Umeå</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
<affiliation>
<nlm:aff wicri:cut=" and" id="aff30">Department of Public Health and Primary Care</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="King, Irena B" sort="King, Irena B" uniqKey="King I" first="Irena B" last="King">Irena B. King</name>
<affiliation>
<nlm:aff id="aff15">Public Health Sciences Core Laboratories,</nlm:aff>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff40">Department of Internal Medicine, University of New Mexico, Albuquerque, NM</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Nouveau-Mexique</region>
</placeName>
<wicri:cityArea>Department of Internal Medicine, University of New Mexico, Albuquerque</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Knekt, Paul" sort="Knekt, Paul" uniqKey="Knekt P" first="Paul" last="Knekt">Paul Knekt</name>
<affiliation wicri:level="1">
<nlm:aff id="aff32">National Institute for Health and Welfare, Helsinki, Finland;</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>National Institute for Health and Welfare, Helsinki</wicri:regionArea>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kolonel, Laurence N" sort="Kolonel, Laurence N" uniqKey="Kolonel L" first="Laurence N" last="Kolonel">Laurence N. Kolonel</name>
<affiliation wicri:level="2">
<nlm:aff id="aff33">University of Hawaii Cancer Center, Honolulu, HI;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Hawaï</region>
</placeName>
<wicri:cityArea>University of Hawaii Cancer Center, Honolulu</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Le Marchand, Loic" sort="Le Marchand, Loic" uniqKey="Le Marchand L" first="Loic" last="Le Marchand">Loic Le Marchand</name>
<affiliation wicri:level="2">
<nlm:aff id="aff33">University of Hawaii Cancer Center, Honolulu, HI;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Hawaï</region>
</placeName>
<wicri:cityArea>University of Hawaii Cancer Center, Honolulu</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="M Nnisto, Satu" sort="M Nnisto, Satu" uniqKey="M Nnisto S" first="Satu" last="M Nnistö">Satu M Nnistö</name>
<affiliation wicri:level="1">
<nlm:aff id="aff24">National Institute for Health and Welfare, Helsinki, Finland;</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>National Institute for Health and Welfare, Helsinki</wicri:regionArea>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Martin, Richard M" sort="Martin, Richard M" uniqKey="Martin R" first="Richard M" last="Martin">Richard M. Martin</name>
<affiliation wicri:level="1">
<nlm:aff id="aff18">School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>School of Social and Community Medicine, University of Bristol, Bristol</wicri:regionArea>
<wicri:noRegion>Bristol</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff34">Medical Research Council/University of Bristol Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Medical Research Council/University of Bristol Integrative Epidemiology Unit, University of Bristol, Bristol</wicri:regionArea>
<wicri:noRegion>Bristol</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff35">National Institute for Health Research, Bristol Biomedical Research Unit in Nutrition, Bristol, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>National Institute for Health Research, Bristol Biomedical Research Unit in Nutrition, Bristol</wicri:regionArea>
<wicri:noRegion>Bristol</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Meyer, Haakon E" sort="Meyer, Haakon E" uniqKey="Meyer H" first="Haakon E" last="Meyer">Haakon E. Meyer</name>
<affiliation wicri:level="3">
<nlm:aff id="aff36">Department of Community Medicine, Faculty of Medicine, University of Oslo and Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway;</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Community Medicine, Faculty of Medicine, University of Oslo and Division of Epidemiology, Norwegian Institute of Public Health, Oslo</wicri:regionArea>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Mondul, Alison M" sort="Mondul, Alison M" uniqKey="Mondul A" first="Alison M" last="Mondul">Alison M. Mondul</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Moy, Kristin A" sort="Moy, Kristin A" uniqKey="Moy K" first="Kristin A" last="Moy">Kristin A. Moy</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Neal, David E" sort="Neal, David E" uniqKey="Neal D" first="David E" last="Neal">David E. Neal</name>
<affiliation wicri:level="4">
<nlm:aff id="aff31">Department of Oncology, University of Cambridge, Cambridge, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Oncology, University of Cambridge, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Neuhouser, Marian L" sort="Neuhouser, Marian L" uniqKey="Neuhouser M" first="Marian L" last="Neuhouser">Marian L. Neuhouser</name>
<affiliation>
<nlm:aff wicri:cut=", and" id="aff16">Division of Public Health Sciences</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Palli, Domenico" sort="Palli, Domenico" uniqKey="Palli D" first="Domenico" last="Palli">Domenico Palli</name>
<affiliation wicri:level="1">
<nlm:aff id="aff37">Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute—ISPO, Florence, Italy;</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute—ISPO, Florence</wicri:regionArea>
<wicri:noRegion>Florence</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Platz, Elizabeth A" sort="Platz, Elizabeth A" uniqKey="Platz E" first="Elizabeth A" last="Platz">Elizabeth A. Platz</name>
<affiliation wicri:level="2">
<nlm:aff id="aff5">Department of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Department of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Pouchieu, Camille" sort="Pouchieu, Camille" uniqKey="Pouchieu C" first="Camille" last="Pouchieu">Camille Pouchieu</name>
<affiliation wicri:level="3">
<nlm:aff id="aff20">Cancer Epidemiology Centre, The Cancer Council Victoria, Melbourne, Australia;</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Epidemiology Centre, The Cancer Council Victoria, Melbourne</wicri:regionArea>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rissanen, Harri" sort="Rissanen, Harri" uniqKey="Rissanen H" first="Harri" last="Rissanen">Harri Rissanen</name>
<affiliation wicri:level="1">
<nlm:aff id="aff32">National Institute for Health and Welfare, Helsinki, Finland;</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>National Institute for Health and Welfare, Helsinki</wicri:regionArea>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Schenk, Jeannette M" sort="Schenk, Jeannette M" uniqKey="Schenk J" first="Jeannette M" last="Schenk">Jeannette M. Schenk</name>
<affiliation wicri:level="2">
<nlm:aff id="aff17">Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Severi, Gianluca" sort="Severi, Gianluca" uniqKey="Severi G" first="Gianluca" last="Severi">Gianluca Severi</name>
<affiliation wicri:level="3">
<nlm:aff id="aff20">Cancer Epidemiology Centre, The Cancer Council Victoria, Melbourne, Australia;</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Epidemiology Centre, The Cancer Council Victoria, Melbourne</wicri:regionArea>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Stampfer, Meir J" sort="Stampfer, Meir J" uniqKey="Stampfer M" first="Meir J" last="Stampfer">Meir J. Stampfer</name>
<affiliation wicri:level="2">
<nlm:aff id="aff21">Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston, MA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff22">Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name>
<affiliation wicri:level="3">
<nlm:aff id="aff38">Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark;</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen</wicri:regionArea>
<placeName>
<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Touvier, Mathilde" sort="Touvier, Mathilde" uniqKey="Touvier M" first="Mathilde" last="Touvier">Mathilde Touvier</name>
<affiliation wicri:level="3">
<nlm:aff id="aff19">Sorbonne Paris Cité Epidemiology and Biostatistics Research Center, Nutritional Epidemiology Research Team (Nutritional Epidemiology Research Team), Inserm U1153, Inra U1125, Cnam, University Paris 13, University Paris 5, University Paris 7, Bobigny, France;</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Sorbonne Paris Cité Epidemiology and Biostatistics Research Center, Nutritional Epidemiology Research Team (Nutritional Epidemiology Research Team), Inserm U1153, Inra U1125, Cnam, University Paris 13, University Paris 5, University Paris 7, Bobigny</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Bobigny</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
<affiliation wicri:level="3">
<nlm:aff wicri:cut=" and" id="aff39">Hellenic Health Foundation and Bureau of Epidemiologic Research, Academy of Athens, Athens, Greece</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Hellenic Health Foundation and Bureau of Epidemiologic Research, Academy of Athens, Athens</wicri:regionArea>
<placeName>
<settlement type="city">Athènes</settlement>
<region nuts="2" type="region">Attique (région)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Weinstein, Stephanie J" sort="Weinstein, Stephanie J" uniqKey="Weinstein S" first="Stephanie J" last="Weinstein">Stephanie J. Weinstein</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Ziegler, Regina G" sort="Ziegler, Regina G" uniqKey="Ziegler R" first="Regina G" last="Ziegler">Regina G. Ziegler</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Zhou, Cindy Ke" sort="Zhou, Cindy Ke" uniqKey="Zhou C" first="Cindy Ke" last="Zhou">Cindy Ke Zhou</name>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, MD;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Allen, Naomi E" sort="Allen, Naomi E" uniqKey="Allen N" first="Naomi E" last="Allen">Naomi E. Allen</name>
<affiliation wicri:level="4">
<nlm:aff id="aff3">Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford</wicri:regionArea>
<placeName>
<settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
<settlement type="city">Oxford</settlement>
</placeName>
<orgName type="university">Université d'Oxford</orgName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The American Journal of Clinical Nutrition</title>
<idno type="ISSN">0002-9165</idno>
<idno type="eISSN">1938-3207</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Biomarkers (blood)</term>
<term>Carotenoids (blood)</term>
<term>Case-Control Studies</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Meta-Analysis as Topic</term>
<term>Middle Aged</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
<term>Observational Studies as Topic</term>
<term>Prospective Studies</term>
<term>Prostate (pathology)</term>
<term>Prostatic Neoplasms (blood)</term>
<term>Prostatic Neoplasms (epidemiology)</term>
<term>Prostatic Neoplasms (pathology)</term>
<term>Risk Factors</term>
<term>Vitamin A (blood)</term>
<term>alpha-Tocopherol (blood)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Caroténoïdes (sang)</term>
<term>Facteurs de risque</term>
<term>Grading des tumeurs</term>
<term>Humains</term>
<term>Marqueurs biologiques (sang)</term>
<term>Mâle</term>
<term>Méta-analyse comme sujet</term>
<term>Prostate (anatomopathologie)</term>
<term>Rétinol (sang)</term>
<term>Stade de la tumeur</term>
<term>Tumeurs de la prostate (anatomopathologie)</term>
<term>Tumeurs de la prostate (sang)</term>
<term>Tumeurs de la prostate (épidémiologie)</term>
<term>alpha-Tocophérol (sang)</term>
<term>Étude d'observation comme sujet</term>
<term>Études cas-témoins</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Biomarkers</term>
<term>Carotenoids</term>
<term>Vitamin A</term>
<term>alpha-Tocopherol</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Prostate</term>
<term>Tumeurs de la prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Prostatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Prostatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Prostate</term>
<term>Prostatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Caroténoïdes</term>
<term>Marqueurs biologiques</term>
<term>Rétinol</term>
<term>Tumeurs de la prostate</term>
<term>alpha-Tocophérol</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Tumeurs de la prostate</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Case-Control Studies</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Meta-Analysis as Topic</term>
<term>Middle Aged</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
<term>Observational Studies as Topic</term>
<term>Prospective Studies</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Grading des tumeurs</term>
<term>Humains</term>
<term>Mâle</term>
<term>Méta-analyse comme sujet</term>
<term>Stade de la tumeur</term>
<term>Étude d'observation comme sujet</term>
<term>Études cas-témoins</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
<term>Études transversales</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<bold>Background:</bold>
Individual studies have suggested that circulating carotenoids, retinol, or tocopherols may be associated with prostate cancer risk, but the studies have not been large enough to provide precise estimates of associations, particularly by stage and grade of disease.</p>
<p>
<bold>Objective:</bold>
The objective of this study was to conduct a pooled analysis of the associations of the concentrations of 7 carotenoids, retinol, α-tocopherol, and γ-tocopherol with risk of prostate cancer and to describe whether any associations differ by stage or grade of the disease or other factors.</p>
<p>
<bold>Design:</bold>
Principal investigators of prospective studies provided individual participant data for prostate cancer cases and controls. Risk by study-specific fifths of each biomarker was estimated by using multivariable-adjusted conditional logistic regression in matched case-control sets.</p>
<p>
<bold>Results:</bold>
Data were available for up to 11,239 cases (including 1654 advanced stage and 1741 aggressive) and 18,541 controls from 15 studies. Lycopene was not associated with overall risk of prostate cancer, but there was statistically significant heterogeneity by stage of disease, and the OR for aggressive disease for the highest compared with the lowest fifth of lycopene was 0.65 (95% CI: 0.46, 0.91;
<italic>P</italic>
-trend = 0.032). No other carotenoid was significantly associated with overall risk of prostate cancer or with risk of advanced-stage or aggressive disease. For retinol, the OR for the highest compared with the lowest fifth was 1.13 (95% CI: 1.04, 1.22;
<italic>P</italic>
-trend = 0.015). For α-tocopherol, the OR for the highest compared with the lowest fifth was 0.86 (95% CI: 0.78, 0.94;
<italic>P</italic>
-trend < 0.001), with significant heterogeneity by stage of disease; the OR for aggressive prostate cancer was 0.74 (95% CI: 0.59, 0.92;
<italic>P</italic>
-trend = 0.001). γ-Tocopherol was not associated with risk.</p>
<p>
<bold>Conclusions:</bold>
Overall prostate cancer risk was positively associated with retinol and inversely associated with α-tocopherol, and risk of aggressive prostate cancer was inversely associated with lycopene and α-tocopherol. Whether these associations reflect causal relations is unclear.</p>
</div>
</front>
</TEI>
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<li>Allemagne</li>
<li>Australie</li>
<li>Danemark</li>
<li>Espagne</li>
<li>Finlande</li>
<li>France</li>
<li>Grèce</li>
<li>Italie</li>
<li>Norvège</li>
<li>Royaume-Uni</li>
<li>Suède</li>
<li>États-Unis</li>
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<li>Caroline du Sud</li>
<li>Grand Londres</li>
<li>Hawaï</li>
<li>Hovedstaden</li>
<li>Maryland</li>
<li>Massachusetts</li>
<li>Nouveau-Mexique</li>
<li>Oxfordshire</li>
<li>Rhône-Alpes</li>
<li>Victoria (État)</li>
<li>Washington (État)</li>
<li>Île-de-France</li>
<li>Østlandet</li>
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<li>Athènes</li>
<li>Bobigny</li>
<li>Cambridge</li>
<li>Copenhague</li>
<li>Londres</li>
<li>Lyon</li>
<li>Melbourne</li>
<li>Oslo</li>
<li>Oxford</li>
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<li>Université d'Oxford</li>
<li>Université de Cambridge</li>
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