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Endogenous versus exogenous exposure to N-nitroso compounds and gastric cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC-EURGAST) study

Title
Endogenous versus exogenous exposure to N-nitroso compounds and gastric cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC-EURGAST) study
Type
Article in International Scientific Journal
Year
2006
Authors
Jakszyn, P
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Bingham, S
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Pera, G
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Agudo, A
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Luben, R
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Welch, A
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Boeing, H
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del Giudice, G
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Palli, D
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Saieva, C
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Krogh, V
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Sacerdote, C
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Tumino, R
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Panico, S
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Berglund, G
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Siman, H
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Hallmans, G
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Sanchez, MJ
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Larranaga, N
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Barricarte, A
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Chirlaque, MD
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Quiros, JR
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Key, TJ
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Allen, N
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Lund, E
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Linseisen, J
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Nagel, G
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Overvad, K
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Tjonneland, A
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Olsen, A
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Bueno de Mesquita, HB
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Ocke, MO
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Peeters, PH
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Numans, ME
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Clavel Chapelon, F
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Trichopoulou, A
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Fenger, C
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Stenling, R
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Ferrari, P
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Jenab, M
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Norat, T
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Riboli, E
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Gonzalez, CA
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Journal
Title: CarcinogenesisImported from Authenticus Search for Journal Publications
Vol. 27
Pages: 1497-1501
ISSN: 0143-3334
Other information
Authenticus ID: P-004-JR3
Abstract (EN): The risk of gastric cancer (GC) associated with dietary intake of nitrosodimethylamine (NDMA) and endogenous formation of nitroso compounds (NOCs) was investigated in the European Prospective Investigation into Cancer and Nutrition (EPIC). The study included 521 457 individuals and 314 incident cases of GC that had occurred after 6.6 average years of follow-up. An index of endogenous NOC (ENOC) formation was estimated using data of the iron content from meat intake and faecal apparent total NOC formation according to previous published studies. Antibodies to Helicobacter pylori and vitamin C levels were measured in a sub-sample of cases and matched controls included in a nested case-control within the cohort. Exposure to NDMA was < 1 mu g on average compared with 93 mu g on average from ENOC. There was no association between NDMA intake and GC risk (HR, 1.00; 95% CI, 0.7-1.43). ENOC was significantly associated with non-cardia cancer risk (HR, 1.42; 95% CI, 1.14-1.78 for an increase of 40 mu g/day) but not with cardia cancer (HR, 0.96; 95% CI, 0.69-1.33). Although the number of not infected cases is low, our data suggest a possible interaction between ENOC and H.pylori infection (P for interaction = 0.09). Moreover, we observed an interaction between plasma vitamin C and ENOC (P < 0.02). ENOC formation may account for our previously reported association between red and processed meat consumption and gastric cancer risk.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 5
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