Association between polyunsaturated fatty acids in adipose tissue and mortality of colorectal cancer patients

[Display omitted] •WHAT IS KNOWNNutritional intake and FA metabolism play a role in the progression of tumors.Biomarkers allow objective assessments of intake, storage and bioavailability.The influence of PUFAs from adipose tissue on CRC mortality is not documented.•WHAT IS NEW HERESome n-6 PUFAs we...

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Veröffentlicht in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2024-05, Vol.121, p.112358-112358, Article 112358
Hauptverfasser: Roux-Levy, Cécile, Binquet, Christine, Vaysse, Carole, Scherrer, Marie-Lorraine, Ayav, Ahmet, Ortega-Deballon, Pablo, Lakkis, Zaher, Liu, David, Deguelte, Sophie, Cottet, Vanessa
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container_title Nutrition (Burbank, Los Angeles County, Calif.)
container_volume 121
creator Roux-Levy, Cécile
Binquet, Christine
Vaysse, Carole
Scherrer, Marie-Lorraine
Ayav, Ahmet
Ortega-Deballon, Pablo
Lakkis, Zaher
Liu, David
Deguelte, Sophie
Cottet, Vanessa
description [Display omitted] •WHAT IS KNOWNNutritional intake and FA metabolism play a role in the progression of tumors.Biomarkers allow objective assessments of intake, storage and bioavailability.The influence of PUFAs from adipose tissue on CRC mortality is not documented.•WHAT IS NEW HERESome n-6 PUFAs were positively associated with all-cause mortality in CRC patients.ALA was negatively associated with all-cause mortality in CRC patients. Nutritional intake and dysregulation of fatty acid metabolism play a role in the progression of various tumors, but the consumption of fatty acids is difficult to assess accurately with dietary questionnaires. Biomarkers can objectively assess intake, storage and bioavailability. We studied the association between the polyunsaturated fatty acid (PUFA) composition of abdominal subcutaneous adipose tissue (good indicator of dietary intake over 2–3 years) and all-cause mortality. In the multicenter AGARIC study, samples from 203 patients with colorectal cancer (CRC) undergoing curative surgery, were harvested from subcutaneous adipose tissue, which were then analyzed for PUFA composition. After a median follow-up of 45 months, 76 patients died. These patients were more often men (72.4% versus 57.5%, P = 0.04), diabetic (32.9% versus 13.4%, P = 0.001), old (median: 74.5 versus 66.6 years, P < 0.001) and with high alcohol consumption (47.4% versus 30.7%, P = 0.005). An increased risk of death was observed with higher levels of 20:2 ω-6 (hazard ratiotertile3 vstertile1 (HRT3vsT1) 2.12; 95% confidence interval (CI) 1.01–4.42; p-trend = 0.04), 22:4 ω-6 (HRT3vsT1 = 3.52; 95% CI = 1.51–8.17; p-trend = 0.005), and 22:5 ω-6 (HRT3vsT1 = 3.50; 95% CI = 1.56–7.87; p-trend = 0.002). Conversely, the risk of death seemed lower when higher concentrations of 18:3 ω-6 (HRT3vsT1 = 0.52; 95% CI = 0.27–0.99; p-trend = 0.04) and the essential fatty acid, α-linolenic acid 18:3 ω-3 (HRT3vsT1 = 0.47; 95% CI = 0.24–0.93; p-trend = 0.03) were observed. The risk of death was increased in CRC patients with higher concentrations of certain ω-6 PUFAs and lower concentrations of α-linolenic acid in their subcutaneous adipose tissue. These results reflect dietary habits and altered fatty acid metabolism. Our exploratory results warrant confirmation in larger studies with further exploration of the mechanisms involved.
doi_str_mv 10.1016/j.nut.2024.112358
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Nutritional intake and dysregulation of fatty acid metabolism play a role in the progression of various tumors, but the consumption of fatty acids is difficult to assess accurately with dietary questionnaires. Biomarkers can objectively assess intake, storage and bioavailability. We studied the association between the polyunsaturated fatty acid (PUFA) composition of abdominal subcutaneous adipose tissue (good indicator of dietary intake over 2–3 years) and all-cause mortality. In the multicenter AGARIC study, samples from 203 patients with colorectal cancer (CRC) undergoing curative surgery, were harvested from subcutaneous adipose tissue, which were then analyzed for PUFA composition. After a median follow-up of 45 months, 76 patients died. These patients were more often men (72.4% versus 57.5%, P = 0.04), diabetic (32.9% versus 13.4%, P = 0.001), old (median: 74.5 versus 66.6 years, P &lt; 0.001) and with high alcohol consumption (47.4% versus 30.7%, P = 0.005). An increased risk of death was observed with higher levels of 20:2 ω-6 (hazard ratiotertile3 vstertile1 (HRT3vsT1) 2.12; 95% confidence interval (CI) 1.01–4.42; p-trend = 0.04), 22:4 ω-6 (HRT3vsT1 = 3.52; 95% CI = 1.51–8.17; p-trend = 0.005), and 22:5 ω-6 (HRT3vsT1 = 3.50; 95% CI = 1.56–7.87; p-trend = 0.002). Conversely, the risk of death seemed lower when higher concentrations of 18:3 ω-6 (HRT3vsT1 = 0.52; 95% CI = 0.27–0.99; p-trend = 0.04) and the essential fatty acid, α-linolenic acid 18:3 ω-3 (HRT3vsT1 = 0.47; 95% CI = 0.24–0.93; p-trend = 0.03) were observed. The risk of death was increased in CRC patients with higher concentrations of certain ω-6 PUFAs and lower concentrations of α-linolenic acid in their subcutaneous adipose tissue. These results reflect dietary habits and altered fatty acid metabolism. Our exploratory results warrant confirmation in larger studies with further exploration of the mechanisms involved.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2024.112358</identifier><identifier>PMID: 38401197</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adipose Tissue ; Alcohol use ; alpha-Linolenic Acid ; Bioavailability ; Biobanks ; Biomarkers ; Body fat ; Cancer ; Cancer therapies ; Chromatography ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - surgery ; Composition ; Death ; Diabetes mellitus ; Diet ; Dietary intake ; Exercise ; Fatty Acids ; Fatty Acids, Omega-3 ; Fatty Acids, Unsaturated ; Food intake ; Humans ; Linolenic acid ; Lipids ; Male ; Medical prognosis ; Metabolism ; Metastasis ; Mortality ; polyunsaturated fatty acid ; Polyunsaturated fatty acids ; prognosis ; Risk ; Tissues</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2024-05, Vol.121, p.112358-112358, Article 112358</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><rights>2024. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c333t-8495b90eba5a5a73cfafcfe094a8d6996dfb87c85cc630f900e3784987f88e693</cites><orcidid>0000-0002-9417-5754 ; 0000-0001-8546-0433 ; 0000-0002-2608-5896 ; 0000-0002-3114-8425 ; 0000-0001-7874-7743</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3005148355?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38401197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roux-Levy, Cécile</creatorcontrib><creatorcontrib>Binquet, Christine</creatorcontrib><creatorcontrib>Vaysse, Carole</creatorcontrib><creatorcontrib>Scherrer, Marie-Lorraine</creatorcontrib><creatorcontrib>Ayav, Ahmet</creatorcontrib><creatorcontrib>Ortega-Deballon, Pablo</creatorcontrib><creatorcontrib>Lakkis, Zaher</creatorcontrib><creatorcontrib>Liu, David</creatorcontrib><creatorcontrib>Deguelte, Sophie</creatorcontrib><creatorcontrib>Cottet, Vanessa</creatorcontrib><title>Association between polyunsaturated fatty acids in adipose tissue and mortality of colorectal cancer patients</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>[Display omitted] •WHAT IS KNOWNNutritional intake and FA metabolism play a role in the progression of tumors.Biomarkers allow objective assessments of intake, storage and bioavailability.The influence of PUFAs from adipose tissue on CRC mortality is not documented.•WHAT IS NEW HERESome n-6 PUFAs were positively associated with all-cause mortality in CRC patients.ALA was negatively associated with all-cause mortality in CRC patients. Nutritional intake and dysregulation of fatty acid metabolism play a role in the progression of various tumors, but the consumption of fatty acids is difficult to assess accurately with dietary questionnaires. Biomarkers can objectively assess intake, storage and bioavailability. We studied the association between the polyunsaturated fatty acid (PUFA) composition of abdominal subcutaneous adipose tissue (good indicator of dietary intake over 2–3 years) and all-cause mortality. In the multicenter AGARIC study, samples from 203 patients with colorectal cancer (CRC) undergoing curative surgery, were harvested from subcutaneous adipose tissue, which were then analyzed for PUFA composition. After a median follow-up of 45 months, 76 patients died. These patients were more often men (72.4% versus 57.5%, P = 0.04), diabetic (32.9% versus 13.4%, P = 0.001), old (median: 74.5 versus 66.6 years, P &lt; 0.001) and with high alcohol consumption (47.4% versus 30.7%, P = 0.005). An increased risk of death was observed with higher levels of 20:2 ω-6 (hazard ratiotertile3 vstertile1 (HRT3vsT1) 2.12; 95% confidence interval (CI) 1.01–4.42; p-trend = 0.04), 22:4 ω-6 (HRT3vsT1 = 3.52; 95% CI = 1.51–8.17; p-trend = 0.005), and 22:5 ω-6 (HRT3vsT1 = 3.50; 95% CI = 1.56–7.87; p-trend = 0.002). Conversely, the risk of death seemed lower when higher concentrations of 18:3 ω-6 (HRT3vsT1 = 0.52; 95% CI = 0.27–0.99; p-trend = 0.04) and the essential fatty acid, α-linolenic acid 18:3 ω-3 (HRT3vsT1 = 0.47; 95% CI = 0.24–0.93; p-trend = 0.03) were observed. The risk of death was increased in CRC patients with higher concentrations of certain ω-6 PUFAs and lower concentrations of α-linolenic acid in their subcutaneous adipose tissue. These results reflect dietary habits and altered fatty acid metabolism. 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Nutritional intake and dysregulation of fatty acid metabolism play a role in the progression of various tumors, but the consumption of fatty acids is difficult to assess accurately with dietary questionnaires. Biomarkers can objectively assess intake, storage and bioavailability. We studied the association between the polyunsaturated fatty acid (PUFA) composition of abdominal subcutaneous adipose tissue (good indicator of dietary intake over 2–3 years) and all-cause mortality. In the multicenter AGARIC study, samples from 203 patients with colorectal cancer (CRC) undergoing curative surgery, were harvested from subcutaneous adipose tissue, which were then analyzed for PUFA composition. After a median follow-up of 45 months, 76 patients died. These patients were more often men (72.4% versus 57.5%, P = 0.04), diabetic (32.9% versus 13.4%, P = 0.001), old (median: 74.5 versus 66.6 years, P &lt; 0.001) and with high alcohol consumption (47.4% versus 30.7%, P = 0.005). An increased risk of death was observed with higher levels of 20:2 ω-6 (hazard ratiotertile3 vstertile1 (HRT3vsT1) 2.12; 95% confidence interval (CI) 1.01–4.42; p-trend = 0.04), 22:4 ω-6 (HRT3vsT1 = 3.52; 95% CI = 1.51–8.17; p-trend = 0.005), and 22:5 ω-6 (HRT3vsT1 = 3.50; 95% CI = 1.56–7.87; p-trend = 0.002). Conversely, the risk of death seemed lower when higher concentrations of 18:3 ω-6 (HRT3vsT1 = 0.52; 95% CI = 0.27–0.99; p-trend = 0.04) and the essential fatty acid, α-linolenic acid 18:3 ω-3 (HRT3vsT1 = 0.47; 95% CI = 0.24–0.93; p-trend = 0.03) were observed. The risk of death was increased in CRC patients with higher concentrations of certain ω-6 PUFAs and lower concentrations of α-linolenic acid in their subcutaneous adipose tissue. These results reflect dietary habits and altered fatty acid metabolism. Our exploratory results warrant confirmation in larger studies with further exploration of the mechanisms involved.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38401197</pmid><doi>10.1016/j.nut.2024.112358</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-9417-5754</orcidid><orcidid>https://orcid.org/0000-0001-8546-0433</orcidid><orcidid>https://orcid.org/0000-0002-2608-5896</orcidid><orcidid>https://orcid.org/0000-0002-3114-8425</orcidid><orcidid>https://orcid.org/0000-0001-7874-7743</orcidid></addata></record>
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identifier ISSN: 0899-9007
ispartof Nutrition (Burbank, Los Angeles County, Calif.), 2024-05, Vol.121, p.112358-112358, Article 112358
issn 0899-9007
1873-1244
language eng
recordid cdi_proquest_miscellaneous_3022577501
source MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland
subjects Adipose Tissue
Alcohol use
alpha-Linolenic Acid
Bioavailability
Biobanks
Biomarkers
Body fat
Cancer
Cancer therapies
Chromatography
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - surgery
Composition
Death
Diabetes mellitus
Diet
Dietary intake
Exercise
Fatty Acids
Fatty Acids, Omega-3
Fatty Acids, Unsaturated
Food intake
Humans
Linolenic acid
Lipids
Male
Medical prognosis
Metabolism
Metastasis
Mortality
polyunsaturated fatty acid
Polyunsaturated fatty acids
prognosis
Risk
Tissues
title Association between polyunsaturated fatty acids in adipose tissue and mortality of colorectal cancer patients
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