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Meat-related compounds and colorectal cancer risk by anatomical subsite.

Abstract
Since meat may be involved in the etiology of colorectal cancer, associations between meat-related compounds were examined to elucidate underlying mechanisms in a population-based case-control study. Participants (989 cases/1,033 healthy controls) completed a food frequency questionnaire with a meat-specific module. Multivariable logistic regression was used to examine associations between meat variables and colorectal cancer; polytomous logistic regression was used for subsite-specific analyses. The following significant positive associations were observed for meat-related compounds: 2-amino-3,4,8-trimethylimidazo[4,5-f]quinoxaline (DiMeIQx) and colorectal, distal colon, and rectal tumors; 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx) and colorectal and colon cancer tumors; nitrites/nitrates and proximal colon cancer; 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (PhIP) and rectal cancer; and benzo[a]pyrene and rectal cancer (P-trends < 0.05). For analyses by meat type, cooking method, and doneness preference, positive associations between red processed meat and proximal colon cancer and pan-fried red meat and colorectal cancer were found (P-trends < 0.05). Inverse associations were observed between unprocessed poultry and colorectal, colon, proximal colon, and rectal tumors; grilled/barbequed poultry and proximal colon cancer; and well-done/charred poultry and colorectal, colon, and proximal colon tumors (P-trends < 0.05). HCAs, PAHs, nitrites, and nitrates may be involved in colorectal cancer etiology. Further examination into the unexpected inverse associations between poultry and colorectal cancer is warranted.
AuthorsPaige E Miller, Philip Lazarus, Samuel M Lesko, Amanda J Cross, Rashmi Sinha, Jason Laio, Jay Zhu, Gregory Harper, Joshua E Muscat, Terryl J Hartman
JournalNutrition and cancer (Nutr Cancer) Vol. 65 Issue 2 Pg. 202-26 ( 2013) ISSN: 1532-7914 [Electronic] United States
PMID23441608 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Imidazoles
  • Nitrates
  • Nitrites
  • Quinoxalines
  • Benzo(a)pyrene
  • 2-amino-3,8-dimethylimidazo(4,5-f)quinoxaline
  • 2-amino-1-methyl-6-phenylimidazo(4,5-b)pyridine
  • 3,4,8-trimethylimidazo(4,5-f)quinoxalin-2-amine
Topics
  • Aged
  • Animals
  • Benzo(a)pyrene (toxicity)
  • Case-Control Studies
  • Colonic Neoplasms (etiology)
  • Colorectal Neoplasms (epidemiology, etiology)
  • Cooking
  • Feeding Behavior
  • Female
  • Humans
  • Imidazoles (toxicity)
  • Logistic Models
  • Male
  • Meat (adverse effects)
  • Meat Products (adverse effects)
  • Middle Aged
  • Nitrates (adverse effects)
  • Nitrites (adverse effects)
  • Pennsylvania (epidemiology)
  • Poultry
  • Quinoxalines (toxicity)
  • Rectal Neoplasms (etiology)
  • Risk Factors
  • Surveys and Questionnaires

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