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Grant Details

Grant Number: 5R01CA172880-03 Interpret this number
Primary Investigator: Jiao, Li
Organization: Baylor College Of Medicine
Project Title: Advanced Glycation End-Products and Risk of Pancreatic Cancer
Fiscal Year: 2015
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Abstract

DESCRIPTION (provided by applicant): Cigarette smoking, dietary high-fat and red meat intake, and excess body weight are modifiable risk factors for pancreatic cancer. All these factors contribute to the formation of Advanced Glycation End products (AGEs) in the human body. AGEs are a heterogeneous group of compounds formed via the nonenzymatic glycation of lipids and proteins. N¿-(carboxymethyl)-lysine (CML)-AGE is one of the best characterized AGEs. AGEs trigger and maintain insulin resistance and inflammation by interacting with the receptor for AGEs (RAGE). Such interaction on adipocytes affects the secretion of adipokines, including adiponectin, leptin, PAI-1, and MCP1 that further contributes to obesity and insulin resistance. Soluble RAGE (sRAGE) neutralizes CML-AGE/RAGE mediated reactions and acts as an anti-inflammatory factor. Circulating levels of CML-AGE and sRAGE are genetically controlled in humans. Our previous study found a significant inverse association between pre- diagnostic serum levels of sRAGE and pancreatic cancer incidence in a cohort of Finnish male smokers. We propose to extend this novel finding in the Women's Health Initiative (WHI) Study, in which fasting blood, genomic DNA, and extensive exposure data were collected from 161,808 participants at baseline (1993-1998). With follow-up through December 31, 2013, we propose to examine the relevance of phenotypic and genotypic markers of the CML-AGE/RAGE axis in pancreatic cancer using a nested case-control study design with two main aims: Aim 1) to examine the associations between CML-AGE, sRAGE and the CML-AGE/sRAGE ratio, and incident pancreatic cancer. The mediating and joint effects of adiposity and adipokines will also be examined. This aim will be accomplished in 533 incident pancreatic cancer cases and 1066 non-cancer controls from the WHI-Observational Study and the placebo group of the WHI-Clinical Trial. We will use fasting serum to measure CML-AGE and sRAGE using ELISA and adipokines (adiponectin, leptin, PAI-1 and MCP1) using bead-based multiplex assay. A Mendelian randomization study will be performed to assess the causality of any observed association; and Aim 2) to investigate the association between genetic variations of the CML- AGE/RAGE axis and incident pancreatic cancer in a two-stage study. In the discovery stage that includes 677 cases and 1354 controls from the entire WHI Study, we will examine the association between 144 SNPs of 17 genes and pancreatic cancer risk. In the replication stage that includes an independent sample of 1553 women cases and 1410 women controls from studies of Mayo Clinic and M.D. Anderson Cancer Center, we will validate the significant SNPs (nominal P value < 0.05) identified in the discovery stage. To increase study power, we will further validate the significant SNPs in a meta-analysis of 2230 cases and 2764 controls. GWAS data are available for 522 cases and 283 controls in the WHI Study and all samples in the replication set. This cost-efficient study approved as an ancillary WHI study will provide insight into a novel etiological pathway, CML-AGE/RAGE, in pancreatic cancer development in women.

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Publications

Incidence of AIDS-Related Kaposi Sarcoma in All 50 United States From 2000 to 2014.
Authors: White D.L. , Oluyomi A. , Royse K. , Dong Y. , Nguyen H. , Chang E. , Richardson P. , Jiao L. , Garcia J.M. , Kramer J.R. , et al. .
Source: Journal of acquired immune deficiency syndromes (1999), 2019-08-01; 81(4), p. 387-394.
PMID: 31242141
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A Prospective Targeted Serum Metabolomics Study of Pancreatic Cancer in Postmenopausal Women.
Authors: Jiao L. , Maity S. , Coarfa C. , Rajapakshe K. , Chen L. , Jin F. , Putluri V. , Tinker L.F. , Mo Q. , Chen F. , et al. .
Source: Cancer prevention research (Philadelphia, Pa.), 2019 04; 12(4), p. 237-246.
EPub date: 2019-02-05.
PMID: 30723176
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Anti-Hypertensive Medication Use, Soluble Receptor for Glycation End Products and Risk of Pancreatic Cancer in the Women's Health Initiative Study.
Authors: Wang Z. , White D.L. , Hoogeveen R. , Chen L. , Whitsel E.A. , Richardson P.A. , Virani S.S. , Garcia J.M. , El-Serag H.B. , Jiao L. .
Source: Journal of clinical medicine, 2018-08-02; 7(8), .
EPub date: 2018-08-02.
PMID: 30072610
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A prospective study of soluble receptor for advanced glycation end products and adipokines in association with pancreatic cancer in postmenopausal women.
Authors: White D.L. , Hoogeveen R.C. , Chen L. , Richardson P. , Ravishankar M. , Shah P. , Tinker L. , Rohan T. , Whitsel E.A. , El-Serag H.B. , et al. .
Source: Cancer medicine, 2018 05; 7(5), p. 2180-2191.
EPub date: 2018-03-23.
PMID: 29573228
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Low-fat Dietary Pattern and Pancreatic Cancer Risk in the Women's Health Initiative Dietary Modification Randomized Controlled Trial.
Authors: Jiao L. , Chen L. , White D.L. , Tinker L. , Chlebowski R.T. , Van Horn L.V. , Richardson P. , Lane D. , Sangi-Haghpeykar H. , El-Serag H.B. .
Source: Journal of the National Cancer Institute, 2018-01-01; 110(1), .
PMID: 28922784
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Dietary consumption of advanced glycation end products and pancreatic cancer in the prospective NIH-AARP Diet and Health Study.
Authors: Jiao L. , Stolzenberg-Solomon R. , Zimmerman T.P. , Duan Z. , Chen L. , Kahle L. , Risch A. , Subar A.F. , Cross A.J. , Hollenbeck A. , et al. .
Source: The American journal of clinical nutrition, 2015 Jan; 101(1), p. 126-34.
EPub date: 2014-11-19.
PMID: 25527756
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Determinants of concentrations of N(ε)-carboxymethyl-lysine and soluble receptor for advanced glycation end products and their associations with risk of pancreatic cancer.
Authors: Duan Z. , Chen G. , Chen L. , Stolzenberg-Solomon R. , Weinstein S.J. , Mannisto S. , White D.L. , Albanes D. , Jiao L. .
Source: International journal of molecular epidemiology and genetics, 2014; 5(3), p. 152-63.
EPub date: 2014-10-22.
PMID: 25379135
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