@article{3153137, title = "The Associations of Advanced Glycation End Products and Its Soluble Receptor with Pancreatic Cancer Risk: A Case-Control Study within the Prospective EPIC Cohort", author = "Grote, Verena A. and Nieters, Alexandra and Kaaks, Rudolf and and Tjonneland, Anne and Roswall, Nina and Overvad, Kim and Nielsen, Michael and R. Skjelbo and Clavel-Chapelon, Francoise and Boutron-Ruault, Marie and Christine and Racine, Antoine and Teucher, Birgit and Lukanova, and Annekatrin and Boeing, Heiner and Drogan, Dagmar and Trichopoulou, and Antonia and Trichopoulos, Dimitrios and Lagiou, Pagona and Palli, and Domenico and Sieri, Sabina and Tumino, Rosario and Vineis, Paolo and and Mattiello, Amalia and Argueelles Suarez, Marcial Vicente and Duell, Eric and J. and Sanchez, Maria-Jose and Dorronsoro, Miren and Huerta Castano, and Jose Maria and Barricarte, Aurelio and Jeurnink, Suzanne M. and Peeters, and Petra H. M. and Sund, Malin and Ye, Weimin and Regner, Sara and and Lindkvist, Bjorn and Khaw, Kay-Tee and Wareham, Nick and Allen, Naomi E. and and Crowe, Francesca L. and Fedirko, Veronika and Jenab, Mazda and and Romaguera, Dora and Siddiq, Afshan and Bueno-de-Mesquita, H. Bas and and Rohrmann, Sabine", journal = "Cancer Epidemiology, Biomarkers & Prevention", year = "2012", volume = "21", number = "4", pages = "619-628", publisher = "AMER ASSOC CANCER RESEARCH", issn = "1055-9965, 1538-7755", doi = "10.1158/1055-9965.EPI-11-1139", abstract = "Background: Advanced glycation end products (AGE) and their receptors (RAGE) have been implicated in cancer development through their proinflammatory capabilities. However, prospective data on their association with cancer of specific sites, including pancreatic cancer, are limited. Methods: Prediagnostic blood levels of the AGE product Ne-(carboxymethyl) lysine (CML) and the endogenous secreted receptor for AGE (esRAGE) were measured using ELISA in 454 patients with exocrine pancreatic cancer and individually matched controls within the European Prospective Investigation into Cancer and Nutrition (EPIC). Pancreatic cancer risk was estimated by calculating ORs with corresponding 95% confidence intervals (CI). Results: Elevated CML levels tended to be associated with a reduction in pancreatic cancer risk [OR = 0.57 (95% CI, 0.32-1.01) comparing highest with lowest quintile), whereas no association was observed for esRAGE (OR = 0.98; 95% CI, 0.62-1.54). Adjustments for body mass index and smoking attenuated the inverse associations of CML with pancreatic cancer risk (OR = 0.78; 95% CI, 0.41-1.49). There was an inverse association between esRAGE and risk of pancreatic cancer for cases that were diagnosed within the first 2 years of follow-up [OR = 0.46 (95% CI, 0.22-0.96) for a doubling in concentration], whereas there was no association among those with a longer follow-up (OR = 1.11; 95% CI, 0.88-1.39; P-interaction = 0.002). Conclusions and Impact: Our results do not provide evidence for an association of higher CML or lower esRAGE levels with risk of pancreatic cancer. The role of AGE/RAGE in pancreatic cancer would benefit from further investigations. Cancer Epidemiol Biomarkers Prev; 21(4); 619-28. (C) 2012 AACR." }