TY - JOUR TI - Biomarkers of Oxidative Stress and Risk of Developing Colorectal Cancer: A Cohort-nested Case-Control Study in the European Prospective Investigation Into Cancer and Nutrition AU - Leufkens, Anke M. AU - van Duijnhoven, Franzel J. B. AU - Woudt, Sjoukje AU - H. S. AU - Siersema, Peter D. AU - Jenab, Mazda AU - Jansen, Eugene H. J. AU - M. AU - Pischon, Tobias AU - Tjonneland, Anne AU - Olsen, Anja AU - Overvad, AU - Kim AU - Boutron-Ruault, Marie Christine AU - Clavel-Chapelon, Francoise AU - and Morois, Sophie AU - Palli, Domenico AU - Pala, Valeria AU - Tumino, AU - Rosario AU - Vineis, Paolo AU - Panico, Salvatore AU - Kaaks, Rudolf and AU - Lukanova, Annekatrin AU - Boeing, Heiner AU - Aleksandrova, Krasimira and AU - Trichopoulou, Antonia AU - Trichopouios, Dimitrios AU - Dilis, Vardis and AU - Peeters, Petra H. AU - Skeie, Guri AU - Gonzalez, Carlos A. and AU - Argueelles, Marcial AU - Sanchez, Maria-Jose AU - Dorronsoro, Miren and AU - Huerta, Jose Maria AU - Ardanaz, Eva AU - Hallmans, Goran AU - Palmqvist, AU - Richard AU - Khaw, Kay-Tee AU - Wareham, Nick AU - Allen, Naomi E. and AU - Crowe, Francesca L. AU - Fedirko, Veronika AU - Norat, Teresa AU - Riboli, AU - Elio AU - Bueno-de-Mesquita, H. Bas JO - American Journal of Epidemiology PY - 2012 VL - 175 TODO - 7 SP - 653-663 PB - OXFORD UNIV PRESS INC SN - 0002-9262, 1476-6256 TODO - 10.1093/aje/kwr418 TODO - biological markers; case-control studies; colorectal neoplasms; oxidative stress TODO - Oxidative stress has been shown to play an important role in carcinogenesis, but prospective evidence for an association between biomarkers of oxidative stress and colorectal cancer (CRC) risk is limited. The authors investigated the association between prediagnostic serum levels of oxidative stress indicators (i.e., reactive oxygen metabolites (ROM) and ferric reducing ability of plasma (FRAP)) and CRC risk. This was examined in a nested case-control study (1,064 CRC cases, 1,064 matched controls) in the European Prospective Investigation Into Cancer and Nutrition cohort (1992-2003). Incidence rate ratios and 95% confidence intervals were calculated using conditional logistic regression analyses. ROM were associated with overall CRC risk (highest tertile vs. lowest: adjusted incidence rate ratio (IRRadj) = 1.91, 95% confidence interval (CI): 1.47, 2.48), proximal (IRRadj = 1.89, 95% CI: 1.06, 3.36) and distal (IRRadj = 2.31, 95% CI: 1.37, 3.89) colon cancer, and rectal cancer (IRRadj = 1.69, 95% CI: 1.05, 2.72). When results were stratified by tertile of follow-up time, the association remained significant only in participants with less than 2.63 years of follow-up (IRRadj = 2.28, 95% CI: 1.78, 2.94; P-heterogeneity < 0.01). FRAP was not associated with CRC risk. In conclusion, prediagnostic serum ROM levels were associated with increased risk of CRC. However, this association was seen only in subjects with relatively short follow-up, suggesting that the association results from production of reactive oxygen species by preclinical tumors. ER -