The Association Between Plasma Fatty Acids and Risk of Lung Cancer: A Prospective Cohort Study of the UK Biobank

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Our findings suggest that plasma PUFAs may serve as protective factors, while MUFAs represent risk factors for lung cancer, offering novel insights into lung cancer carcinogenesis and prevention.

Study context

Population
Cancer-free participants from the UK Biobank with plasma fatty acids (FAs) (saturated fatty acids (SFAs), monounsaturated fatty acids (MUFAs), polyunsaturated fatty acids (PUFAs)) measured at baseline (2006–2010)1,122 lung cancer cases
Participants
112,547 participants
Exposure
Plasma FA levels and lung cancer risk
Outcome
Lung cancer incidence
Follow-up
average 10.9-year follow-up
Methodological detailsUK Biobank, multivariable-adjusted Cox regression, additive interaction with polygenic risk score
  • UK Biobank
  • Multivariable-adjusted Cox regression
  • Additive interaction with polygenic risk score

Main finding

As reported in the abstract

Lung cancer risk by plasma FAs

MUFAs, HR per 1-SD

1.32 (1.13-1.54) (95% CI)

PUFAs (particularly n-3 PUFAs, n-6 PUFAs, docosahexaenoic acid, linoleic acid) associated with lower risk; HRs ranging from

0.79 (95% CI, 0.72-0.87) to 0.89 (95% CI, 0.83-0.95)

Observational data: associations, not effects.

Further findings

High genetic risk and lowest quartile of plasma PUFAs had the highest risk, HR
2.20 (1.43-3.38) (95% CI)
Additive interaction between plasma PUFAs and genetic risk observed

Original publication

The Association Between Plasma Fatty Acids and Risk of Lung Cancer: A Prospective Cohort Study of the UK Biobank. J Clin Endocrinol Metab. Published 3 September 2024. doi:10.1210/clinem/dgae609

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