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A prospective analysis of red blood cell membrane polyunsaturated fatty acid levels and risk of non-Hodgkin lymphoma

Ardisson Korat, Andres V
Chiu, Yu-Han
Bertrand, Kimberly A
Zhang, Shumin
Epstein, Mara M
Rosner, Bernard A
Chiuve, Stephanie
Campos, Hannia
Giovannucci, Edward L
Chavarro, Jorge E
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Abstract

Published studies report inconsistent associations of polyunsaturated fatty acid (PUFA) intake with non-Hodgkin lymphoma (NHL) risk. We conducted a nested case-control study in Nurses' Health Study and Health Professionals Follow-Up Study participants to evaluate a hypothesis of inverse association of pre-diagnosis red blood cell (RBC) membrane PUFA levels with risk of NHL endpoints. We confirmed 583 NHL cases and matched 583 controls by cohort/sex, age, race and blood draw date/time. We estimated odds ratios (OR) and 95% confidence intervals (CI) for risk of NHL endpoints using logistic regression. RBC PUFA levels were not associated with all NHL risk; cis 20:2n-6 was associated with follicular lymphoma risk (OR [95% CI] per one standard deviation increase: 1.35 [1.03-1.77]), and the omega-6/omega-3 PUFA ratio was associated with diffuse large B-cell lymphoma risk (2.33 [1.23-4.43]). Overall, PUFA did not demonstrate a role in NHL etiology; the two unexpected positive associations lack clear biologic explanations.

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Ardisson Korat AV, Chiu YH, Bertrand KA, Zhang S, Epstein MM, Rosner BA, Chiuve S, Campos H, Giovannucci EL, Chavarro JE, Birmann BM. A prospective analysis of red blood cell membrane polyunsaturated fatty acid levels and risk of non-Hodgkin lymphoma. Leuk Lymphoma. 2022 Dec;63(14):3351-3361. doi: 10.1080/10428194.2022.2131419. Epub 2022 Oct 18. PMID: 36255154; PMCID: PMC9877158.

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10.1080/10428194.2022.2131419
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36255154
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Funding and Acknowledgements
This work was supported by the [American Cancer Society] under [Research Scholar Grant RSG-11-020-01-CNE], by grants from the [National Institutes of Health] under grants [UM1 CA186107]; [P01 CA87969]; [R01 CA49449]; [U01 CA167552]; [R01 CA149445]; [R01 CA09812]; [U54 CA155626]; [P30 DK46200]; [KL2 TR001455 (to MME)], and [T32 CA009001 (to AVAK)] and the American Heart Association [grant 834106 to Y-HC].
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