Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study

Objective: Based on multistage metabolomic profiling and Mendelian randomization analyses, the current study identified plasma metabolites that predicted the risk of developing gastric cancer (GC) and determined whether key metabolite levels modified the GC primary prevention effects. Methods: Plasm...

Full description

Saved in:
Bibliographic Details
Main Authors: Mengyuan Wang, Zhouyi Yin, Hengmin Xu, Zongchao Liu, Sha Huang, Wenhui Wu, Yang Zhang, Tong Zhou, Weicheng You, Kaifeng Pan, Wenqing Li
Format: Article
Language:English
Published: China Anti-Cancer Association 2025-05-01
Series:Cancer Biology & Medicine
Subjects:
Online Access:https://www.cancerbiomed.org/content/22/5/525
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850169240121769984
author Mengyuan Wang
Zhouyi Yin
Hengmin Xu
Zongchao Liu
Sha Huang
Wenhui Wu
Yang Zhang
Tong Zhou
Weicheng You
Kaifeng Pan
Wenqing Li
author_facet Mengyuan Wang
Zhouyi Yin
Hengmin Xu
Zongchao Liu
Sha Huang
Wenhui Wu
Yang Zhang
Tong Zhou
Weicheng You
Kaifeng Pan
Wenqing Li
author_sort Mengyuan Wang
collection DOAJ
description Objective: Based on multistage metabolomic profiling and Mendelian randomization analyses, the current study identified plasma metabolites that predicted the risk of developing gastric cancer (GC) and determined whether key metabolite levels modified the GC primary prevention effects. Methods: Plasma metabolites associated with GC risk were identified through a case-control study. Bi-directional two-sample Mendelian randomization analyses were performed to determine potential causal relationships utilizing the Shandong Intervention Trial (SIT), a nested case-control study of the Mass Intervention Trial in Linqu, Shandong province (MITS), China, the UK Biobank, and the FinnGen project. Results: A higher genetic risk score for plasma L-aspartic acid was significantly associated with an increased GC risk in the northern Chinese population (SIT: HR = 1.26 per 1 SD change, 95% CI: 1.07–1.49; MITS: HR = 1.07, 95% CI: 1.00–1.14) and an increased gastric adenocarcinoma risk in FinnGen (OR = 1.68, 95% CI: 1.16–2.45). Genetically predicted plasma L-aspartic acid levels also modified the GC primary prevention effects with the beneficial effect of Helicobacter pylori eradication notably observed among individuals within the top quartile of L-aspartic acid level (P-interaction = 0.098) and the beneficial effect of garlic supplementation only for those within the lowest quartile of L-aspartic acid level ( P-interaction = 0.02). Conclusions: Elevated plasma L-aspartic acid levels significantly increased the risk of developing GC and modified the effects of GC primary prevention. Further studies from other populations are warranted to validate the modification effect of plasma L-aspartic acid levels on GC prevention and to elucidate the underlying mechanisms.
format Article
id doaj-art-eb07d36efba64a75a6f1c2b71050f4e3
institution OA Journals
issn 2095-3941
language English
publishDate 2025-05-01
publisher China Anti-Cancer Association
record_format Article
series Cancer Biology & Medicine
spelling doaj-art-eb07d36efba64a75a6f1c2b71050f4e32025-08-20T02:20:45ZengChina Anti-Cancer AssociationCancer Biology & Medicine2095-39412025-05-0122552553810.20892/j.issn.2095-3941.2024.0523Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization studyMengyuan Wang0Zhouyi Yin1Hengmin Xu2Zongchao Liu3Sha Huang4Wenhui Wu5Yang Zhang6Tong Zhou7Weicheng You8Kaifeng Pan9Wenqing Li10State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Cancer Epidemiology, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaObjective: Based on multistage metabolomic profiling and Mendelian randomization analyses, the current study identified plasma metabolites that predicted the risk of developing gastric cancer (GC) and determined whether key metabolite levels modified the GC primary prevention effects. Methods: Plasma metabolites associated with GC risk were identified through a case-control study. Bi-directional two-sample Mendelian randomization analyses were performed to determine potential causal relationships utilizing the Shandong Intervention Trial (SIT), a nested case-control study of the Mass Intervention Trial in Linqu, Shandong province (MITS), China, the UK Biobank, and the FinnGen project. Results: A higher genetic risk score for plasma L-aspartic acid was significantly associated with an increased GC risk in the northern Chinese population (SIT: HR = 1.26 per 1 SD change, 95% CI: 1.07–1.49; MITS: HR = 1.07, 95% CI: 1.00–1.14) and an increased gastric adenocarcinoma risk in FinnGen (OR = 1.68, 95% CI: 1.16–2.45). Genetically predicted plasma L-aspartic acid levels also modified the GC primary prevention effects with the beneficial effect of Helicobacter pylori eradication notably observed among individuals within the top quartile of L-aspartic acid level (P-interaction = 0.098) and the beneficial effect of garlic supplementation only for those within the lowest quartile of L-aspartic acid level ( P-interaction = 0.02). Conclusions: Elevated plasma L-aspartic acid levels significantly increased the risk of developing GC and modified the effects of GC primary prevention. Further studies from other populations are warranted to validate the modification effect of plasma L-aspartic acid levels on GC prevention and to elucidate the underlying mechanisms.https://www.cancerbiomed.org/content/22/5/525gastric cancerplasma metabolitesmendelian randomizationl-aspartic acid
spellingShingle Mengyuan Wang
Zhouyi Yin
Hengmin Xu
Zongchao Liu
Sha Huang
Wenhui Wu
Yang Zhang
Tong Zhou
Weicheng You
Kaifeng Pan
Wenqing Li
Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study
Cancer Biology & Medicine
gastric cancer
plasma metabolites
mendelian randomization
l-aspartic acid
title Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study
title_full Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study
title_fullStr Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study
title_full_unstemmed Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study
title_short Plasma L-aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect: a multistage metabolomic profiling and Mendelian randomization study
title_sort plasma l aspartic acid predicts the risk of gastric cancer and modifies the primary prevention effect a multistage metabolomic profiling and mendelian randomization study
topic gastric cancer
plasma metabolites
mendelian randomization
l-aspartic acid
url https://www.cancerbiomed.org/content/22/5/525
work_keys_str_mv AT mengyuanwang plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT zhouyiyin plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT hengminxu plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT zongchaoliu plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT shahuang plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT wenhuiwu plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT yangzhang plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT tongzhou plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT weichengyou plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT kaifengpan plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy
AT wenqingli plasmalasparticacidpredictstheriskofgastriccancerandmodifiestheprimarypreventioneffectamultistagemetabolomicprofilingandmendelianrandomizationstudy