Publications by authors named "R E FORTNER"

Background: Current evidence suggests higher physical activity (PA) levels are associated with a reduced risk of colorectal cancer (CRC). However, the mediating role of the circulating metabolome in this relationship remains unclear.

Methods: Targeted metabolomics data from 6,055 participants in the EPIC cohort were used to identify metabolites associated with PA and derive a metabolomic signature of PA levels.

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Cancer diagnosis and therapy cause stress to the body. Preclinical studies have shown that stress hormones can stimulate tumor progression and metastasis by interacting with β-adrenergic receptors, and that β-blockers can inhibit those processes. We assessed if β-blocker use was associated with survival in a nationwide cohort of women with epithelial ovarian cancer (EOC).

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Aims: Reproductive history conveys information about potential health risks later in adulthood. This study aimed to examine the validity of self-reported number of pregnancies and maternal age at first birth (AFB) among females attending BreastScreen Norway.

Methods: Participants were identified through the Janus Serum Bank cohort in Norway and were eligible for this cross-sectional validation study if they participated in a health survey issued by BreastScreen Norway between 2006 and 2015.

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Background: Inflammation and immune dysregulation are hypothesized contributors to endometrial carcinogenesis; however, the precise underlying mechanisms remain unclear.

Methods: We measured pre-diagnostically 152 plasma protein biomarkers in 624 endometrial cancer case-control pairs nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Odds ratios (ORs) were estimated using conditional logistic regression, accounting for confounding and multiple comparisons.

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Article Synopsis
  • Effective strategies for early detection of epithelial ovarian cancer are currently insufficient; this study assessed a panel of 14 circulating microRNAs to differentiate between ovarian cancer cases diagnosed less than 2 years and those diagnosed 2-7 years after serum collection.
  • The study involved 80 ovarian cancer cases and used the XGBoost algorithm to create a binary classification model, training it on 70% of the data and testing it on the remaining 30%.
  • Results showed the microRNA panel performed well, with a median AUC of 0.771, and identified four specific miRNAs that were significantly upregulated closer to the diagnosis, indicating potential for robust early detection of ovarian cancer.
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