Prostate Cancer Awareness Month

This #ProstateCancerAwarenessMonth, we’re sharing insights from recent studies from researchers across Canada. Today, we’re sharing findings from Gabriela Ilie, PhD, associate professor at Dalhousie University and DMRF Endowed Scientist in Cancer Quality of Life Research! In 2019, Dr. Gabriela Ilie, Dr. Rob Rutledge and Dr. Ellen Sweeney examined the association between depression and anxiety and prostate cancer. From 6,585 Atlantic PATH participants, they found that prostate cancer survivors had greater odds of screening positive for anxiety or depression compared to those with a history of other forms of cancer. The findings highlight the importance of a multidisciplinary effort to prioritize and deliver comprehensive mental health support to PCa survivors: https://bit.ly/3Dqe6oH Come 2021, they continued their work in the area of depression, anxiety and prostate cancer, further finding that the association is moderated by household income: https://bit.ly/3B9D0X3 They most recently found that prostate cancer survivors who were treated with surgery had 7.55 statistically significantly higher odds of screening positive for current depression compared to those who had surgery for other types of cancer: https://bit.ly/3S4EQPT “This pivotal research made possible by Atlantic PATH and its collaborators highlights the epidemic of mental distress among prostate cancer survivors throughout Atlantic Canada, now corroborated worldwide. This research became the impetus for development of the PC-PEP program (https://pcpep.org/) which is now helping survivors throughout Canada and beyond,” says Dr. Ilie.  

Applying Machine Learning to Arsenic Species and Metallomics Profiles of Toenails to Evaluate Associations of Environmental Arsenic with Incident Cancer Cases

Authors: Sheida Majouni, Jong Sung Kim, Ellen Sweeney, Erin Keltie, Syed Sibte Raza Abidi Ebook: Volume 294: Challenges of Trustable AI and Added-Value on Health Abstract: Chronic exposure to environmental arsenic has been linked to a number of human diseases affecting multiple organ systems, including cancer. The greatest concern for chronic exposure to arsenic is contaminated groundwater used for drinking as it is the main contributor to the amount of arsenic present in the body. An estimated 40% of households in Nova Scotia (Canada) use water from private wells, and there is a concern that exposure to arsenic may be linked to/associated with cancer. In this preliminary study, we are aiming to gain insights into the association of environmental metal’s pathogenicity and carcinogenicity with prostate cancer. We use toenails as a novel biomarker for capturing long-term exposure to arsenic, and have performed toxicological analysis to generate data about differential profiles of arsenic species and the metallome (entirety of metals) for both healthy and individuals with a history cancer. We have applied feature selection and machine learning algorithms to arsenic species and metallomics profiles of toenails to investigate the complex association between environmental arsenic (as a carcinogen) and prostate cancer. We present machine learning based models to ultimately predict the association of environmental arsenic exposure in cancer cases. doi: https://ebooks.iospress.nl/doi/10.3233/SHTI220385

New Publication

Congratulations to Majouni et al. on the new publication, “Applying Machine Learning to Arsenic Species and Metallomics Profiles of Toenails to Evaluate Associations of Environmental Arsenic with Incident Cancer Cases.” This research involves analyzing toenail samples from Atlantic PATH, as well as machine learning algorithms to arsenic species and metallomics profiles to investigate the complex association between environmental arsenic as a carcinogen and prostate cancer. https://ebooks.iospress.nl/doi/10.3233/SHTI220385  

Funding News

Congratulations to Dr. Samina Abidi, Dr. Raza Abidi, Dr. Ellen Sweeney and team on their successful CIHR Catalyst grant, “Digital Health and Artificial Intelligence based Platform for Early Chronic Disease Risk Assessment and Prediction to Improve Population Health.”  This project will leverage digital health/e-health and artificial intelligence technologies to develop a Personalized Risk Investigation, Stratification and Mitigation (PRISM) platform to assess chronic disease risk. “

Harnessing the Power of Data Linkage to Enrich the Cancer Research Ecosystem in Canada

Authors: Robin Urquhart, Philip Awadalla, Parveen Bhatti, Trevor JB Dummer, Simon Gravel, Jennifer Vena, Riaz Alvi, Phillipe Broet, Cynthia Kendell, Victoria Kirsh, Guillaume Lettre, Kimberly Skead, Grace Shen-Tu, Ellen Sweeney, Donna Turner Journal: International Journal of Population Data Science Abstract: Objectives: We will enrich the cancer research ecosystem in Canada through linking cancer registry and administrative health data to the Canadian Partnership for Tomorrow’s Health (CanPath) cohort and biobank. CanPath is Canada’s largest population health study, including 1% of the Canadian population, which seeks to investigate cancer development. Approach: We are achieving record-level linkage of the CanPath harmonized dataset to provincial cancer registry data, and hospitalization and ambulatory care data from the Canadian Institutes of Health Information (CIHI). The CanPath harmonized dataset includes comprehensive genetics, environment, lifestyle, and behaviour data. Our linkage activities will result in interprovincial data sharing, with centrally-held linked data, a first in Canadian history. We will demonstrate the CanPath-cancer registry-CIHI linkage potential by investigating the impact of the COVID-19 pandemic on healthcare utilization and outcomes among those with cancer. Results: The linkage is ongoing and anticipated to be completed by September 2022. Linked data will be made available through the CanPath Data Safe Haven, a cloud-based solution that meets the legal requirements of the data sharing agreements and provincial privacy policies, and is accessible to researchers through secure access. The CanPath Data Safe Haven will be a federated data platform for Canadian researchers to access, analyze, and contribute research in a collaborative environment. By linking these datasets, this project will: address concerns related to accessibility of cancer data in Canada; bring more value to existing data; support an enhanced understanding of the impacts of cancer on marginalized populations; and create a more integrated approach to cancer data access and management. Conclusion: CanPath will be the first program in Canadian history to combine the wealth of cohort resources with cancer registry and administrative health data in a central location at a national scale. We will provide a single point of access for researchers to conduct novel investigations into cancer development and outcomes. doi: 10.23889/ijpds.v7i3.1950

New Publication

We’re excited to announce a new publication in Frontiers in Public Health (Environmental Health and Exposome). This article uses toenail samples to assess arsenic speciation and metallomics to assess prostate cancer cases in the Atlantic PATH population.  This research was supported with funding from the Canadian Cancer Society/Prostate Cancer Canada, New Brunswick Health Research Foundation, Nova Scotia Health Authority, and Beatrice Hunter Cancer Research Institute. Our findings indicate that toenails are a biomarker for altered arsenic speciation in prostate cancer cases and may have greater utility than urine in this context. Open Access: https://bit.ly/3OOprSd

Arsenic Speciation and Metallomics Profiling of Human Toenails as a Biomarker to Assess Prostate Cancer Cases: Atlantic PATH Cohort Study

Authors: Erin Keltie, Kalli Hood, Yunsong Cui, Ellen Sweeney, Gabriela Ilie, Anil Adisesh, Trevor Dummer, Veni Bharti, Jong Sung Kim Journal: Frontiers in Public Health (Environmental Health and Exposome) Abstract: Chronic exposure to inorganic arsenic and trace metals has been linked to prostate cancer, and altered arsenic methylation capacity may have an important role in arsenic carcinogenesis. Biomarkers may be able to elucidate this role. Our objectives were to characterize profiles of arsenic species and metallome in toenails and urine samples, compare profiles between prostate cancer cases and controls, and determine the discriminant ability of toenail and urine biomarkers. Toenail samples (n = 576), urine samples (n = 152), and questionnaire data were sourced from the Atlantic Partnership for Tomorrow’s Health (PATH) cohort study. Healthy controls were matched to prostate cancer cases (3:1 ratio) on sex, age, smoking status, and the province of residence. Metallome profiles and proportions of arsenic species were measured in toenail and urine samples. Analysis of covariance (ANCOVA) was used to compare the mean percent monomethylarsonic acid (%MMA), dimethylarsonic acid (%DMA), inorganic arsenic (%iAs), primary methylation index (PMI, MMA/iAs), and secondary methylation index (SMI, DMA/MMA). Multivariate analysis of covariance (MANCOVA) was used to compare selected metal concentrations. Mean %MMA was significantly lower and SMI was significantly higher in toenails from prostate cancer cases compared to controls in unadjusted and adjusted models. Proportions of arsenic species were correlated with total arsenic in toenails. Arsenic speciation in urine was not different between cases and controls, nor were metallome profiles in toenails and urine. Our results indicate that toenails are a viable biomarker for altered arsenic speciation in prostate cancer cases and may have greater utility than urine in this context.   doi: https://doi.org/10.3389/fpubh.2022.818069

Substituting bouts of sedentary behavior with physical activity: Adopting positive lifestyle choices in people with a history of cancer

Authors: Lee Ingle, Samantha Ruilova, Yunsong Cui, Vanessa DeClercq, Ellen Sweeney, Zhijie Michael Yu, Cynthia C. Forbes Journal: Cancer Causes and Control Abstract Purpose To determine in people with a history of cancer, whether substituting sitting time with other daily activities (i.e., sleeping, walking, moderate and vigorous physical activity) was associated with changes in waist circumference (WC), an important surrogate marker of cardiometabolic risk. Methods Cross-sectional analyses from the Atlantic Partnership for Tomorrow’s Health (Atlantic PATH) cohort was conducted using isotemporal substitution models to explore the associations of substituting sedentary time, physical activity behavior (International Physical Activity Questionnaire), or sleep (Pittsburgh Sleep Quality Index) with changes in WC. Analyses were conducted using sex-specific WC classifications. Results In 3,684 people with a history of cancer [mean age (SD) 58.2 (7.3) years; BMI 28.9 (5.2) kg m−2; 71% female], reallocating 10 min of sleep or sedentary time for 10 min of walking was associated with lower WC in women (p < 0.01). In men, PA intensity appeared to be more strongly associated with a reduced WC. Replacing 10 min of sedentary time with 10 min of moderate or vigorous PA and replacing 10 min of sleep with moderate PA were associated with a significantly reduced WC (p < 0.001). The largest effect was when 10 min of moderate PA was replaced with vigorous PA, a reduction in WC (p < 0.01) was evident. Conclusion For people with a history of cancer, adopting small but positive changes in lifestyle behaviors could help reduce WC and potentially offset negative health-related outcomes associated with higher WC. Further research is required to examine whether such an intervention may be acceptable and manageable among this population.   Link: https://link.springer.com/article/10.1007/s10552-022-01592-9

Five Years of Team PATH and Plaid for Dad

The Atlantic PATH team is always happy to support the Canadian Cancer Society’s Plaid for Dad event which raises awareness about prostate cancer and supports prostate cancer research in Canada. There were two years when we could be together for Plaid for Dad in the office and with our office dog Flash. We’re happy to be able to continue participating while we work from home during COVID-19 the past few years, safely social distancing! You can read more about the Plaid for Dad campaign here: https://bit.ly/3QrMbZC