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Diet is a major source of AGEs, but there is sparse human evidence on the role of AGEs intake in liver cancer etiology. We examined the association between dietary AGEs and the risk of hepatobiliary cancers in the European Prospective Investigation into Cancer and Nutrition prospective cohort (n\u00a0=\u00a0450\u2009111). Dietary intake of three AGEs, N<jats:sup>\u03b5<\/jats:sup>\u2010[carboxymethyl]lysine (CML), N<jats:sup>\u03b5<\/jats:sup>\u2010[1\u2010carboxyethyl]lysine (CEL) and N<jats:sup>\u03b4<\/jats:sup>\u2010[5\u2010hydro\u20105\u2010methyl\u20104\u2010imidazolon\u20102\u2010yl]\u2010ornithine (MG\u2010H1), was estimated using country\u2010specific dietary questionnaires linked to an AGEs database. Cause\u2010specific hazard ratios (HR) and their 95% confidence intervals (CI) for associations between dietary AGEs and risk of hepatocellular carcinoma (HCC), gallbladder and biliary tract cancers were estimated using multivariable Cox proportional hazard regression. After a median follow\u2010up time of 14.9\u2009years, 255 cases of HCC, 100 cases of gallbladder cancer and 173 biliary tract cancers were ascertained. Higher intakes of dietary AGEs were inversely associated with the risk of HCC (per 1 SD increment, HR\u2010<jats:sub>CML<\/jats:sub>\u00a0=\u00a00.87, 95% CI: 0.76\u20100.99, HR\u2010<jats:sub>CEL<\/jats:sub>\u00a0=\u00a00.84, 95% CI: 0.74\u20100.96 and HR\u2010<jats:sub>MH\u2010G1<\/jats:sub>\u00a0=\u00a00.84, 95% CI: 0.74\u20100.97). In contrast, positive associations were observed with risk of gallbladder cancer (per 1 SD, HR\u2010<jats:sub>CML<\/jats:sub>\u00a0=\u00a01.28, 95% CI: 1.05\u20101.56, HR\u2010<jats:sub>CEL<\/jats:sub>\u00a0=\u00a01.17; 95% CI: 0.96\u20101.40, HR\u2010<jats:sub>MH\u2010G1<\/jats:sub>\u00a0=\u00a01.27, 95% CI: 1.06\u20101.54). No associations were observed for cancers of the intra and extrahepatic bile ducts. Our findings suggest that higher intakes of dietary AGEs are inversely associated with the risk of HCC and positively associated with the risk of gallbladder cancer.<\/jats:p>","DOI":"10.1002\/ijc.33612","type":"journal-article","created":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T05:15:52Z","timestamp":1619414152000},"page":"854-864","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Dietary intake of advanced glycation endproducts and risk of hepatobiliary cancers: A multinational cohort study"],"prefix":"10.1002","volume":"149","author":[{"given":"Ana\u2010Lucia","family":"May\u00e9n","sequence":"first","affiliation":[{"name":"Nutrition and Metabolism Branch International Agency for Research on Cancer (IARC\u2010WHO)  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0442-3284","authenticated-orcid":false,"given":"Elom K.","family":"Aglago","sequence":"additional","affiliation":[{"name":"Nutrition and Metabolism Branch International Agency for Research on Cancer (IARC\u2010WHO)  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viktoria","family":"Knaze","sequence":"additional","affiliation":[{"name":"Nutrition and Metabolism Branch International Agency for Research on Cancer (IARC\u2010WHO)  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reynalda","family":"Cordova","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casper G.","family":"Schalkwijk","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, CARIM School for Cardiovascular Diseases Maastricht University Medical Center  Maastricht The 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