Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk

Mammographic density is an important risk factor for breast cancer; women with extremely dense breasts have a four to six fold increased risk of breast cancer compared to women with mostly fatty breasts, when matched with age and body mass index. High mammographic density is characterised by high pr...

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Autores principales: Maddison Archer, Pallave Dasari, Andreas Evdokiou, Wendy V. Ingman
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:56b3b5d0813c4a6db3bd9f5536b7e7bc2021-11-11T15:29:46ZBiological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk10.3390/cancers132153912072-6694https://doaj.org/article/56b3b5d0813c4a6db3bd9f5536b7e7bc2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5391https://doaj.org/toc/2072-6694Mammographic density is an important risk factor for breast cancer; women with extremely dense breasts have a four to six fold increased risk of breast cancer compared to women with mostly fatty breasts, when matched with age and body mass index. High mammographic density is characterised by high proportions of stroma, containing fibroblasts, collagen and immune cells that suggest a pro-tumour inflammatory microenvironment. However, the biological mechanisms that drive increased mammographic density and the associated increased risk of breast cancer are not yet understood. Inflammatory factors such as monocyte chemotactic protein 1, peroxidase enzymes, transforming growth factor beta, and tumour necrosis factor alpha have been implicated in breast development as well as breast cancer risk, and also influence functions of stromal fibroblasts. Here, the current knowledge and understanding of the underlying biological mechanisms that lead to high mammographic density and the associated increased risk of breast cancer are reviewed, with particular consideration to potential immune factors that may contribute to this process.Maddison ArcherPallave DasariAndreas EvdokiouWendy V. IngmanMDPI AGarticlemammographic densitybreast cancer riskimmune signalinginflammationhormonesfibroblastsNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5391, p 5391 (2021)
institution DOAJ
collection DOAJ
language EN
topic mammographic density
breast cancer risk
immune signaling
inflammation
hormones
fibroblasts
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle mammographic density
breast cancer risk
immune signaling
inflammation
hormones
fibroblasts
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Maddison Archer
Pallave Dasari
Andreas Evdokiou
Wendy V. Ingman
Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk
description Mammographic density is an important risk factor for breast cancer; women with extremely dense breasts have a four to six fold increased risk of breast cancer compared to women with mostly fatty breasts, when matched with age and body mass index. High mammographic density is characterised by high proportions of stroma, containing fibroblasts, collagen and immune cells that suggest a pro-tumour inflammatory microenvironment. However, the biological mechanisms that drive increased mammographic density and the associated increased risk of breast cancer are not yet understood. Inflammatory factors such as monocyte chemotactic protein 1, peroxidase enzymes, transforming growth factor beta, and tumour necrosis factor alpha have been implicated in breast development as well as breast cancer risk, and also influence functions of stromal fibroblasts. Here, the current knowledge and understanding of the underlying biological mechanisms that lead to high mammographic density and the associated increased risk of breast cancer are reviewed, with particular consideration to potential immune factors that may contribute to this process.
format article
author Maddison Archer
Pallave Dasari
Andreas Evdokiou
Wendy V. Ingman
author_facet Maddison Archer
Pallave Dasari
Andreas Evdokiou
Wendy V. Ingman
author_sort Maddison Archer
title Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk
title_short Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk
title_full Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk
title_fullStr Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk
title_full_unstemmed Biological Mechanisms and Therapeutic Opportunities in Mammographic Density and Breast Cancer Risk
title_sort biological mechanisms and therapeutic opportunities in mammographic density and breast cancer risk
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/56b3b5d0813c4a6db3bd9f5536b7e7bc
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