Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study

Abstract Molecular studies suggest that cadmium due to its estrogenic properties, might play a role in breast cancer (BC) progression. However epidemiological evidence is limited. This study explored the association between long-term exposure to airborne cadmium and risk of BC by stage, grade of dif...

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Autores principales: Amina Amadou, Delphine Praud, Thomas Coudon, Aurélie M. N. Danjou, Elodie Faure, Floriane Deygas, Lény Grassot, Karen Leffondré, Gianluca Severi, Pietro Salizzoni, Francesca Romana Mancini, Béatrice Fervers
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:a556f6b2000a4d11982f42b20ed8fc3e2021-12-05T12:12:10ZExposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study10.1038/s41598-021-01243-02045-2322https://doaj.org/article/a556f6b2000a4d11982f42b20ed8fc3e2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01243-0https://doaj.org/toc/2045-2322Abstract Molecular studies suggest that cadmium due to its estrogenic properties, might play a role in breast cancer (BC) progression. However epidemiological evidence is limited. This study explored the association between long-term exposure to airborne cadmium and risk of BC by stage, grade of differentiation, and histological types at diagnosis. A nested case–control study of 4401 cases and 4401 matched controls was conducted within the French E3N cohort. A Geographic Information System (GIS)-based metric demonstrated to reliably characterize long-term environmental exposures was employed to evaluate airborne exposure to cadmium. Multivariable adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated using conditional logistic regression models. There was no relationship between cadmium exposure and stage of BC. Also, no association between cadmium exposure and grade of differentiation of BC was observed. However, further analyses by histological type suggested a positive association between cadmium and risk of invasive tubular carcinoma (ITC) BC [ORQ5 vs Q1 = 3.4 (95% CI 1.1–10.7)]. The restricted cubic spline assessment suggested a dose–response relationship between cadmium and ITC BC subtype. Our results do not support the hypothesis that airborne cadmium exposure may play a role in advanced BC risk, but suggest that cadmium may be associated with an increased risk of ITC.Amina AmadouDelphine PraudThomas CoudonAurélie M. N. DanjouElodie FaureFloriane DeygasLény GrassotKaren LeffondréGianluca SeveriPietro SalizzoniFrancesca Romana ManciniBéatrice FerversNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Amina Amadou
Delphine Praud
Thomas Coudon
Aurélie M. N. Danjou
Elodie Faure
Floriane Deygas
Lény Grassot
Karen Leffondré
Gianluca Severi
Pietro Salizzoni
Francesca Romana Mancini
Béatrice Fervers
Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study
description Abstract Molecular studies suggest that cadmium due to its estrogenic properties, might play a role in breast cancer (BC) progression. However epidemiological evidence is limited. This study explored the association between long-term exposure to airborne cadmium and risk of BC by stage, grade of differentiation, and histological types at diagnosis. A nested case–control study of 4401 cases and 4401 matched controls was conducted within the French E3N cohort. A Geographic Information System (GIS)-based metric demonstrated to reliably characterize long-term environmental exposures was employed to evaluate airborne exposure to cadmium. Multivariable adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated using conditional logistic regression models. There was no relationship between cadmium exposure and stage of BC. Also, no association between cadmium exposure and grade of differentiation of BC was observed. However, further analyses by histological type suggested a positive association between cadmium and risk of invasive tubular carcinoma (ITC) BC [ORQ5 vs Q1 = 3.4 (95% CI 1.1–10.7)]. The restricted cubic spline assessment suggested a dose–response relationship between cadmium and ITC BC subtype. Our results do not support the hypothesis that airborne cadmium exposure may play a role in advanced BC risk, but suggest that cadmium may be associated with an increased risk of ITC.
format article
author Amina Amadou
Delphine Praud
Thomas Coudon
Aurélie M. N. Danjou
Elodie Faure
Floriane Deygas
Lény Grassot
Karen Leffondré
Gianluca Severi
Pietro Salizzoni
Francesca Romana Mancini
Béatrice Fervers
author_facet Amina Amadou
Delphine Praud
Thomas Coudon
Aurélie M. N. Danjou
Elodie Faure
Floriane Deygas
Lény Grassot
Karen Leffondré
Gianluca Severi
Pietro Salizzoni
Francesca Romana Mancini
Béatrice Fervers
author_sort Amina Amadou
title Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study
title_short Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study
title_full Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study
title_fullStr Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study
title_full_unstemmed Exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the E3N cohort study
title_sort exposure to airborne cadmium and breast cancer stage, grade and histology at diagnosis: findings from the e3n cohort study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a556f6b2000a4d11982f42b20ed8fc3e
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