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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2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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