绝经后乳腺癌风险与苯并芘、雌二醇和黄体酮特异性抗体的关系

Iranian journal of cancer prevention Pub Date : 2016-04-24 eCollection Date: 2016-04-01 DOI:10.17795/ijcp-4212
Andrew Glushkov, Elena Polenok, Mikhail Kostyanko, Alexandr Antonov, Natalia Verzhbitskaya, Ilgiz Vafin, Svetlana Ragozhina
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引用次数: 3

摘要

背景:抗体可能通过减少机体对环境致癌物的吸收、代谢途径的激活和致癌物在机体内的再分配来保护机体免受低剂量环境致癌物的侵害。确定自然条件下与环境致癌物和性类固醇相关的抗体形成特征,识别乳腺癌风险,制定癌症免疫预防策略。目的:本研究的目的是调查绝经后浸润性乳腺癌妇女对苯并(a)芘、雌二醇和黄体酮的抗体特异性。患者和方法:进行了针对苯并(A)芘(IgG- bp)、雌二醇(IgG- es)和黄体酮(IgG- pg)的IgG抗体的半定量非竞争性免疫分析。采用低分子量Bp、Es和Pg与牛血清白蛋白结合的方法,对322例乳腺癌患者血清样本和179例健康绝经后妇女血清样本进行了检测。还进行了ROC分析以确定比值比(OR)。结果:与健康女性相比,乳腺癌患者同时出现高水平IgG-Bp和高水平IgG-Es而不出现IpG-Pg的情况较多,OR增加到3.8。高水平IgG-Pg与高水平IgG-Bp和IgG-Es的结合在乳腺癌患者中的发生率(36.9%)明显高于健康女性(5.6%),OR增加到11.7。这些差异在激素状态为ER+/PR-的乳腺癌患者中特别表达(OR = 26.7)。在低水平的三种抗体中获得了最小OR(0.4)。结论:抗环境致癌物抗体和性类固醇激素抗体的免疫测定可用于乳腺癌风险的检测。诱导抗Bp抗体用于癌症免疫预防可能导致抗类固醇激素的抗体形成,从而增加乳腺癌的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postmenopausal Breast Cancer Risk in Relation to Antibodies Specific to Benzo[a]Pyrene, Estradiol and Progesterone.

Background: Antibodies might protect against low doses of environmental carcinogens by decreasing systemic uptake, activation of metabolic pathways, and redistribution of carcinogens within the organism. The features of antibody formation in relation to environmental carcinogens and sex steroids under natural conditions should be determined to identify breast cancer risk, then to develop cancer immune prevention strategies.

Objectives: The purpose of this study was to investigate antibodies specifications to benzo(a)pyrene, estradiol and progesterone in postmenopausal women with invasive breast cancer.

Patients and methods: A semi-quantitative non-competitive immunoassay of IgG antibodies to benzo(a)pyrene (IgG-Bp), estradiol (IgG-Es), and progesterone (IgG-Pg) has conducted. The assay has performed on 322 serum samples from patients with breast cancer and 179 serum samples from healthy postmenopausal women by using low-molecular-weight Bp, Es, and Pg conjugated with bovine serum albumin. ROC analysis has also conducted to determine the odds ratio (OR).

Results: Combination of the high levels of IgG-Bp and IgG-Es without IpG-Pg was more frequent in breast cancer patients than that in healthy women, and the OR has increased to 3.8. Combination of the high levels of IgG-Pg with high levels of both IgG-Bp and IgG-Es were significantly more frequent in breast cancer patients (36.9%) than that in healthy women (5.6%), and the OR increased to 11.7. These differences have peculiarly expressed in breast cancer patients with hormone status ER+/PR- (OR = 26.7). The minimum OR (0.4) has obtained at low levels of the three antibodies.

Conclusions: Immunoassay of antibodies against environmental carcinogens and sex steroid hormones could use to detect breast cancer risk. Induction of antibodies against Bp for cancer immunoprevention could lead to antibody formation against steroid hormones, thereby increasing breast cancer risk.

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