Arsenic methylation capacity is associated with breast cancer in northern Mexico

Arsenic methylation capacity is associated with breast cancer in northern Mexico
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DOI:
10.1016/j.taap.2014.07.013
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发表时间:
2014-10-01
影响因子:
3.8
通讯作者:
Cebrian, Mariano E.
Cebrian, Mariano E.
中科院分区:
医学3区
文献类型:
--
作者:
Lopez-Carrillo, Lizbeth;Ulises Hernandez-Ramirez, Raid;Cebrian, Mariano E.

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暴露于环境污染物,饮食因素和生活方式可能解释世界各地不同的乳腺癌(BC)发病率。饮用水中的无机砷(iAs)在许多地区是一个令人关注的问题,例如墨西哥北方。一些国家的研究表明,尿中单甲基砷的比例(%MMA)与许多砷相关疾病(包括癌症)的风险增加有关。为了研究BC风险与iAs甲基化能力之间的潜在关系,在北方墨西哥进行了一项基于医院的病例对照研究(1016例病例/1028例对照)。妇女直接接受采访,了解她们的生育史。采用HPLC-ICP-MS法测定尿中砷代谢产物的分布,并通过代谢产物的百分比和指数评价甲基化能力。尿总砷(不包括砷甜菜碱)范围为0.26 - 303.29 μ g/L。大多数妇女(86%)的TAs-AsB水平低于As生物暴露指数(35 μ g/L)。MMA和/或初级甲基化指数(PMI)较高的女性BC风险增加(MMA ORQ5vs.Q1 = 2.63; 95%CI 1.89,3.66; p趋势
Exposure to environmental contaminants, dietary factors and lifestyles may explain worldwide different breast cancer (BC) incidence. Inorganic arsenic (iAs) in the drinking water is a concern in many regions, such as northern Mexico. Studies in several countries have associated the proportion of urinary monomethylarsenic (%MMA) with increased risks for many As-related diseases, including cancer. To investigate the potential relationships between the risk of BC and the capacity to methylate iAs, a hospital-based case-control study (1016 cases/1028 controls) was performed in northern Mexico. Women were directly interviewed about their reproductive histories. The profile of As metabolites in urine was determined by HPLC-ICP-MS and methylation capacity was assessed by metabolite percentages and indexes. Total urinary As, excluding arsenobetaine (TAs-AsB), ranged from 0.26 to 303.29 mu g/L. Most women (86%) had TAs-AsB levels below As biological exposure index (35 mu g/L). Women with higher %MMA and/or primary methylation index (PMI) had an increased BC risk (%MMA ORQ5vs.Q1 = 2.63; 95%CI 1.89,3.66; p for trend