Chang Shun-Jen, Hou Ming-Feng, Tsai Shih-Meng, Wu Szu-Hsien, Hou Linda Ann, Ma Hsu, Shann Tzyy-Yuan, Wu Szu-Hua, Tsai Li-Yu
Department of Public Health, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Clin Chem Lab Med. 2007;45(9):1219-23. doi: 10.1515/CCLM.2007.263.
Breast cancer incidence increased seven-fold from 1979 to 2002, and it has become the second most common cancer in Taiwanese women. Although the relationship between high-density lipoprotein cholesterol (HDL-C) and breast cancer has been studied, no consistent association has been explicitly confirmed. The aim of this study was to demonstrate the relationship between breast cancer and lipid profiles in Taiwanese women.
A total of 150 breast cancer patients before treatment and 71 healthy controls were enrolled. Lipid profiles in fasting serum were measured after participants gave their consent.
The breast cancer patients had significantly lower values for HDL-C and apolipoprotein A-I (apoA-I), lower apoA-I/apoB ratios and higher values for very-low-density lipoprotein cholesterol (VLDL-C) than controls. After logistic regression analysis, the breast cancer patients had significantly higher values for VLDL-C and lower values for apoA-I after controlling for HDL-C and the apoA-I/apoB ratio.
Our findings demonstrate that higher VLDL-C and lower apoA-I values were significantly associated with breast cancer, with a greater association between apoA-I values and the development of breast cancer than for HDL-C values.
从1979年到2002年,乳腺癌发病率增长了7倍,它已成为台湾女性中第二常见的癌症。尽管已经研究了高密度脂蛋白胆固醇(HDL-C)与乳腺癌之间的关系,但尚未明确证实存在一致的关联。本研究的目的是证明台湾女性乳腺癌与血脂谱之间的关系。
共纳入150例未经治疗的乳腺癌患者和71名健康对照者。在参与者同意后,测量空腹血清中的血脂谱。
与对照组相比,乳腺癌患者的HDL-C和载脂蛋白A-I(apoA-I)值显著较低,apoA-I/apoB比值较低,极低密度脂蛋白胆固醇(VLDL-C)值较高。经过逻辑回归分析,在控制HDL-C和apoA-I/apoB比值后,乳腺癌患者的VLDL-C值显著较高,apoA-I值较低。
我们的研究结果表明,较高的VLDL-C值和较低的apoA-I值与乳腺癌显著相关,apoA-I值与乳腺癌发生的关联大于HDL-C值。