Aroner Sarah A, Rosner Bernard A, Tamimi Rulla M, Tworoger Shelley S, Baur Nadja, Joos Thomas O, Hankinson Susan E
Department of Nutrition, Harvard School of Public Health, 665 Huntington Ave, Boston, MA, 02115, USA,
Cancer Causes Control. 2014 Dec;25(12):1717-23. doi: 10.1007/s10552-014-0462-7. Epub 2014 Sep 16.
Matrix metalloproteinases (MMPs), in particular MMP1, 3, and 7, are believed to be critical to breast cancer invasion and metastasis and also may have important functions earlier in breast carcinogenesis. However, the relationship between circulating levels of MMP1, 3, and 7 and breast cancer risk is uncertain.
We examined associations between plasma MMP1, 3, and 7 and breast cancer risk in a prospective case-control study nested within the Nurses' Health Study. Blood samples were collected from 801 cases who developed breast cancer between 1992 and 2000 and 801 matched controls, and MMP levels were measured via immunofluorescence assay.
No overall association was observed between any of these MMPs and breast cancer risk [top vs. bottom quintile; MMP1: odds ratio (OR) 0.9; 95 % confidence interval (CI) 0.7, 1.3; p-trend = 0.51; MMP3: OR 1.1; 95 % CI 0.8, 1.5; p-trend = 0.88; MMP7: OR = 1.2; 95 % CI 0.8, 1.7; p-trend = 0.18]. Further, findings did not significantly vary by time since blood draw, body mass index, or postmenopausal hormone use, or by breast cancer subtypes.
Circulating MMP1, 3, and 7 levels do not appear to be predictive of overall breast cancer risk.
基质金属蛋白酶(MMPs),尤其是MMP1、3和7,被认为对乳腺癌的侵袭和转移至关重要,并且在乳腺癌发生的早期阶段可能也具有重要作用。然而,MMP1、3和7的循环水平与乳腺癌风险之间的关系尚不确定。
在护士健康研究中的一项前瞻性病例对照研究中,我们检测了血浆MMP1、3和7与乳腺癌风险之间的关联。采集了1992年至2000年间患乳腺癌的801例病例和801例匹配对照的血样,并通过免疫荧光测定法测量MMP水平。
未观察到这些MMPs中的任何一种与乳腺癌风险之间存在总体关联[最高五分位数与最低五分位数相比;MMP1:比值比(OR)0.9;95%置信区间(CI)0.7,1.3;p趋势=0.51;MMP3:OR 1.1;95%CI 0.8,1.5;p趋势=0.88;MMP7:OR = 1.2;95%CI 0.8,1.7;p趋势=0.18]。此外,研究结果在采血后的时间、体重指数、绝经后激素使用情况或乳腺癌亚型方面均无显著差异。
循环中的MMP1、3和7水平似乎不能预测总体乳腺癌风险。