The Irma H. Russo, MD Breast Cancer Research Laboratory, Fox Chase Cancer Center - Temple University Health System, Philadelphia, PA, USA.
Department of Biochemistry, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Carcinogenesis. 2018 Jul 30;39(8):1037-1044. doi: 10.1093/carcin/bgy064.
Epidemiological studies show that there is limited evidence that tobacco smoking causes breast cancer in humans. In rodents, many tobacco smoke chemicals cause mammary gland tumors. This study evaluated the mammary gland differentiation in mice exposed to environmental cigarette smoke (ECS), using 3R4F Kentucky reference cigarettes, starting after birth and continuing daily for 10 weeks (total particulate exposure 95 mg/m3; CO 610 ppm). We also analyzed the effects of oral administration of non-steroidal anti-inflammatory drugs (NSAIDs), aspirin (1600 mg/kg) or naproxen (320 mg/kg), on mammary gland differentiation, either in unexposed or ECS-exposed mice. The ECS exposure caused delay of mammary glands development. We speculate that this delay may result from aryl hydrocarbon receptor (AHR) signaling activation, which has an antiestrogenic effect and crosstalk to the estrogen metabolism pathway. Similarly, naproxen impaired gland differentiation in unexposed and ECS-exposed mice, while aspirin hindered its development only in unexposed mice. The lack of differentiation induced by the NSAIDs could be explained by their antiestrogenic effect through inhibition of aldo-keto reductases. In ECS-exposed animals, aspirin induced intense lobular formation, which could indicate that aspirin is counteracting the AHR signaling induced by ECS. Based on the differentiation induced by aspirin in ECS-exposed animals, we postulate that these mice would be less susceptible to mammary carcinogenesis. Our results suggest that exposure to smoke at an early age impairs the development of the mammary gland, thus resulting in a longer period of susceptibility and increased risk of breast cancer. However, addition of aspirin can abrogate this effect.
流行病学研究表明,有有限的证据表明吸烟会导致人类乳腺癌。在啮齿动物中,许多烟草烟雾化学物质会导致乳腺肿瘤。本研究使用 3R4F 肯塔基参考香烟评估了暴露于环境香烟烟雾(ECS)的小鼠的乳腺分化,从出生后开始并持续每日 10 周(总颗粒物暴露 95mg/m3;CO 610ppm)。我们还分析了非甾体抗炎药(NSAIDs)、阿司匹林(1600mg/kg)或萘普生(320mg/kg)的口服给药对未暴露或 ECS 暴露小鼠乳腺分化的影响。ECS 暴露导致乳腺发育延迟。我们推测,这种延迟可能是由于芳基烃受体(AHR)信号激活所致,其具有抗雌激素作用,并与雌激素代谢途径相互作用。同样,萘普生损害了未暴露和 ECS 暴露小鼠的腺体分化,而阿司匹林仅在未暴露小鼠中阻碍其发育。NSAIDs 引起的分化缺失可以通过其通过抑制醛酮还原酶的抗雌激素作用来解释。在 ECS 暴露的动物中,阿司匹林诱导强烈的小叶形成,这表明阿司匹林可以抵消 ECS 诱导的 AHR 信号。基于阿司匹林在 ECS 暴露动物中诱导的分化,我们假设这些小鼠对乳腺致癌作用的敏感性降低。我们的研究结果表明,早期暴露于烟雾会损害乳腺的发育,从而导致更长的易感期和增加乳腺癌的风险。然而,阿司匹林的添加可以消除这种影响。