妊娠持续时间与乳腺癌风险。

Pregnancy duration and breast cancer risk.

机构信息

Department of Epidemiology Research, Statens Serum Institut, DK-2300, Copenhagen, Denmark.

Department of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA, 94305, USA.

出版信息

Nat Commun. 2018 Oct 23;9(1):4255. doi: 10.1038/s41467-018-06748-3.

Abstract

Full-term pregnancies reduce a woman's long-term breast cancer risk, while abortions have been shown to have no effect. The precise minimal duration of pregnancy necessary to lower a woman's breast cancer risk is, however, unknown. Here we provide evidence which point to the protective effect of pregnancy on breast cancer risk arising precisely at the 34th pregnancy week. Using a cohort of 2.3 million Danish women, we found the reduction in breast cancer risk was not observed for pregnancies lasting 33 weeks or less, but restricted to those pregnancies lasting 34 weeks or longer. We further found that parity, socioeconomic status, and vital status of the child at birth did not explain the association, and also replicated our finding in data from 1.6 million women in Norway. We suggest that a distinct biological effect introduced around week 34 of pregnancy holds the key to understand pregnancy-associated breast cancer protection.

摘要

足月妊娠降低女性的长期乳腺癌风险,而流产则被证明没有影响。然而,降低女性乳腺癌风险所需的妊娠的精确最小持续时间尚不清楚。在这里,我们提供的证据表明,妊娠对乳腺癌风险的保护作用恰恰出现在第 34 孕周。使用丹麦 230 万女性的队列,我们发现,持续 33 周或更短的妊娠不会降低乳腺癌风险,但仅限于持续 34 周或更长时间的妊娠。我们还发现,妊娠次数、社会经济地位和出生时孩子的生存状况并不能解释这种关联,在来自挪威 160 万女性的数据中也复制了我们的发现。我们认为,妊娠第 34 周左右引入的独特生物学效应是理解妊娠相关乳腺癌保护的关键。

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