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血清有机氯农药水平与伊朗妇女乳腺癌风险的关系。

Serum levels of Organochlorine Pesticides and Breast Cancer Risk in Iranian Women.

机构信息

Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman, Iran.

Department of Clinical Biochemistry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Arch Environ Contam Toxicol. 2019 Nov;77(4):480-489. doi: 10.1007/s00244-019-00648-3. Epub 2019 Jul 19.

Abstract

Breast cancer is a multifactorial disease and its etiology is linked to multiple risk factors. There are shreds of controversial evidence that exposure to organochlorine pesticides (OCPs) are important in the etiology of breast cancer. The present study aimed to determine the circulating levels of OCPs in patients with breast tumors in Southeastern of Iran. This case-control study included 27 patients with malignant breast tumors (MBT), 31 patients with benign breast tumors (BBT), and 27 healthy women as a control group. Serum OCPs levels, including α-hexachlorocyclohexane (α-HCH), β-HCH, γ-HCH, 2,4-dichlorodiphenyltrichloroethane (2,4-DDT), 4,4-DDT, 2,4-dichlorodiphenyldichloroethylene (2,4-DDE), and 4,4-DDE, were measured using gas chromatography. Our data revealed significantly higher concentrations of 2,4-DDT in MBT and BBT groups compared with control ones (P < 0.001 for both comparisons). Patients with breast cancer suffered significantly higher accumulation levels of 4,4-DDE compared with control subjects (P = 0.04). Significant correlations were found among organochlorine compounds with each other in both patients' groups. There was a significant positive correlation between body mass index and serum levels of 2,4-DDT in BBT group (r = 0.407, P = 0.02). The present findings suggest that the serum levels of 4,4-DDE and 2,4-DDT are associated with an increase in the risk of breast cancer in Southeastern women of Iran.

摘要

乳腺癌是一种多因素疾病,其病因与多种危险因素有关。有一些有争议的证据表明,接触有机氯农药 (OCPs) 在乳腺癌的病因中很重要。本研究旨在确定伊朗东南部患有乳腺肿瘤的患者体内循环的 OCP 水平。这项病例对照研究包括 27 名患有恶性乳腺肿瘤 (MBT) 的患者、31 名患有良性乳腺肿瘤 (BBT) 的患者和 27 名健康女性作为对照组。使用气相色谱法测量血清 OCPs 水平,包括 α-六氯环己烷 (α-HCH)、β-HCH、γ-HCH、2,4-二氯二苯三氯乙烷 (2,4-DDT)、4,4-DDT、2,4-二氯二苯二氯乙烯 (2,4-DDE) 和 4,4-DDE。我们的数据显示,MBT 和 BBT 组的 2,4-DDT 浓度明显高于对照组(两者比较 P<0.001)。与对照组相比,乳腺癌患者的 4,4-DDE 积累水平明显更高(P=0.04)。在两组患者中,有机氯化合物之间存在显著的相关性。在 BBT 组中,体质量指数与血清 2,4-DDT 水平之间存在显著的正相关(r=0.407,P=0.02)。本研究结果表明,4,4-DDE 和 2,4-DDT 的血清水平与伊朗东南部女性乳腺癌风险的增加有关。

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