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青春期乳腺发育是乳腺癌差异的“易感性窗口”。

Pubertal mammary development as a "susceptibility window" for breast cancer disparity.

机构信息

Department of Pathology & Laboratory Medicine, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, United States.

Department of Pathology & Laboratory Medicine, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, United States.

出版信息

Adv Cancer Res. 2020;146:57-82. doi: 10.1016/bs.acr.2020.01.004. Epub 2020 Mar 9.

Abstract

Factors such as socioeconomic status, age at menarche and childbearing patterns are components that have been shown to influence mammary gland development and establish breast cancer disparity. Pubertal mammary gland development is selected as the focus of this review, as it is identified as a "window of susceptibility" for breast cancer risk and disparity. Here we recognize non-Hispanic White, African American, and Asian American women as the focus of breast cancer disparity, in conjunction with diets associated with changes in breast cancer risk. Diets consisting of high fat, N-3 polyunsaturated fatty acids, N-6 polyunsaturated fatty acids, as well as obesity and the Western diet have shown to lead to changes in pubertal mammary gland development in mammalian models, therefore increasing the risk of breast cancer and breast cancer disparity. While limited intervention strategies are offered to adolescents to mitigate development changes and breast cancer risk, the prominent solution to closing the disparity among the selected population is to foster lifestyle changes that avoid the deleterious effects of unhealthy diets.

摘要

社会经济地位、初潮年龄和生育模式等因素是影响乳腺发育和乳腺癌差异的因素。青春期乳腺发育被选为本次综述的重点,因为它被确定为乳腺癌风险和差异的“易感性窗口”。在这里,我们将非西班牙裔白人、非裔美国人和亚裔美国女性视为乳腺癌差异的重点,同时还关注与乳腺癌风险变化相关的饮食。在哺乳动物模型中,高脂肪、n-3 多不饱和脂肪酸、n-6 多不饱和脂肪酸以及肥胖和西方饮食的饮食已被证明会导致青春期乳腺发育的变化,从而增加乳腺癌和乳腺癌差异的风险。虽然为青少年提供了一些有限的干预策略来减轻发育变化和乳腺癌风险,但要缩小所选人群之间的差距,突出的解决方案是促进避免不健康饮食的有害影响的生活方式改变。

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