Faculté de Pharmacie, Université de Strasbourg, F-67000 Strasbourg, France.
Université Claude Bernard Lyon 1, F-69000 Lyon, France.
Int J Mol Sci. 2020 Nov 30;21(23):9139. doi: 10.3390/ijms21239139.
Breast cancer (BC) is the second most common cancer and the fifth deadliest in the world. Exposure to endocrine disrupting pollutants has been suggested to contribute to the increase in disease incidence. Indeed, a growing number of researchershave investigated the effects of widely used environmental chemicals with endocrine disrupting properties on BC development in experimental (in vitro and animal models) and epidemiological studies. The complex effects of endocrine disrupting chemicals (EDCs) on hormonal pathways, involving carcinogenic effects and an increase in mammary gland susceptibility to carcinogenesis-together with the specific characteristics of the mammary gland evolving over the course of life and the multifactorial etiology of BC-make the evaluation of these compounds a complex issue. Among the many EDCs suspected of increasing the risk of BC, strong evidence has only been provided for few EDCs including diethylstilbestrol, dichlorodiphenyltrichloroethane, dioxins and bisphenol A. However, given the ubiquitous nature and massive use of EDCs, it is essential to continue to assess their long-term health effects, particularly on carcinogenesis, to eradicate the worst of them and to sensitize the population to minimize their use.
乳腺癌(BC)是全球第二大常见癌症,也是第五大最致命癌症。有研究表明,内分泌干扰污染物的暴露可能导致疾病发病率的上升。事实上,越来越多的研究人员已经在实验(体外和动物模型)和流行病学研究中研究了具有内分泌干扰特性的广泛使用的环境化学物质对 BC 发展的影响。内分泌干扰化学物质(EDCs)对激素途径的复杂影响,包括致癌作用和增加乳腺对致癌作用的易感性-以及乳腺在整个生命周期中的特定特征和 BC 的多因素病因-使得评估这些化合物成为一个复杂的问题。在许多被怀疑增加 BC 风险的 EDC 中,只有少数 EDC (包括己烯雌酚、滴滴涕、二恶英和双酚 A)提供了强有力的证据。然而,鉴于 EDC 的普遍存在和大量使用,必须继续评估它们的长期健康影响,特别是对致癌作用的影响,以消除其中最严重的影响,并使公众认识到尽量减少其使用的重要性。