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维生素D与乳腺癌的组织学特征:一项意大利观察性回顾性研究的初步数据。

Vitamin D and Histological Features of Breast Cancer: Preliminary Data from an Observational Retrospective Italian Study.

作者信息

Lello Stefano, Capozzi Anna, Scardina Lorenzo, Ionta Lucia, Sorge Roberto, Scambia Giovanni, Franceschini Gianluca

机构信息

Department of Woman and Child Health and Public Health, Institute of Obstetrics and Gynecology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Department of Woman and Child Health and Public Health, Division of Breast Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

出版信息

J Pers Med. 2022 Mar 14;12(3):465. doi: 10.3390/jpm12030465.

DOI:10.3390/jpm12030465
PMID:35330465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8951751/
Abstract

Background: Vitamin D (vitD) may be involved in different extraskeletal conditions as well as skeletal muscle diseases. It has been hypothesized that, at least in part, a low level of vitD could contribute to facilitating cancer development. Breast cancer (BC) seems to be associated with low levels of vitD. Materials and methods: This was an observational retrospective evaluation of 87 women (mean age: 54 ± 12 years old) who underwent surgery for the treatment of BC. Our main purpose was to correlate the types of BC and the levels of vitD. Results: A positive significant correlation (R > 0.7) was found between non-invasive carcinoma in situ and 25(OH)D levels and age (R = 0.82, p < 0.05). A positive, but nonsignificant, correlation was reported between invasive ductal carcinoma and 25(OH)D and age (R = 0.45, p > 0.05). A negative but nonsignificant correlation was found between invasive lobular carcinoma and 25(OH)D and age (R = 0.24, p > 0.05). Discussion and Conclusions: We did not find a significant relationship between vitD and BC subtypes. Considering the positive significant correlation between vitD levels and age for in situ BC, although preliminary, our results seem to suggest a possible role of vitD in in situ BC. However, these findings need to be confirmed in larger studies.

摘要

背景

维生素D(vitD)可能与不同的骨骼外疾病以及骨骼肌疾病有关。据推测,至少在一定程度上,低水平的vitD可能有助于促进癌症发展。乳腺癌(BC)似乎与低水平的vitD有关。材料与方法:这是一项对87名接受BC手术治疗的女性(平均年龄:54±12岁)进行的观察性回顾性评估。我们的主要目的是将BC的类型与vitD水平相关联。结果:原位非浸润性癌与25(OH)D水平及年龄之间存在显著正相关(R>0.7)(R = 0.82,p<0.05)。浸润性导管癌与25(OH)D及年龄之间存在正相关,但无统计学意义(R = 0.45,p>0.05)。浸润性小叶癌与25(OH)D及年龄之间存在负相关,但无统计学意义(R = 0.24,p>0.05)。讨论与结论:我们未发现vitD与BC亚型之间存在显著关系。考虑到原位BC中vitD水平与年龄之间存在显著正相关,尽管是初步的,但我们的结果似乎表明vitD在原位BC中可能发挥作用。然而,这些发现需要在更大规模的研究中得到证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/8951751/474170fe99f3/jpm-12-00465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/8951751/474170fe99f3/jpm-12-00465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/8951751/474170fe99f3/jpm-12-00465-g001.jpg

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本文引用的文献

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Effect of Vitamin D3 Supplements on Development of Advanced Cancer: A Secondary Analysis of the VITAL Randomized Clinical Trial.维生素 D3 补充剂对晚期癌症发展的影响:VITAL 随机临床试验的二次分析。
JAMA Netw Open. 2020 Nov 2;3(11):e2025850. doi: 10.1001/jamanetworkopen.2020.25850.
3
Vitamin D baseline levels at diagnosis of breast cancer: A systematic review and meta-analysis.
乳腺癌诊断时维生素 D 基线水平:系统评价和荟萃分析。
Hematol Oncol Stem Cell Ther. 2021 Mar;14(1):16-26. doi: 10.1016/j.hemonc.2020.08.005. Epub 2020 Sep 26.
4
[Impact of nutrition on breast cancer mortality and risk of recurrence, a review of the evidence].[营养对乳腺癌死亡率及复发风险的影响:证据综述]
Bull Cancer. 2020 Jan;107(1):61-71. doi: 10.1016/j.bulcan.2019.08.009. Epub 2019 Sep 26.
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24R,25-dihydroxyvitamin D modulates tumorigenicity in breast cancer in an estrogen receptor-dependent manner.24R,25-二羟维生素 D 以雌激素受体依赖的方式调节乳腺癌的致瘤性。
Steroids. 2019 Oct;150:108447. doi: 10.1016/j.steroids.2019.108447. Epub 2019 Jul 11.
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Extra-Skeletal Effects of Vitamin D.维生素 D 的骨骼外作用。
Nutrients. 2019 Jun 27;11(7):1460. doi: 10.3390/nu11071460.
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Vitamin D, cancer, and dysregulated phosphate metabolism.维生素 D、癌症和磷酸盐代谢失调。
Endocrine. 2019 Aug;65(2):238-243. doi: 10.1007/s12020-019-01985-y. Epub 2019 Jun 23.
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Vitamin D and breast cancer: A systematic review and meta-analysis of observational studies.维生素D与乳腺癌:观察性研究的系统评价和荟萃分析
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The Evolution of Carcinogenesis.致癌作用的演变
Toxicol Sci. 2018 Oct 1;165(2):272-276. doi: 10.1093/toxsci/kfy184.
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