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B族维生素与乳腺癌之间的相关性研究。

Study on the correlation between B vitamins and breast cancer.

作者信息

Xie Siqi, Tan Mingjian, Li Hongwan, Li Lv, Zhang Hengyu, Wang Qing, Li Sijia, Yang Jiali, Xie Haoling, Chen Pengyan, Liu Dequan, Guo Rong, Tang Shicong

机构信息

Department of Breast Surgery, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, People's Republic of China.

Institute of Oncology, Yunnan Cancer Hospital, The Third Afliated Hospital of Kunming Medical University, Kunming, Yunnan Province, People's Republic of China.

出版信息

Cancer Cell Int. 2023 Feb 9;23(1):22. doi: 10.1186/s12935-023-02860-7.

Abstract

BACKGROUND

Relevant studies suggest that serum vitamin level is related to the risk of breast cancer, and dietary pattern and drug supplementation can significantly affect the level of vitamin in the body. Therefore, intervention of vitamin level in the body is expected to be a potential strategy to reduce the risk of breast cancer. However, the current epidemiological findings of serum vitamin levels and breast cancer risk are inconsistent, and the relationship between serum vitamin and breast cancer is still controversial. In this study, we compared the serum vitamin expression levels of healthy people, benign breast patients, and breast cancer patients, and evaluated the relationship between B vitamin levels and breast cancer risk.

METHODS

The study used liquid chromatography-tandem mass spectrometry to determine the serum vitamin levels of 520 people who attended Yunnan Cancer Hospital from September 2020 to December 2020. After screening by exclusion criteria, 38 patients with benign breast diseases, 87 patients with breast cancer and 91 healthy controls were finally included. The kruskal-wallis H test was used to compare the differences in serum vitamin levels of subjects. Χ test was used to evaluate the relationship between B vitamin level and age,BMI,TNM staging,Ki-67,Her-2,surgery and chemotherapy, and other baseline characteristics and through binary logistic regression analysis, calculating odds ratio and 95% confidence interval (CI) to evaluate the relationship between B vitamins and breast cancer risk.

CONCLUSION

The levels of VitB1 and VitB5 in the serum of breast cancer patients and patients with benign breast diseases were higher than those in the healthy control group, while the expression levels of VitB3 in breast cancer patients were lower than those in the healthy control group and the breast benign disease groups. The level of VitB1 was positively correlated with breast cancer risk. The VitB3 level was negatively correlated with breast cancer risk. The VitB5 level is not significantly related to the risk of breast cancer.

摘要

背景

相关研究表明,血清维生素水平与乳腺癌风险相关,饮食模式和药物补充可显著影响体内维生素水平。因此,干预体内维生素水平有望成为降低乳腺癌风险的潜在策略。然而,目前关于血清维生素水平与乳腺癌风险的流行病学研究结果并不一致,血清维生素与乳腺癌之间的关系仍存在争议。在本研究中,我们比较了健康人、乳腺良性疾病患者和乳腺癌患者的血清维生素表达水平,并评估了B族维生素水平与乳腺癌风险之间的关系。

方法

本研究采用液相色谱-串联质谱法测定了2020年9月至2020年12月在云南省肿瘤医院就诊的520人的血清维生素水平。经排除标准筛选后,最终纳入38例乳腺良性疾病患者、87例乳腺癌患者和91例健康对照。采用Kruskal-Wallis H检验比较受试者血清维生素水平的差异。采用χ检验评估B族维生素水平与年龄、BMI、TNM分期、Ki-67、Her-2、手术和化疗等基线特征之间的关系,并通过二元逻辑回归分析,计算比值比和95%置信区间(CI)来评估B族维生素与乳腺癌风险之间的关系。

结论

乳腺癌患者和乳腺良性疾病患者血清中VitB1和VitB5水平高于健康对照组,而乳腺癌患者中VitB3的表达水平低于健康对照组和乳腺良性疾病组。VitB1水平与乳腺癌风险呈正相关。VitB3水平与乳腺癌风险呈负相关。VitB5水平与乳腺癌风险无显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ef/9912611/45def0339634/12935_2023_2860_Fig1_HTML.jpg

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