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超越乳汁与养育:母乳喂养对乳腺癌的强大影响

Beyond Milk and Nurture: Breastfeeding's Powerful Impact on Breast Cancer.

作者信息

Mustafa Muhammad, Sarfraz Sadaf, Saleem Gullelalah, Khan Touqeer Ahmad, Shahid Damiya, Taj Saba, Amir Noor

机构信息

Kauser Abdulla Malik School of Life Sciences, Forman Christian College (A Chartered University), Lahore, Pakistan.

出版信息

Geburtshilfe Frauenheilkd. 2024 Jun 13;84(6):541-554. doi: 10.1055/a-2313-0637. eCollection 2024 Jun.

Abstract

Breast cancer (BC) stands as a global concern, given its high incidence and impact on women's mortality. This complex disease has roots in various risk factors, some modifiable and others not. Understanding and identifying these factors can be instrumental in both preventing BC and improving survival rates. Remarkably, women's reproductive behaviors have emerged as critical determinants of BC susceptibility. Numerous studies have shed light on how aspects including age of menarche, first pregnancy and menopause along with number of pregnancies, hormone replacement therapies, can influence one's risk of developing BC. Furthermore, the act of breastfeeding and its duration have shown an inverse relationship with BC risk. This review delves into the biological and molecular mechanisms associated with breastfeeding that contribute to BC protection. It highlights the role of endocrine processes triggered by suckling stimulation, the gradual onset of lactational amenorrhea, delayed weaning, reduced lifetime menstrual cycles, chromosomal repair mechanisms, and immunological events throughout the lactation cycle. These insights provide a potential explanation for the protective effects conferred by breastfeeding against breast carcinomas.

摘要

乳腺癌(BC)是一个全球性问题,因其发病率高且对女性死亡率有影响。这种复杂的疾病源于多种风险因素,有些是可改变的,有些则不可改变。了解和识别这些因素对于预防乳腺癌和提高生存率都至关重要。值得注意的是,女性的生殖行为已成为乳腺癌易感性的关键决定因素。许多研究揭示了初潮年龄、首次怀孕和绝经年龄以及怀孕次数、激素替代疗法等方面如何影响患乳腺癌的风险。此外,母乳喂养行为及其持续时间与乳腺癌风险呈负相关。本综述深入探讨了与母乳喂养相关的生物学和分子机制,这些机制有助于预防乳腺癌。它强调了哺乳刺激引发的内分泌过程、哺乳期闭经的逐渐出现、断奶延迟、一生月经周期减少、染色体修复机制以及整个哺乳周期中的免疫事件的作用。这些见解为母乳喂养对乳腺癌的保护作用提供了一个潜在的解释。

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