Prognostic role of pre-diagnostic circulating inflammatory biomarkers in breast cancer survival: evidence from the EPIC cohort study.


Journal

British journal of cancer
ISSN: 1532-1827
Titre abrégé: Br J Cancer
Pays: England
ID NLM: 0370635

Informations de publication

Date de publication:
28 Sep 2024
Historique:
received: 05 03 2024
accepted: 13 09 2024
revised: 09 09 2024
medline: 29 9 2024
pubmed: 29 9 2024
entrez: 28 9 2024
Statut: aheadofprint

Résumé

Inflammation influences tumour progression and cancer prognosis, but its role preceding breast cancer (BC) and its prognostic implications remain inconclusive. We studied pre-diagnostic plasma inflammatory biomarkers in 1538 women with BC from the EPIC study. Cox proportional hazards models assessed their relationship with all-cause and BC-specific mortality, adjusting for tumour characteristics and lifestyle factors. Over a 7-year follow-up after diagnosis, 229 women died, 163 from BC. Elevated IL-6 levels were associated with increased all-cause mortality risk (HR Higher pre-diagnosis IL-6 levels suggest poorer long-term survival among BC survivors. In postmenopausal survivors, elevated IL-6, IL-10, and TNFα and inflammatory scores seem to predict all-cause mortality.

Sections du résumé

BACKGROUND BACKGROUND
Inflammation influences tumour progression and cancer prognosis, but its role preceding breast cancer (BC) and its prognostic implications remain inconclusive.
METHODS METHODS
We studied pre-diagnostic plasma inflammatory biomarkers in 1538 women with BC from the EPIC study. Cox proportional hazards models assessed their relationship with all-cause and BC-specific mortality, adjusting for tumour characteristics and lifestyle factors.
RESULTS RESULTS
Over a 7-year follow-up after diagnosis, 229 women died, 163 from BC. Elevated IL-6 levels were associated with increased all-cause mortality risk (HR
CONCLUSIONS CONCLUSIONS
Higher pre-diagnosis IL-6 levels suggest poorer long-term survival among BC survivors. In postmenopausal survivors, elevated IL-6, IL-10, and TNFα and inflammatory scores seem to predict all-cause mortality.

Identifiants

pubmed: 39342063
doi: 10.1038/s41416-024-02858-6
pii: 10.1038/s41416-024-02858-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III)
ID : FI19/00197
Organisme : Fundación Científica Asociación Española Contra el Cáncer (Scientific Foundation, Spanish Association Against Cancer)
ID : PRYES211366AGUD

Informations de copyright

© 2024. The Author(s).

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Auteurs

Carlota Castro-Espin (C)

Unit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Barcelona, Spain. carlota.castroespin@gmail.com.
Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain. carlota.castroespin@gmail.com.

Manon Cairat (M)

Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, CESP, 94805, Villejuif, France.

Anne-Sophie Navionis (AS)

Nutrition and Metabolism Branch, International Agency for Research on Cancer, World Health Organization, Lyon, France.

Christina C Dahm (CC)

Department of Public Health, Aarhus University, Bartholins Alle 2, DK-8000, Aarhus C, Denmark.

Christian S Antoniussen (CS)

Department of Public Health, Aarhus University, Bartholins Alle 2, DK-8000, Aarhus C, Denmark.

Anne Tjønneland (A)

Danish Cancer Institute, Copenhagen, Denmark.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Lene Mellemkjær (L)

Danish Cancer Institute, Copenhagen, Denmark.

Francesca Romana Mancini (FR)

Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, CESP, 94805, Villejuif, France.

Mariem Hajji-Louati (M)

Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, CESP, 94805, Villejuif, France.

Gianluca Severi (G)

Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, CESP, 94805, Villejuif, France.

Charlotte Le Cornet (C)

Department of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Rudolf Kaaks (R)

Department of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Matthias B Schulze (MB)

Department of Molecular Epidemiology, German Institute of Human Nutrition, Nuthetal, Germany.
Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany.

Giovanna Masala (G)

Clinical Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Villa delle Rose Via Cosimo il Vecchio, 2- 50139, Florence, Italy.

Claudia Agnoli (C)

Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian, 1 - 20133, Milan, Italy.

Carlotta Sacerdote (C)

Department of Health Sciences, University of Eastern Piedmont, Via Solaroli 17, 28100, Novara, Italy.
Unit of Epidemiology, Local Health Unit of Novara, viale Roma, 7, 128100, Novara, Italy.

Marta Crous-Bou (M)

Unit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Barcelona, Spain.
Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.

Maria-Jose Sánchez (MJ)

Escuela Andaluza de Salud Pública (EASP), 18011, Granada, Spain.
Instituto de Investigación Biosanitaria ibs.GRANADA, 18012, Granada, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain.

Pilar Amiano (P)

Instituto de Investigación Biosanitaria ibs.GRANADA, 18012, Granada, Spain.
Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastian, Spain.
BioGipuzkoa (BioDonostia) Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain.

María-Dolores Chirlaque (MD)

Instituto de Investigación Biosanitaria ibs.GRANADA, 18012, Granada, Spain.
Department of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia University, Murcia, Spain.

Marcela Guevara (M)

Instituto de Investigación Biosanitaria ibs.GRANADA, 18012, Granada, Spain.
Instituto de Salud Pública y Laboral de Navarra, 31003, Pamplona, Spain.
Navarra Institute for Health Research (IdiSNA), 31008, Pamplona, Spain.

Karl Smith-Byrne (K)

Cancer Epidemiology Unit, University of Oxford, Oxford, UK.

Alicia K Heath (AK)

Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

Sofia Christakoudi (S)

Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

Marc J Gunter (MJ)

Nutrition and Metabolism Branch, International Agency for Research on Cancer, World Health Organization, Lyon, France.
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

Sabina Rinaldi (S)

Nutrition and Metabolism Branch, International Agency for Research on Cancer, World Health Organization, Lyon, France.

Antonio Agudo (A)

Unit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Barcelona, Spain.
Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.

Laure Dossus (L)

Nutrition and Metabolism Branch, International Agency for Research on Cancer, World Health Organization, Lyon, France.

Classifications MeSH