학술논문

Modern reproductive patterns associated with estrogen receptor positive but not negative breast cancer susceptibility
Document Type
article
Source
Evolution Medicine and Public Health. 2015(1)
Subject
Biological Sciences
Evolutionary Biology
Aging
Estrogen
Breast Cancer
Cancer
Good Health and Well Being
age of first birth
breast cancer heterogeneity
cancer evolution
evolutionary mismatch
hormone-associated breast cancer
parity
Evolutionary biology
Public health
Language
Abstract
It has long been accepted that modern reproductive patterns are likely contributors to breast cancer susceptibility because of their influence on hormones such as estrogen and the importance of these hormones in breast cancer. We conducted a meta-analysis to assess whether this 'evolutionary mismatch hypothesis' can explain susceptibility to both estrogen receptor positive (ER-positive) and estrogen receptor negative (ER-negative) cancer. Our meta-analysis includes a total of 33 studies and examines parity, age of first birth and age of menarche broken down by estrogen receptor status. We found that modern reproductive patterns are more closely linked to ER-positive than ER-negative breast cancer. Thus, the evolutionary mismatch hypothesis for breast cancer can account for ER-positive breast cancer susceptibility but not ER-negative breast cancer.