PMID- 31382183 OWN - NLM STAT- MEDLINE DCOM- 20200304 LR - 20200304 IS - 1873-6750 (Electronic) IS - 0160-4120 (Linking) VI - 132 DP - 2019 Nov TI - Associations between persistent organic pollutants and risk of breast cancer metastasis. PG - 105028 LID - S0160-4120(19)31495-3 [pii] LID - 10.1016/j.envint.2019.105028 [doi] AB - BACKGROUND: Breast cancer (BC) is a major public health concern with over 2 million new cases diagnosed and over 600,000 deaths in 2018 in women worldwide. When distant metastases are present at diagnosis, the 5-year survival rate is only 26%. Recent studies have suggested that persistent organic pollutants (POPs) that accumulate in adipose tissue (AT) can influence tumor phenotype and stimulate cellular processes important for metastasis such as invasion. We, therefore, tested the hypothesis that POP exposure is associated with BC metastasis. METHODS: We conducted an exploratory case-control study in which the concentrations of 49 POPs were measured in both AT and serum samples from BC patients, with or without lymph node metastasis, who underwent partial or total mastectomies, lymph node biopsies and sampling of the adipocytic tumor microenvironment. Adjusted, unconditional logistic models were used to study the associations between the POP concentrations and the risk of metastasis and other hallmarks of cancer aggressiveness. RESULTS: 2.3.7.8-TCDD concentrations in AT are positively associated with the risk of metastasis in 43 patients who have BMIs equal or higher than 25 kg/m2 (odds ratio: 4.48 (1.32-20.71)). Furthermore, the concentrations of 2.3.7.8-TCDD and two coplanar PCBs (77&169) in AT also were positively associated with the risk of lymph node metastasis and the tumor size. CONCLUSION: Our study suggests that 2.3.7.8-TCDD and some PCBs contribute to the development of tumor metastasis and other hallmarks of cancer aggressiveness. While these results should be considered with caution, this is the first study to identify such potential risk factors. Larger longitudinal studies are necessary to confirm our results. Clinical Trial Protocol Record: 2013-A00663-42. CI - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Koual, Meriem AU - Koual M AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Cano-Sancho, German AU - Cano-Sancho G AD - LABERCA, Oniris, INRA, Universite Bretagne-Loire, 44307 Nantes, France. FAU - Bats, Anne-Sophie AU - Bats AS AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Tomkiewicz, Celine AU - Tomkiewicz C AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Kaddouch-Amar, Yael AU - Kaddouch-Amar Y AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Douay-Hauser, Nathalie AU - Douay-Hauser N AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Ngo, Charlotte AU - Ngo C AD - Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Bonsang, Helene AU - Bonsang H AD - Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Delomenie, Myriam AU - Delomenie M AD - Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Lecuru, Fabrice AU - Lecuru F AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Le Bizec, Bruno AU - Le Bizec B AD - LABERCA, Oniris, INRA, Universite Bretagne-Loire, 44307 Nantes, France. FAU - Marchand, Philippe AU - Marchand P AD - LABERCA, Oniris, INRA, Universite Bretagne-Loire, 44307 Nantes, France. FAU - Botton, Jeremie AU - Botton J AD - Faculty of Pharmacy, Univ. Paris-Sud, Universite Paris-Saclay, F-92296 Chatenay-Malabry, France. FAU - Barouki, Robert AU - Barouki R AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Assistance Publique-Hopitaux de Paris, Hopital Europeen Georges-Pompidou, Service de Chirurgie Cancerologique Gynecologique et du Sein, Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. FAU - Antignac, Jean-Philippe AU - Antignac JP AD - LABERCA, Oniris, INRA, Universite Bretagne-Loire, 44307 Nantes, France. FAU - Coumoul, Xavier AU - Coumoul X AD - INSERM UMR-S 1124, 45 rue des Saints-Peres, 75006 Paris, France; Universite de Paris, 45 rue des Saints-Peres, 75006 Paris, France. Electronic address: xavier.coumoul@parisdescartes.fr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190802 PL - Netherlands TA - Environ Int JT - Environment international JID - 7807270 RN - 0 (Environmental Pollutants) RN - DFC2HB4I0K (Polychlorinated Biphenyls) SB - IM MH - Adipose Tissue/drug effects/metabolism MH - Aged MH - Breast Neoplasms/*etiology/pathology MH - Case-Control Studies MH - Cohort Studies MH - Environmental Pollutants/blood/*toxicity MH - Female MH - Humans MH - Logistic Models MH - Middle Aged MH - Neoplasm Metastasis MH - Odds Ratio MH - Polychlorinated Biphenyls/blood/toxicity MH - Risk Factors OTO - NOTNLM OT - Adipose tissue OT - Breast cancer OT - Dioxins OT - Endocrine disrupting chemicals OT - Environmental exposure OT - Organochlorine pesticides OT - Perfluoroalkyl acid OT - Polychlorinated biphenyls OT - Serum EDAT- 2019/08/06 06:00 MHDA- 2020/03/05 06:00 CRDT- 2019/08/06 06:00 PHST- 2019/05/04 00:00 [received] PHST- 2019/07/15 00:00 [revised] PHST- 2019/07/15 00:00 [accepted] PHST- 2019/08/06 06:00 [pubmed] PHST- 2020/03/05 06:00 [medline] PHST- 2019/08/06 06:00 [entrez] AID - S0160-4120(19)31495-3 [pii] AID - 10.1016/j.envint.2019.105028 [doi] PST - ppublish SO - Environ Int. 2019 Nov;132:105028. doi: 10.1016/j.envint.2019.105028. Epub 2019 Aug 2.