Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk

It is increasingly thought that part of human susceptibility to cancer is the result of evolutionary mismatches: our ancestors evolved cancer suppression mechanisms in a world largely different from our modern environments. In that context, it has been shown in cohorts from general Western populatio...

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Main Authors: Margaux Bieuville, Dominique Faugère, Virginie Galibert, Morgane Henard, Antoine M. Dujon, Beata Ujvari, Pascal Pujol, Benjamin Roche, Frédéric Thomas
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Ecology and Evolution
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fevo.2023.912083/full
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author Margaux Bieuville
Margaux Bieuville
Dominique Faugère
Virginie Galibert
Morgane Henard
Antoine M. Dujon
Antoine M. Dujon
Beata Ujvari
Pascal Pujol
Pascal Pujol
Benjamin Roche
Frédéric Thomas
author_facet Margaux Bieuville
Margaux Bieuville
Dominique Faugère
Virginie Galibert
Morgane Henard
Antoine M. Dujon
Antoine M. Dujon
Beata Ujvari
Pascal Pujol
Pascal Pujol
Benjamin Roche
Frédéric Thomas
author_sort Margaux Bieuville
collection DOAJ
description It is increasingly thought that part of human susceptibility to cancer is the result of evolutionary mismatches: our ancestors evolved cancer suppression mechanisms in a world largely different from our modern environments. In that context, it has been shown in cohorts from general Western populations that reproductive traits modulate breast cancer risk. Overall, the more menses women experience, the more at risk they are to develop postmenopausal breast cancer. This points towards an evolutionary mismatch but brings the question whether the reproductive pattern also modulates the breast cancer risk in menopausal women at high familial risk. We thus studied the influence of menses on breast cancer risk in a case–control study of 90 postmenopausal women (including BRCA1/2 and non BRCA1/2) nested within a cohort at high familial risk. We tested the association of the lifetime number of menses and the number of menses before first full-term pregnancy with postmenopausal breast cancer risk using Cox survival models. We showed that the total lifetime number of menses was significantly associated with postmenopausal breast cancer risk and associated with a quicker onset of breast cancer after menopause. Those results align with similar studies lead in general cohorts and suggest that the reproductive pattern modulates the familial risk of developing breast cancer after menopause. Altogether, those results impact how we envision breast cancer prevention and call for more research on how ecological and genetic factors shape breast cancer risk.
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spelling doaj.art-894a1e07df3948fcae3dee97700bdd172023-02-02T08:04:21ZengFrontiers Media S.A.Frontiers in Ecology and Evolution2296-701X2023-02-011110.3389/fevo.2023.912083912083Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial riskMargaux Bieuville0Margaux Bieuville1Dominique Faugère2Virginie Galibert3Morgane Henard4Antoine M. Dujon5Antoine M. Dujon6Beata Ujvari7Pascal Pujol8Pascal Pujol9Benjamin Roche10Frédéric Thomas11CREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceUMR 7206 Eco-Anthropologie (EA), Muséum National d'Histoire Naturelle, CNRS, Musée de l'Homme, Université Paris Cité, Paris, FranceCREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceService Génétique Médicale, Maladies Rares et Médecine Personnalisée, Centre Hospitalier Universitaire de Montpellier, Montpellier, FranceCREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceCREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceCentre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Waurn Ponds, VIC, AustraliaCentre for Integrative Ecology, School of Life and Environmental Sciences, Deakin University, Waurn Ponds, VIC, AustraliaCREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceService Génétique Médicale, Maladies Rares et Médecine Personnalisée, Centre Hospitalier Universitaire de Montpellier, Montpellier, FranceCREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceCREEC/CANECEV (CREES), MIVEGEC, Unité Mixte de Recherches, IRD 224–CNRS 5290, Université de Montpellier, Montpellier, FranceIt is increasingly thought that part of human susceptibility to cancer is the result of evolutionary mismatches: our ancestors evolved cancer suppression mechanisms in a world largely different from our modern environments. In that context, it has been shown in cohorts from general Western populations that reproductive traits modulate breast cancer risk. Overall, the more menses women experience, the more at risk they are to develop postmenopausal breast cancer. This points towards an evolutionary mismatch but brings the question whether the reproductive pattern also modulates the breast cancer risk in menopausal women at high familial risk. We thus studied the influence of menses on breast cancer risk in a case–control study of 90 postmenopausal women (including BRCA1/2 and non BRCA1/2) nested within a cohort at high familial risk. We tested the association of the lifetime number of menses and the number of menses before first full-term pregnancy with postmenopausal breast cancer risk using Cox survival models. We showed that the total lifetime number of menses was significantly associated with postmenopausal breast cancer risk and associated with a quicker onset of breast cancer after menopause. Those results align with similar studies lead in general cohorts and suggest that the reproductive pattern modulates the familial risk of developing breast cancer after menopause. Altogether, those results impact how we envision breast cancer prevention and call for more research on how ecological and genetic factors shape breast cancer risk.https://www.frontiersin.org/articles/10.3389/fevo.2023.912083/fullevolutionary mismatchbreast cancerreproductive patternsurvival modelsmenopause
spellingShingle Margaux Bieuville
Margaux Bieuville
Dominique Faugère
Virginie Galibert
Morgane Henard
Antoine M. Dujon
Antoine M. Dujon
Beata Ujvari
Pascal Pujol
Pascal Pujol
Benjamin Roche
Frédéric Thomas
Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
Frontiers in Ecology and Evolution
evolutionary mismatch
breast cancer
reproductive pattern
survival models
menopause
title Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
title_full Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
title_fullStr Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
title_full_unstemmed Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
title_short Number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
title_sort number of lifetime menses increases breast cancer occurrence in postmenopausal women at high familial risk
topic evolutionary mismatch
breast cancer
reproductive pattern
survival models
menopause
url https://www.frontiersin.org/articles/10.3389/fevo.2023.912083/full
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