Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women

Autoantibodies to tumor-associated antigens (anti-TAA) are potential biomarkers for breast cancer, but their relationship systemic autoimmunity as ascertained though antinuclear antibodies (ANA) is unknown and warrants consideration given the common occurrence of autoimmunity and autoimmune diseases...

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Main Authors: Christine G. Parks, Lauren E. Wilson, Michela Capello, Kevin D. Deane, Samir M. Hanash
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/13/11/1566
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author Christine G. Parks
Lauren E. Wilson
Michela Capello
Kevin D. Deane
Samir M. Hanash
author_facet Christine G. Parks
Lauren E. Wilson
Michela Capello
Kevin D. Deane
Samir M. Hanash
author_sort Christine G. Parks
collection DOAJ
description Autoantibodies to tumor-associated antigens (anti-TAA) are potential biomarkers for breast cancer, but their relationship systemic autoimmunity as ascertained though antinuclear antibodies (ANA) is unknown and warrants consideration given the common occurrence of autoimmunity and autoimmune diseases among women. The relationship between anti-TAAs and ANA among women who were later diagnosed with breast cancer and others who remained cancer free in the Women’s Health Initiative cohort. The study sample included 145 post-menopausal women with baseline ANA data. A total of 37 ANA-positive women who developed breast cancer (i.e., cases; mean time to diagnosis 6.8 years [SE 3.9]) were matched to a random sample of 36 ANA-negative cases by age and time to diagnosis. An age-matched control sample was selected including 35 ANA-positive and 37 ANA-negative women who did not develop breast cancer (i.e., controls; follow-up time ~13 years [SE 3]). Baseline sera were assessed for Immunoglobulin G (IgG) antibodies, measured by custom microarray for 171 breast and other cancer-associated TAA. We used linear regression to estimate cross-sectional associations of ANA with log-transformed anti-TAA among cases and controls. Most anti-TAA did not vary by ANA status. Two anti-TAA were elevated in ANA-positive compared to ANA-negative cases: anti-PGM3 (<i>p</i> = 0.004) and anti-TTN (<i>p</i> = 0.005, especially in cases up to 7 years before diagnosis, <i>p</i> = 0.002). Anti-TAA antibodies were not generally related to ANA, a common marker of systemic autoimmunity. Associations of ANA with particular antigens inducing autoimmunity prior to breast cancer warrant further investigation.
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spelling doaj.art-bc8a8df2ac0b44b9bfeeb6ca4009ae392023-11-24T14:31:45ZengMDPI AGBiomolecules2218-273X2023-10-011311156610.3390/biom13111566Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal WomenChristine G. Parks0Lauren E. Wilson1Michela Capello2Kevin D. Deane3Samir M. Hanash4Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, USACenter for Population Health, Duke University School of Medicine, Durham, NC 27710, USADepartments of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADivision of Rheumatology, University of Colorado School of Medicine, Aurora, CO 80045, USADepartments of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAAutoantibodies to tumor-associated antigens (anti-TAA) are potential biomarkers for breast cancer, but their relationship systemic autoimmunity as ascertained though antinuclear antibodies (ANA) is unknown and warrants consideration given the common occurrence of autoimmunity and autoimmune diseases among women. The relationship between anti-TAAs and ANA among women who were later diagnosed with breast cancer and others who remained cancer free in the Women’s Health Initiative cohort. The study sample included 145 post-menopausal women with baseline ANA data. A total of 37 ANA-positive women who developed breast cancer (i.e., cases; mean time to diagnosis 6.8 years [SE 3.9]) were matched to a random sample of 36 ANA-negative cases by age and time to diagnosis. An age-matched control sample was selected including 35 ANA-positive and 37 ANA-negative women who did not develop breast cancer (i.e., controls; follow-up time ~13 years [SE 3]). Baseline sera were assessed for Immunoglobulin G (IgG) antibodies, measured by custom microarray for 171 breast and other cancer-associated TAA. We used linear regression to estimate cross-sectional associations of ANA with log-transformed anti-TAA among cases and controls. Most anti-TAA did not vary by ANA status. Two anti-TAA were elevated in ANA-positive compared to ANA-negative cases: anti-PGM3 (<i>p</i> = 0.004) and anti-TTN (<i>p</i> = 0.005, especially in cases up to 7 years before diagnosis, <i>p</i> = 0.002). Anti-TAA antibodies were not generally related to ANA, a common marker of systemic autoimmunity. Associations of ANA with particular antigens inducing autoimmunity prior to breast cancer warrant further investigation.https://www.mdpi.com/2218-273X/13/11/1566autoantibodiesbreast cancerepidemiologyimmunologybiomarkers
spellingShingle Christine G. Parks
Lauren E. Wilson
Michela Capello
Kevin D. Deane
Samir M. Hanash
Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women
Biomolecules
autoantibodies
breast cancer
epidemiology
immunology
biomarkers
title Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women
title_full Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women
title_fullStr Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women
title_full_unstemmed Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women
title_short Tumor-Associated and Systemic Autoimmunity in Pre-Clinical Breast Cancer among Post-Menopausal Women
title_sort tumor associated and systemic autoimmunity in pre clinical breast cancer among post menopausal women
topic autoantibodies
breast cancer
epidemiology
immunology
biomarkers
url https://www.mdpi.com/2218-273X/13/11/1566
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