title: Active and passive smoking, IL6, ESR1, and breast cancer risk.
abstract: We evaluated the association between smoking and risk of breast cancer in non-Hispanic white (NHW) and Hispanic or American Indian (HAI) women living in the Southwestern United States. Data on lifetime exposure to active and passive smoke data were available from 1527 NHW cases and 1601 NHW controls; 798 HAI cases and 924 HAI controls. Interleukin 6 (IL6) and Estrogen Receptor alpha (ESR1) polymorphisms were assessed in conjunction with smoking. Pack-years of smoking (>or=15) were associated with increased risk of pre-menopausal breast cancer among NHW women (OR 1.6, 95% CI 1.1-2. 4). Passive smoke increased risk of pre-menopausal breast cancer for HAI women (OR 1.9, 95% CI 1.1-3.1 everyone; OR 2.3, 95% CI 1.2-4.5 nonsmokers). HAI pre-menopausal women who were exposed to 10+ h of passive smoke per week and had the rs2069832 IL6 GG genotype had over a fourfold increased risk of breast cancer (OR 4.4, 95% CI 1.5-12.8; P for interaction 0.01). Those with the ESR1 Xba1 AA genotype had a threefold increased risk of breast cancer if they smoked>or=15 pack-years relative to non-smokers (P interaction 0.01). These data suggest that breast cancer risk is associated with active and passive smoking.
authors.affiliation: Division of Epidemiology, Department of Medicine, University of Utah, Salt Lake City, UT 84117, USA. marty.slattery@hsc.utah.edu
authors.forename: Martha L
authors.initials: ML
authors.lastname: Slattery
authors.forename: Karen
authors.initials: K
authors.lastname: Curtin
authors.forename: Anna R
authors.initials: AR
authors.lastname: Giuliano
authors.forename: Carol
authors.initials: C
authors.lastname: Sweeney
authors.forename: Richard
authors.initials: R
authors.lastname: Baumgartner
authors.forename: Sandra
authors.initials: S
authors.lastname: Edwards
authors.forename: Roger K
authors.initials: RK
authors.lastname: Wolff
authors.forename: Kathy B
authors.initials: KB
authors.lastname: Baumgartner
authors.forename: Tim
authors.initials: T
authors.lastname: Byers
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001943:Breast Neoplasms / Q000235:genetics* / Q000473:pathology; D047628:Estrogen Receptor alpha / Q000235:genetics*; D005260:Female; D006801:Humans; D015850:Interleukin-6 / Q000235:genetics* / Q000378:metabolism; D008875:Middle Aged; D011110:Polymorphism, Genetic; D012306:Risk; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects*; D014028:Tobacco Smoke Pollution / Q000009:adverse effects*
chemical_list: C506487:ESR1 protein, human; D047628:Estrogen Receptor alpha; D015850:Interleukin-6; D014028:Tobacco Smoke Pollution