Pretreatment Serum Concentrations of 25-Hydroxyvitamin D and Breast Cancer Prognostic Characteristics A Case-Control and a Case-Series Study 英文参考文献.docVIP
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Pretreatment Serum Concentrations of 25-Hydroxyvitamin D and Breast Cancer Prognostic Characteristics A Case-Control and a Case-Series Study 英文参考文献
PretreatmentSerumConcentrationsof
25-HydroxyvitaminDandBreastCancerPrognostic
Characteristics:ACase-ControlandaCase-SeriesStudy
SongYao1*,LaraE.Sucheston1,AmyE.Millen2,CandaceS.Johnson3,DonaldL.Trump4,MaryK.
Nesline1,WarrenDavis1,Chi-ChenHong1,SusanE.McCann1,HelenaHwang5,SwatiKulkarni6,
StephenB.Edge6,TraceyL.O’Connor4,ChristineB.Ambrosone1
1Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, New York, United States of America, 2Department of Social and Preventive
Medicine,UniversityatBuffalo,Buffalo,NewYork,UnitedStatesofAmerica,3DepartmentofPharmacologyandTherapeutics,RoswellParkCancerInstitute,Buffalo,New
York,UnitedStatesofAmerica,4DepartmentofMedicine,RoswellParkCancerInstitute,Buffalo,NewYork,UnitedStatesofAmerica,5DepartmentofPathology,Roswell
ParkCancerInstitute,Buffalo,NewYork,UnitedStatesofAmerica,6DepartmentofSurgicalOncology,RoswellParkCancerInstitute,Buffalo,NewYork,UnitedStatesof
America
Abstract
Background: Results from epidemiologic studies on the relationship between vitamin D and breast cancer risk are
inconclusive. It is possible that vitamin D may be effective in reducing risk only of specific subtypes due to disease
heterogeneity.
MethodsandFindings:Incase-controlandcase-seriesanalyses,weexaminedserumconcentrationsof25-hydroxyvitamin
D(25OHD) inrelation tobreast cancerprognostic characteristics, includinghistologic grade,estrogen receptor (ER), and
molecularsubtypesdefinedbyER,progesteronereceptor(PR)andHER2,among579womenwithincidentbreastcancer
and574controlsmatchedonageandtimeofblooddrawenrolledintheRoswellParkCancerInstitutefrom2003to2008.
Wefoundthatbreastcancercaseshadsignificantlylower25OHDconcentrationsthancontrols(adjustedmean,22.8versus
26.2ng/mL,p,0.001).Amongpremenopausalwomen,25OHDconcentrationswerelowerinthosewithhigh-versuslow-
gradetumors,andERnegativeversusERpositivetumors(p#0.03).Levelswerelowestamongwomenwithtriple-negative
cancer (17.5ng/mL), significantly different from those with luminal A c
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