Circulating RANKL and RANKL/OPG and Breast Cancer Risk by ER and PR Subtype: Results from the EPIC Cohort
File(s)170626D.Sarink Cancer Prev Res(Phila).docx (266.26 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Receptor activator of nuclear factor-kappa B (RANK)-RANK ligand (RANKL) signaling promotes mammary tumor development in experimental models. Circulating concentrations of soluble RANKL (sRANKL) may influence breast cancer risk via activation of RANK signaling; this may be modulated by osteoprotegerin (OPG), the decoy receptor for RANKL. sRANKL and breast cancer risk by hormone receptor subtype has not previously been investigated. A case–control study was nested in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. This study included 1,976 incident invasive breast cancer cases [estrogen receptor positive (ER+), n = 1,598], matched 1:1 to controls. Women were pre- or postmenopausal at blood collection. Serum sRANKL was quantified using an ELISA, serum OPG using an electrochemiluminescent assay. Risk ratios (RR) and 95% confidence intervals (95% CI) were calculated using conditional logistic regression. Associations between sRANKL and breast cancer risk differed by tumor hormone receptor status (Phet = 0.05). Higher concentrations of sRANKL were positively associated with risk of ER+ breast cancer [5th vs. 1st quintile RR 1.28 (95% CI, 1.01–1.63); Ptrend = 0.20], but not ER− disease. For both ER+ and estrogen and progesterone receptor positive (ER+PR+) breast cancer, results considering the sRANKL/OPG ratio were similar to those for sRANKL; we observed a suggestive inverse association between the ratio and ER−PR− disease [5th vs. 1st quintile RR = 0.60 (0.31–1.14); Ptrend = 0.03]. This study provides the first large-scale prospective data on circulating sRANKL and breast cancer. We observed limited evidence for an association between sRANKL and breast cancer risk.
Date Issued
2017-07-12
Date Acceptance
2017-06-26
Citation
CANCER PREVENTION RESEARCH, 2017, 10 (9), pp.525-534
ISSN
1940-6207
Publisher
American Association for Cancer Research
Start Page
525
End Page
534
Journal / Book Title
CANCER PREVENTION RESEARCH
Volume
10
Issue
9
Copyright Statement
© 2017 American Association for Cancer Research.
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000409022600006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
KAPPA-B LIGAND
MAMMARY EPITHELIAL-CELLS
RECEPTOR ACTIVATOR
OSTEOPROTEGERIN OPG
BONE METASTASES
DOUBLE-BLIND
EXPRESSION
DIFFERENTIATION
PROLIFERATION
DISEASE
1103 Clinical Sciences
1112 Oncology And Carcinogenesis
Oncology & Carcinogenesis
Publication Status
Published