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Investigating the Effect of Estradiol Levels on the Risk of Breast, Endometrial, and Ovarian Cancer. | LitMetric

Investigating the Effect of Estradiol Levels on the Risk of Breast, Endometrial, and Ovarian Cancer.

J Endocr Soc

Department of Immunology, Genetics and Pathology, Science for Life Laboratory, Uppsala University, 75108 Uppsala, Sweden.

Published: August 2022

AI Article Synopsis

Article Abstract

Background: High levels of estrogen are associated with increased risk of breast and endometrial cancer and have been suggested to also play a role in the development of ovarian cancer. Cancerogenic effects of estradiol, the most prominent form of estrogen, have been highlighted as a side effect of estrogen-only menopausal hormone therapy. However, whether high levels of endogenous estrogens, produced within the body, promote cancer development, has not been fully established.

Objective: We aimed to examine causal effects of estradiol on breast, endometrial, and ovarian cancer.

Methods: Here we performed a two-sample Mendelian randomization (MR) to estimate the effect of endogenous estradiol on the risk of developing breast, endometrial, and ovarian cancer, using the UK Biobank as well as 3 independent cancer cohorts.

Results: Using 3 independent instrumental variables, we showed that higher estradiol levels significantly increase the risk for ovarian cancer (OR = 3.18 [95% CI, 1.47-6.87],  = 0.003). We also identified a nominally significant effect for ER-positive breast cancer (OR = 2.16 [95% CI, 1.09-4.26],  = 0.027). However, we could not establish a clear link to the risk of endometrial cancer (OR = 1.93 [95% CI, 0.77-4.80],  = 0.160).

Conclusion: Our results suggest that high estradiol levels promote the development of ovarian and ER-positive breast cancer.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265484PMC
http://dx.doi.org/10.1210/jendso/bvac100DOI Listing

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