1
|
Hanna M, Dumas I, Orain M, Jacob S, Têtu B, Diorio C. Association between physical activity and the expression of mediators of inflammation in normal breast tissue among premenopausal and postmenopausal women. Cytokine 2017; 102:151-160. [PMID: 29102166 DOI: 10.1016/j.cyto.2017.08.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 07/24/2017] [Accepted: 08/10/2017] [Indexed: 12/19/2022]
Abstract
Physical activity is associated with decreased breast cancer risk. The underlying biological mechanisms could include the reduction of the local inflammation in the breast tissue. We conducted a cross-sectional study to assess the association between the physical activity and the protein expression levels of eleven mediators of inflammation in normal breast tissue of 164 women having breast cancer. Information on total physical activity (household, occupational and recreational) performed during a one-year period was collected using a questionnaire. Normal breast tissue was obtained from mastectomy blocks distant from the tumor. The expression of the mediators of inflammation in normal breast tissue was visually evaluated by immunohistochemistry. Multivariate linear regression analyses were used to assess the prevalence ratios (PR) and 95% confidence intervals (CI) for higher protein expression levels of the mediators of inflammation in normal breast tissue across quartiles of physical activity. Higher total physical activity was associated with lower expression levels of the pro-inflammatory mediator TNF-α in normal breast epithelial tissue among all (PR=0.64, 95% CI=0.44-0.93 for the fourth quartile; Ptrend=0.013), premenopausal (PR=0.61, 95% CI=0.41-0.91 for the fourth quartile; Ptrend=0.014) and postmenopausal women (PR=0.45, 95% CI=0.21-0.96 for the fourth quartile; Ptrend=0.022). Conversely, higher total physical activity was associated with higher expression levels of the anti-inflammatory mediator IL-10 in normal breast epithelial tissue among all (PR=1.66, 95% CI=0.97-2.85 for the fourth quartile; Ptrend=0.071) and postmenopausal women (PR=4.69, 95% CI=1.26-17.43 for the fourth quartile; Ptrend=0.010). Our findings suggest a beneficial effect of physical activity on the local inflammatory profile in the breast tissue.
Collapse
Affiliation(s)
- Mirette Hanna
- Oncology Research Unit, CHU de Québec Research Center, Department of Social and Preventive Medicine, Cancer Research Center, Université Laval, 1050 Avenue de la Médecine, Québec, QC G1V 0A6, Canada
| | - Isabelle Dumas
- Oncology Research Unit, CHU de Québec Research Center, 1050 Chemin Sainte-Foy, Québec, QC G1S 4L8, Canada
| | - Michèle Orain
- Oncology Research Unit, CHU de Québec Research Center, 1050 Chemin Sainte-Foy, Québec, QC G1S 4L8, Canada
| | - Simon Jacob
- Oncology Research Unit, CHU de Québec Research Center, Service of Molecular Biology, Medical Chemistry and Pathology, Hôpital Saint-Sacrement, CHU de Québec, Centre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, Department of Molecular Biology, Medical Chemistry and Pathology, Cancer Research Center, Université Laval, 1050 Avenue de la Médecine, Québec, QC G1V 0A6, Canada
| | - Bernard Têtu
- Oncology Research Unit, CHU de Québec Research Center, Service of Molecular Biology, Medical Chemistry and Pathology, Hôpital Saint-Sacrement, CHU de Québec, Centre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, Department of Molecular Biology, Medical Chemistry and Pathology, Cancer Research Center, Université Laval, 1050 Avenue de la Médecine, Québec, QC G1V 0A6, Canada
| | - Caroline Diorio
- Oncology Research Unit, CHU de Québec Research Center, Centre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, Department of Social and Preventive Medicine, Cancer Research Center, Université Laval,1050 Avenue de la Médecine, Québec, QC G1V 0A6, Canada.
| |
Collapse
|
2
|
Genç A, Çelebi MM, Çelik SU, Atman ED, Kocaay AF, Zergeroğlu AM, Elhan AH, Genç V. The effects of exercise on mastalgia. PHYSICIAN SPORTSMED 2017; 45:17-21. [PMID: 27776458 DOI: 10.1080/00913847.2017.1252702] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Mastalgia is often ignored by physicians although it is the most common breast-related complaint among women. The effectiveness of exercise therapy for mastalgia is unclear. The aim of this study is to investigate the effects of exercise on mastalgia. METHODS A randomized controlled trial was conducted with twenty women with complaints of mastalgia fulfilling the inclusion and exclusion criteria. Patients were randomly assigned to the control group and to the exercise group. Sports brassiere, refraining from caffeine- and methylxanthine-containing foods, and simple analgesics were recommended for two groups. In the exercise group, an exercise program was conducted three times a week for 6 weeks. Participants in both groups were evaluated for breast pain and using the Short-Form Health Survey (SF-36) questionnaire before and six weeks after study. Serum cytokine levels were also collected and analyzed. RESULTS No significant differences were detected with respect to age, body mass index, menopausal status, psychiatric condition, and existence of unexplained pain syndromes between the groups. Total breast pain scores were similar in both groups. The sensory component of breast pain questionnaire and visual analogue scale values significantly improved via exercise in only exercise group (p = 0.012 and p = 0.016). There was no significant difference between groups in serum levels of cytokines. SF-36 subscale scores for general health and social functioning significantly improved in the control group and scores for role physical, bodily pain, and social functioning improved in exercise group. CONCLUSIONS Based on our preliminary findings, exercise treatment is beneficial for patients with mastalgia and it can be suggested by clinicians.
Collapse
Affiliation(s)
- Aysun Genç
- a Physiotherapy Program , Ankara University Haymana Vocational School , Ankara , Turkey
| | - Mehmet Mesut Çelebi
- b Department of Sports Medicine , Ankara University School of Medicine , Ankara , Turkey
| | - Süleyman Utku Çelik
- c Department of Surgery , Ankara University School of Medicine , Ankara , Turkey
| | - Ebru Düşünceli Atman
- d Department of Radiology , Ankara University School of Medicine , Ankara , Turkey
| | - Akın Fırat Kocaay
- c Department of Surgery , Ankara University School of Medicine , Ankara , Turkey
| | - Ali Murat Zergeroğlu
- b Department of Sports Medicine , Ankara University School of Medicine , Ankara , Turkey
| | - Atilla Halil Elhan
- e Department of Biostatistics , Ankara University School of Medicine , Ankara , Turkey
| | - Volkan Genç
- c Department of Surgery , Ankara University School of Medicine , Ankara , Turkey
| |
Collapse
|
3
|
The Effect of Cinnamon on Cyclical Breast Pain. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016. [DOI: 10.5812/ircmj.26442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
4
|
Kim JH, Yu CH, Yhee JY, Im KS, Sur JH. Lymphocyte infiltration, expression of interleukin (IL) -1, IL-6 and expression of mutated breast cancer susceptibility gene-1 correlate with malignancy of canine mammary tumours. J Comp Pathol 2009; 142:177-86. [PMID: 19959182 DOI: 10.1016/j.jcpa.2009.10.023] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2009] [Revised: 08/25/2009] [Accepted: 10/23/2009] [Indexed: 01/16/2023]
Abstract
Malignant tumours are often associated with a relatively high number of tumour-infiltrating lymphocytes (TILs) and associated local cytokine production and these factors are thought to play a role in tumour progression. These aspects of tumour microenvironment have not been studied in canine mammary gland tumours (MGTs). The present study investigates TILs and the presence of related cytokines, as well as the expression of breast cancer susceptibility gene-1 (BRCA1), in canine MGTs. Immunohistochemistry, immunoblotting and reverse transcriptase-polymerase chain reaction were performed to evaluate these parameters. Three times as many T lymphocytes as B cells infiltrated canine MGTs. A correlation was found between expression of interleukin (IL)-1 and IL-6 and metastasis. There was an association between the expression of TILs, cytokines and mutation of BRCA1, suggesting that all of these factors may play a role in tumour progression.
Collapse
Affiliation(s)
- J-H Kim
- Department of Veterinary Pathobiology, Small Animal Tumour Diagnostic Center, College of Veterinary Medicine, Konkuk University, Seoul, Republic of Korea
| | | | | | | | | |
Collapse
|
5
|
Gounaris A, Zagouri F, Sergentanis TN, Provatopoulou X, Kalogera E, Zografos GC. SERUM INTERLEUKIN-1 IN MASTALGIA. Pain Pract 2007; 7:372. [DOI: 10.1111/j.1533-2500.2007.00158.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
6
|
Estevam FR, Augusto SF, Rodrigues SA, Pinheiro MRR, Monteiro AF. Apoptosis and production of TNF-alpha by tumor-associated inflammatory cells in histological grade III breast cancer. Cancer Immunol Immunother 2005; 54:671-6. [PMID: 15625605 PMCID: PMC11032828 DOI: 10.1007/s00262-004-0639-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2004] [Accepted: 10/20/2004] [Indexed: 10/26/2022]
Abstract
Tumor necrosis factor alpha (TNF-alpha) is a cytokine that acts as an important mediator of the apoptotic process that also demonstrates selective citotoxicity against malignant breast tumor cells. In the present study, the presence of apoptotic tumor cells and the synthesis of TNF-alpha by inflammatory cells were investigated in tissue samples from grade III invasive breast cancer with long-term follow-up. In situ detection of tumor apoptotic cells was investigated by direct immuno-peroxidase of digoxigenin-labeled genomic DNA. The production of TNF-alpha and tumor cell proliferation were investigated by immunohistochemical procedures. Our data demonstrated that patients with a clinical history of cancer recurrence and metastasis presented a lower number of cancerous apoptotic cells, higher tumor proliferation rates, and lower TNF-alpha expression rates by inflammatory cells than what is observed among patients diagnosed with the same histopathological breast cancer type but in the absence of tumor recurrence and metastasis.
Collapse
Affiliation(s)
- Farias Rogério Estevam
- Laboratory of Immunopathogy and Experimental Pathology, Reproduction Biology Center, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais Brazil
- Departament of Pathology, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | | | - Souza Andrezza Rodrigues
- Laboratory of Immunopathogy and Experimental Pathology, Reproduction Biology Center, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais Brazil
| | - Machado Raquel Rocha Pinheiro
- Laboratory of Immunopathogy and Experimental Pathology, Reproduction Biology Center, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais Brazil
| | - Aarestrup Fernando Monteiro
- Laboratory of Immunopathogy and Experimental Pathology, Reproduction Biology Center, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais Brazil
- Centro de Biologia da Reprodução-CBR, Universidade Federal de Juiz de Fora, Campus Universitário, Bairro Martelos, 36036-330 Brazil
| |
Collapse
|
7
|
Chung CH, Wang CH, Tzen CY, Liu CP. Intrahepatic cholestasis as a paraneoplastic syndrome associated with pheochromocytoma. J Endocrinol Invest 2005; 28:175-9. [PMID: 15887866 DOI: 10.1007/bf03345363] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Pheochromocytoma is a rare tumor of chromaffin cells that secrete catecholamines and several cytokines. The clinical manifestations are protean and may include hypertension, weight loss, sweating, palpitation, headache, anxiety, tremor, nausea, vomiting, and hypercalcemia. The tumor can mimic many unrelated diseases, leading to significant delay and difficulty in diagnosis. We report a case of a 37-yr-old male admitted with jaundice, dark urine, fever, and signs of a systemic inflammatory response. Abdominal computed tomography revealed a heterogeneously enhancing tumor between the pancreatic tail and left kidney. There was no evidence of obstruction to bile flow, neoplastic involvement of the liver or bile ducts, or infectious etiology. The tumor was removed and found to be a pheochromocytoma. Immunohistochemical analysis revealed the presence of interleukin-1beta in the tumor cells. After surgery, the jaundice resolved without further treatment, leading us to the conclusion that it was a paraneoplastic phenomenon possibly related to interleukin-1beta production. We suggest that occult pheochromocytoma should be added to the differential diagnosis of unexplained intrahepatic cholestasis.
Collapse
Affiliation(s)
- C H Chung
- Division of Endocrinology and Metabolism, Department of Medicine, Mackay Memorial Hospital, Mackay Medicine, Nursing and Management College, Taipei, Taiwan
| | | | | | | |
Collapse
|
8
|
Abstract
Pain is one of the most common breast symptoms experienced by women. It can be severe enough to interfere with usual daily activities, but the etiology and optimal treatment remain undefined. Breast pain is typically approached according to its classification as cyclic mastalgia, noncyclic mastalgia, and extramammary (nonbreast) pain. Cyclic mastalgia is breast pain that has a clear relationship to the menstrual cycle. Noncyclic mastalgia may be constant or intermittent but is not associated with the menstrual cycle and often occurs after menopause. Extramammary pain arises from the chest wall or other sources and is interpreted as having a cause within the breast. The risk of cancer in a woman presenting with breast pain as her only symptom is extremely low. After appropriate clinical evaluation, most patients with breast pain respond favorably to a combination of reassurance and nonpharmacological measures. The medications danazol, tamoxifen, and bromocriptine are effective; however, the potentially serious adverse effects of these medications limit their use to selected patients with severe, sustained breast pain. The status of other therapeutic strategies and directions for future research are discussed.
Collapse
Affiliation(s)
- Robin L Smith
- Breast Diagnostic Clinic, Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
| | | | | |
Collapse
|