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Ugai T, Milne RL, Ito H, Aronson KJ, Bolla MK, Chan T, Chan CW, Choi J, Conroy DM, Dennis J, Dunning AM, Easton DF, Gaborieau V, Gonzalez‐Neira A, Hartman M, Healey CS, Iwasaki M, John EM, Kang D, Kim S, Kwong A, Lophatananon A, Michailidou K, Taib NAM, Muir K, Park SK, Pharoah PDP, Sangrajrang S, Shen C, Shu X, Spinelli JJ, Teo SH, Tessier DC, Tseng C, Tsugane S, Vincent D, Wang Q, Wu AH, Wu P, Zheng W, Matsuo K. The functional ALDH2 polymorphism is associated with breast cancer risk: A pooled analysis from the Breast Cancer Association Consortium. Mol Genet Genomic Med 2019; 7:e707. [PMID: 31066241 PMCID: PMC6565553 DOI: 10.1002/mgg3.707] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 03/21/2019] [Accepted: 04/08/2019] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Epidemiological studies consistently indicate that alcohol consumption is an independent risk factor for female breast cancer (BC). Although the aldehyde dehydrogenase 2 (ALDH2) polymorphism (rs671: Glu>Lys) has a strong effect on acetaldehyde metabolism, the association of rs671 with BC risk and its interaction with alcohol intake have not been fully elucidated. We conducted a pooled analysis of 14 case-control studies, with individual data on Asian ancestry women participating in the Breast Cancer Association Consortium. METHODS We included 12,595 invasive BC cases and 12,884 controls for the analysis of rs671 and BC risk, and 2,849 invasive BC cases and 3,680 controls for the analysis of the gene-environment interaction between rs671 and alcohol intake for BC risk. The pooled odds ratios (OR) with 95% confidence intervals (CI) associated with rs671 and its interaction with alcohol intake for BC risk were estimated using logistic regression models. RESULTS The Lys/Lys genotype of rs671 was associated with increased BC risk (OR = 1.16, 95% CI 1.03-1.30, p = 0.014). According to tumor characteristics, the Lys/Lys genotype was associated with estrogen receptor (ER)-positive BC (OR = 1.19, 95% CI 1.05-1.36, p = 0.008), progesterone receptor (PR)-positive BC (OR = 1.19, 95% CI 1.03-1.36, p = 0.015), and human epidermal growth factor receptor 2 (HER2)-negative BC (OR = 1.25, 95% CI 1.05-1.48, p = 0.012). No evidence of a gene-environment interaction was observed between rs671 and alcohol intake (p = 0.537). CONCLUSION This study suggests that the Lys/Lys genotype confers susceptibility to BC risk among women of Asian ancestry, particularly for ER-positive, PR-positive, and HER2-negative tumor types.
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Affiliation(s)
- Tomotaka Ugai
- Division of Cancer Epidemiology and Prevention, Department of Preventive MedicineAichi Cancer Center Research InstituteNagoyaJapan
| | - Roger L. Milne
- Cancer Epidemiology & Intelligence DivisionMelbourneVICAustralia
- Centre for Epidemiology and Biostatistics, School of Population and Global HealthThe University of MelbourneMelbourneVICAustralia
| | - Hidemi Ito
- Division of Cancer Information and Control, Department of Preventive MedicineAichi Cancer Center Research InstituteNagoyaJapan
- Department of EpidemiologyNagoya University Graduate School of MedicineNagoyaJapan
| | - Kristan J. Aronson
- Department of Public Health SciencesQueen's Cancer Institute, Queen's UniversityKingstonOntarioCanada
| | - Manjeet K. Bolla
- Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary CareUniversity of CambridgeCambridgeUK
| | - Tsun Chan
- Hong Kong Hereditary Breast Cancer Family RegistryHappy ValleyHong Kong
- Department of PathologyHong Kong Sanatorium and HospitalHappy ValleyHong Kong
| | - Ching W. Chan
- Department of SurgeryNational University Health SystemSingapore
| | - Ji‐Yeob Choi
- Department of Biomedical SciencesSeoul National University College of MedicineSeoulKorea
- Cancer Research Institute, Seoul National University College of MedicineSeoulKorea
| | - Don M. Conroy
- Centre for Cancer Genetic Epidemiology, Department of OncologyUniversity of CambridgeCambridgeUK
| | - Joe Dennis
- Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary CareUniversity of CambridgeCambridgeUK
| | - Alison M. Dunning
- Centre for Cancer Genetic Epidemiology, Department of OncologyUniversity of CambridgeCambridgeUK
| | - Douglas F. Easton
- Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary CareUniversity of CambridgeCambridgeUK
- Centre for Cancer Genetic Epidemiology, Department of OncologyUniversity of CambridgeCambridgeUK
| | - Valerie Gaborieau
- Genetic Epidemiology Group, International Agency for Research on CancerLyonFrance
| | - Anna Gonzalez‐Neira
- Human Cancer Genetics ProgramSpanish National Cancer Research CentreMadridSpain
| | - Mikael Hartman
- Department of SurgeryNational University Health SystemSingapore
- Saw Swee Hock School of Public HealthNational University of SingaporeSingapore
| | - Catherine S. Healey
- Centre for Cancer Genetic Epidemiology, Department of OncologyUniversity of CambridgeCambridgeUK
| | - Motoki Iwasaki
- Epidemiology and Prevention Group, Center for Public Health SciencesNational Cancer CenterTokyoJapan
| | - Esther M. John
- Department of Medicine and Stanford Cancer InstituteStanford University School of MedicineStanfordCaliforniaUSA
| | - Daehee Kang
- Department of Biomedical SciencesSeoul National University College of MedicineSeoulKorea
- Cancer Research Institute, Seoul National University College of MedicineSeoulKorea
- Department of Preventive MedicineSeoul National University College of Medicine, Seoul National UniversitySeoulKorea
| | - Sung‐Won Kim
- Department of SurgeryDaerim Saint Mary's HospitalSeoulKorea
| | - Ava Kwong
- Hong Kong Hereditary Breast Cancer Family RegistryHappy ValleyHong Kong
- Department of SurgeryQueen Mary Hospital, The University of Hong KongHappy ValleyHong Kong
- Department of SurgeryHong Kong Sanatorium and HospitalHappy ValleyHong Kong
| | - Artitaya Lophatananon
- Division of Health Sciences, Warwick Medical SchoolWarwick UniversityCoventryUK
- Division of Population Sciences, Warwick Medical SchoolWarwick UniversityCoventryUK
| | - Kyriaki Michailidou
- Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary CareUniversity of CambridgeCambridgeUK
- Department of Electron Microscopy/Molecular PathologyThe Cyprus Institute of Neurology and GeneticsNicosiaCyprus
| | - Nur Aishah Mohd Taib
- Breast Cancer Research UnitUniversity Malaya Cancer Research Institute, University Malaya Medical CentreKuala LumpurMalaysia
| | - Kenneth Muir
- Division of Health Sciences, Warwick Medical SchoolWarwick UniversityCoventryUK
- Division of Population Sciences, Warwick Medical SchoolWarwick UniversityCoventryUK
| | - Sue K. Park
- Department of Preventive MedicineSeoul National University College of MedicineSeoulKorea
| | - Paul D. P. Pharoah
- Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary CareUniversity of CambridgeCambridgeUK
- Department of Biomedical SciencesSeoul National University College of MedicineSeoulKorea
| | | | - Chen‐Yang Shen
- Taiwan BiobankInstitute of Biomedical Sciences, Academia SinicaTaipeiTaiwan
- College of Public HealthChina Medical UniversityTaichongTaiwan
| | - Xiao‐Ou Shu
- Division of Epidemiology, Department of MedicineVanderbilt Epidemiology Center, Vanderbilt‐Ingram Cancer Center, Vanderbilt University School of MedicineNashvilleTennesseeUSA
| | - John J. Spinelli
- School of Population & Public HealthUniversity of British ColumbiaVancouverBritish ColumbiaCanada
- Cancer Control Research, BC Cancer AgencyVancouverBritish ColumbiaCanada
| | - Soo H. Teo
- Breast Cancer Research UnitUniversity Malaya Cancer Research Institute, University Malaya Medical CentreKuala LumpurMalaysia
- Cancer Research Initiatives FoundationSime Darby Medical CentreSubang JayaMalaysia
| | - Daniel C. Tessier
- McGill University and Génome Québec Innovation CentreMontrealQuebecCanada
| | - Chiu‐Chen Tseng
- Department of Preventive Medicine, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesCaliforniaUSA
| | - Shoichiro Tsugane
- Epidemiology and Prevention Group, Center for Public Health SciencesNational Cancer CenterTokyoJapan
| | - Daniel Vincent
- McGill University and Génome Québec Innovation CentreMontrealQuebecCanada
| | - Qin Wang
- Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary CareUniversity of CambridgeCambridgeUK
| | - Anna H. Wu
- Department of Preventive Medicine, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesCaliforniaUSA
| | - Pei‐Ei Wu
- Taiwan BiobankInstitute of Biomedical Sciences, Academia SinicaTaipeiTaiwan
| | - Wei Zheng
- Division of Epidemiology, Department of MedicineVanderbilt Epidemiology Center, Vanderbilt‐Ingram Cancer Center, Vanderbilt University School of MedicineNashvilleTennesseeUSA
| | - Keitaro Matsuo
- Division of Cancer Epidemiology and Prevention, Department of Preventive MedicineAichi Cancer Center Research InstituteNagoyaJapan
- Department of EpidemiologyNagoya University Graduate School of MedicineNagoyaJapan
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Schennink A, Trott JF, Berryhill GE, Donovan CE, Manjarin R, VanKlompenberg MK, Rowson-Hodel AR, Luis MYO, Hovey RC. Alcohol intake stimulates epithelial proliferation in an authentic model of the human breast. Reprod Toxicol 2014; 54:93-100. [PMID: 25450420 DOI: 10.1016/j.reprotox.2014.10.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Revised: 09/19/2014] [Accepted: 10/24/2014] [Indexed: 01/07/2023]
Abstract
The voluntary consumption of alcohol by humans is a modifiable lifestyle factor that has been consistently linked to a woman's risk of developing breast cancer. We have used an animal model that closely recapitulates breast development in humans to study the effect of alcohol intake on breast growth and morphology. Pubertal female pigs were fed alcohol for 4-5 weeks at 19-21% of total caloric intake, which led to average blood alcohol concentrations of 115-130mg/dL. Alongside increased liver mass, alcohol intake promoted the formation of distended ductules within lobular units in association with increased epithelial proliferation. Alcohol consumption also increased phosphorylation of the transcription factor STAT5 in the mammary epithelium, but did not lead to any evidence of precocious lactogenesis. In conclusion, feeding alcohol to female pigs having a similar physiology and mammary gland morphology to humans during a reproductive state equivalent to human adolescence leads to increased mammary gland proliferation and development of atypical lobular structures. These changes may phenocopy how alcohol intake increases the risk for developing breast cancer in humans.
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Affiliation(s)
- Anke Schennink
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | - Josephine F Trott
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | - Grace E Berryhill
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | - Caitlin E Donovan
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | - Rodrigo Manjarin
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | - Monica K VanKlompenberg
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | - Ashley R Rowson-Hodel
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA
| | | | - Russell C Hovey
- Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA, USA.
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Masso-Welch PA, Tobias ME, Vasantha Kumar SC, Bodziak M, Mashtare T, Tamburlin J, Koury ST. Folate exacerbates the effects of ethanol on peripubertal mouse mammary gland development. Alcohol 2012; 46:285-92. [PMID: 22440688 DOI: 10.1016/j.alcohol.2011.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2010] [Revised: 08/31/2011] [Accepted: 12/14/2011] [Indexed: 12/24/2022]
Abstract
Alcohol consumption is linked with increased breast cancer risk in women, even at low levels of ingestion. The proposed mechanisms whereby ethanol exerts its effects include decreased folate levels resulting in diminished DNA synthesis and repair, and/or acetaldehyde-generated DNA damage. Based on these proposed mechanisms, we hypothesized that ethanol would have increased deleterious effects during periods of rapid mammary gland epithelial proliferation, such as peripuberty, and that folate deficiency alone might mimic and/or exacerbate the effects of ethanol. To test this hypothesis, weight-matched 28-35 day old CD2F1 female mice were pair-fed liquid diets ±3.2% ethanol, ±0.1% folate for 4 weeks. Folate status was confirmed by assay of liver and kidney tissues. In folate deficient mice, no significant ethanol-induced changes to the mammary gland were observed. Folate replete mice fed ethanol had an increased number of ducts per section, due to an increased number of terminal short branches. Serum estrogen levels were increased by ethanol, but only in folate replete mice. These results demonstrate that folate deficiency alone does not mimic the effects of ethanol, and that folate deficiency in the presence of ethanol blocks proliferative effects of ethanol on the mammary ductal tree.
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Dumitrescu RG, Shields PG. The etiology of alcohol-induced breast cancer. Alcohol 2005; 35:213-25. [PMID: 16054983 DOI: 10.1016/j.alcohol.2005.04.005] [Citation(s) in RCA: 135] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2005] [Accepted: 04/23/2005] [Indexed: 01/27/2023]
Abstract
Breast cancer is the most common cancer in women in the United States, and it is second among cancer deaths in women. Results of most epidemiologic studies, as well as of most experimental studies in animals, have shown that alcohol intake is associated with increased breast cancer risk. Alcohol consumption may cause breast cancer through different mechanisms, including through mutagenesis by acetaldehyde, through perturbation of estrogen metabolism and response, and by inducing oxidative damage and/or by affecting folate and one-carbon metabolism pathways. Alcohol-metabolizing enzymes are present in human breast tissue. Acetaldehyde is a known, although weak, mutagen. However, results of some studies with human subjects implicate this agent in the context of genetic susceptibilities to increased ethanol metabolism. Reactive oxygen species, resulting from ethanol metabolism, may be involved in breast carcinogenesis by causing damage, as well as by generating DNA and protein adducts. Alcohol interferes with estrogen pathways in multiple ways, influencing hormone levels and effects on the estrogen receptors. With regard to one-carbon metabolism, alcohol can negatively affect folate levels, and the folate perturbation affects DNA methylation and DNA synthesis, which is important in carcinogenesis. Some study results indicate that genetic variants of one-carbon metabolism genes might increase alcohol-related breast cancer risk. For all these pathways, genetic polymorphisms might play a role in increasing further a woman's risk for breast cancer. Additional studies are needed to determine the relative importance of these pathways, as well as the modifying influence by genetic variation.
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Affiliation(s)
- Ramona G Dumitrescu
- Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3800 Reservoir Road, Lombardi Building, SS Level, 150, Washington, DC 20057, USA
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Sarkar DK, Liehr JG, Singletary KW. Role of estrogen in alcohol promotion of breast cancer and prolactinomas. Alcohol Clin Exp Res 2001. [PMID: 11391076 DOI: 10.1111/j.1530-0277.2001.tb02401.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
This article represents the proceedings of a symposium at the 2000 ISBRA Meeting in Yokohama, Japan. The chair was Dipak K. Sarkar. The presentations were (1) Dual role of estrogen as hormone and carcinogen in mammary carcinogenesis, by Joachim G. Liehr; (2) Alcohol and breast cancer: Studies using animals, by Keith W. Singletary; and (3) Evaluation of the role of estrogen in mediation of ethanol effect on prolactinoma: Studies using animals, by Dipak K. Sarkar.
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Affiliation(s)
- D K Sarkar
- Department of Animal Sciences, Rutgers, The State University of New Jersey, New Brunswick, New Jersey 08901-8525, USA.
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Sarkar DK, Liehr JG, Singletary KW. Role of estrogen in alcohol promotion of breast cancer and prolactinomas. Alcohol Clin Exp Res 2001; 25:230S-236S. [PMID: 11391076 DOI: 10.1097/00000374-200105051-00037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This article represents the proceedings of a symposium at the 2000 ISBRA Meeting in Yokohama, Japan. The chair was Dipak K. Sarkar. The presentations were (1) Dual role of estrogen as hormone and carcinogen in mammary carcinogenesis, by Joachim G. Liehr; (2) Alcohol and breast cancer: Studies using animals, by Keith W. Singletary; and (3) Evaluation of the role of estrogen in mediation of ethanol effect on prolactinoma: Studies using animals, by Dipak K. Sarkar.
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Affiliation(s)
- D K Sarkar
- Department of Animal Sciences, Rutgers, The State University of New Jersey, New Brunswick, New Jersey 08901-8525, USA.
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Singletary KW, Frey RS, Yan W. Effect of ethanol on proliferation and estrogen receptor-alpha expression in human breast cancer cells. Cancer Lett 2001; 165:131-7. [PMID: 11275361 DOI: 10.1016/s0304-3835(01)00419-0] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
There is substantial epidemiological evidence suggesting that alcohol consumption is associated with increased risk for breast cancer. However, possible biological mechanisms have not been clearly established. In the present studies, a direct effect of ethanol on the proliferation and intracellular content of cyclic AMP (cAMP) in two estrogen receptor-positive (ER+) and two estrogen receptor-negative (ER-) human breast cancer cell lines was examined. Treatment of ER+ human breast cancer cells (MCF-7 and ZR75.1) with ethanol at concentrations between 10 and 100 mM was associated with increased cell numbers compared to controls. The ERalpha content and the amount of intracellular cAMP also increased in ER+ cells exposed to ethanol, compared to controls. On the other hand, ethanol treatment did not increase cell proliferation or cAMP levels in the ER- (BT-20 and MDA-MB-231) human breast cancer cells. Therefore, ethanol added at physiologically relevant concentrations to ER+ human breast cancer cell cultures can enhance cell proliferation and increase the content of ERalpha.
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Affiliation(s)
- K W Singletary
- Department of Food Science and Human Nutrition, University of Illinois, 467 Bevier Hall, 905 South Goodwin Avenue, Urbana-Champaign, IL 61801, USA.
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Kornfehl J, Temmel A, Formanek M, Knerer B. Effects of Ethanol Treatment on Proliferation and Differentiation in a Head and Neck Squamous Cell Carcinoma Cell Line. Alcohol Clin Exp Res 1999. [DOI: 10.1111/j.1530-0277.1999.tb04231.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Myers RD, Robinson DE, West MW, Biggs TA, McMillen BA. Genetics of alcoholism: rapid development of a new high-ethanol-preferring (HEP) strain of female and male rats. Alcohol 1998; 16:343-57. [PMID: 9818988 DOI: 10.1016/s0741-8329(98)00031-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
A genetically based animal model of alcoholism has been developed in a relatively short period of 3 years. The new strain is characterized by an intense preference for ethanol over water as well as unique behavioral, neurochemical and other attributes. This new strain, termed high-ethanol-preferring (HEP) rats, was derived initially from selective cross-breeding of a variant strain of female Harlan Sprague-Dawley (SD) rats with the outbred Wistar line of male ethanol-preferring (P) rats. In this study, drinking patterns of both genders were obtained over 10 days by presenting water and ethanol in concentrations ranging from 3% to 30%. To expedite the development of the new strain, only three to five female and male rats served as breeders, which were chosen from all litters on the basis of their maximum g/kg intake integrated with proportion of ethanol to total fluid values. Profiles of intake of preferred concentrations of ethanol were obtained over 24 h of unlimited access as well as during 2-h intervals of limited access to ethanol. Levels of blood ethanol were measured in both female and male HEP animals during bouts of ethanol drinking in the limited access paradigm. By the sixth generation of HEP rats, ethanol consumption of the females often exceeded that of any other rat genetically bred to drink ethanol (e.g., at a concentration of 15.7%, 10.3 g/kg per day). Seven additional characteristics are notable: 1) the HEP rats prefer ethanol in the presence of a nutritious chocolate drink or nonnutrient sweetened solution (aspartame); 2) high levels of blood ethanol are associated with their drinking; 3) females drink significantly greater g/kg amounts of ethanol than HEP males and prefer a higher percent concentration of ethanol; 4) the drinking of ethanol by the female HEP animals does not fluctuate during the estrous cycle; 5) neurochemical assays show differential profiles of 5-HT, dopamine, and their metabolites in different regions of the brain; 6) measures of activity using the elevated plus maze, open field, and cork gnawing reveal differences between genders of HEP rats and SD rats; and 7) the HEP animals are without phenotypically expressed abnormalities. Finally, one cardinal principle derived from this study revealed that the breeding strategy to develop high-ethanol-drinking rats centers on the use of multiple solutions of ethanol whereby the intakes of ethanol in concentration of 9% through 20% dictate the ultimate selection of breeding pairs over successive F generations. Further, it is concluded that because of an intense rise in ethanol drinking of the F1 generation of female HEP rats well above that of the parental SD female breeders, the complex genotypic characteristic of the male P rat is predominantly responsible for evoking ethanol drinking in female offspring.
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Affiliation(s)
- R D Myers
- Department of Pharmacology, School of Medicine, East Carolina University, Greenville, NC 27858, USA
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11
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Singletary KW. Alcohol and breast cancer: interactions between alcohol and other risk factors. Alcohol Clin Exp Res 1996; 20:57A-61A. [PMID: 8947236 DOI: 10.1111/j.1530-0277.1996.tb01747.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- K W Singletary
- Department of Foods and Human Nutrition, University of Illinois, Urbana, USA
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