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Sadeghi F, Shirkhoda M. Allergy-Related Diseases and Risk of Breast Cancer: The Role of Skewed Immune System on This Association. ALLERGY & RHINOLOGY 2019; 10:2152656719860820. [PMID: 31384488 PMCID: PMC6647241 DOI: 10.1177/2152656719860820] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background The role of allergy in breast cancer (BC) development remains inconclusive. A
comprehensive review article is required to present and discuss all findings
on this topic and to clarify the association between allergic disorders and
the risk of BC. Objective We aimed to explain the association between atopy, different types of
allergic disorders, and the risk of BC. Moreover, we explored the
immunological mechanism behind this association. Methods We electronically reviewed publications in PubMed from 1979 to 2018 relating
to atopy, allergy, asthma, atopic dermatitis, allergic rhinitis, food
allergy, drug allergy, immunoglobulin E (IgE) or prick test, and BC. Results Most of the identified studies demonstrated nonsignificant results. However,
the pattern of the results indicated an increased risk of BC in individuals
with a history of allergies. The majority of studies reported higher
prevalence of atopic dermatitis and allergic rhinitis among individuals with
BC compared to the control groups. Similarity, most of the studies revealed
an increased risk of BC among people with a positive history of atopic using
IgE specific or prick test. However, a null association was reported in most
of the asthmatic studies, and controversial results were detected in the
individuals with history of food and drug allergies. Conclusion The majority of findings were not statistically significant. Moreover, bias
and other methodological problems are the major issues, which make it
challenging to compare the findings of different studies and reach a strong
conclusive result. However, the pattern of the results from most studies
indicated that allergic diseases might be associated with an increased risk
of BC. Skewed immune system toward T-helper 2 might have an important role
in this association.
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Affiliation(s)
- Fatemeh Sadeghi
- Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.,Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran
| | - Mohammad Shirkhoda
- Department of Surgical Oncology, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran
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Association Between Papillary Thyroid Cancer and Allergy: A Case-Control Study. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2018. [DOI: 10.5812/ijcm.69512] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Ye J, Talaiti A, Ma Y, Zhang Q, Ma L, Zheng H. Allergies and risk of colorectal cancer: a systematic review and meta-analysis of observational studies. Oncotarget 2017; 8:14646-14654. [PMID: 28086228 PMCID: PMC5362432 DOI: 10.18632/oncotarget.14599] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 12/13/2016] [Indexed: 12/17/2022] Open
Abstract
A history of allergy or allergic condition has been reported to be associated with reduced risk of some types of malignancies. However, the understanding of this association for colorectal cancer (CRC) is controversial. We conducted a meta-analysis of CRC risk in individuals who had history of allergy compared to those without the history of allergic condition. Pumbed and Embase databases were searched for relevant studies. The adjusted relative risk (RR) and 95% confidence interval (CI) were pooled using the random-effects model. Nine studies, including 775, 178 individuals, were eligible for inclusion. The pooled estimate showed no significant association between history of allergy and CRC risk (adjusted RR 1.01, 95 % CI 0.88–1.17). Subgroup analyses confirmed the neutral association stratified by tumor location (colon: n = 6 studies; adjusted RR 1.01, 95 % CI 0.81–1.25; rectum: n = 6 studies; adjusted RR 0.94, 95% CI 0.77–1.15; colorectum: n = 3 studies; adjusted RR 0.92, 95 % CI 0.70 to 1.21), sex (male: n = 4 studies; adjusted RR 0.93, 95 % CI 0.81–1.07; female: n = 6 studies; adjusted RR 0.94, 95 % CI 0.80–1.09) or by allery type (asthma: n = 5 studies; adjusted RR 1.16, 95 % CI 0.96–1.42; hay fever: n = 4 studies; adjusted RR 0.93, 95 % CI 0.86–1.03). Meta-analysis of existing evidence provides a neutral association between allergies and CRC risk. Future well-designed prospective cohort studies should be conducted to better understand this association.
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Affiliation(s)
- Jianrong Ye
- Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Ailaiti Talaiti
- Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Yan Ma
- Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Qin Zhang
- Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Long Ma
- Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Hong Zheng
- Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
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4
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Ma W, Yang J, Li P, Lu X, Cai J. Association between allergic conditions and colorectal cancer risk/mortality: a meta-analysis of prospective studies. Sci Rep 2017; 7:5589. [PMID: 28717199 PMCID: PMC5514030 DOI: 10.1038/s41598-017-04772-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 05/22/2017] [Indexed: 12/26/2022] Open
Abstract
We aimed to assess the association between allergic conditions and risk/mortality of colorectal cancer (CRC). A systematic literature search was conducted using Pubmed and Embase to identify relevant studies. Prospective studies assessing the association between allergic conditions and risk/mortality of CRC were included. Risk ratios (RRs) were pooled with either a fixed- or a random-effects model according to heterogeneity. A total of 515379 participants and 10345 CRC cases from 12 studies were included in the analysis of CRC risk, while four studies with 1484741 individuals and 30040 CRC deaths were included in the analysis of CRC mortality. The pooled RR for the association between allergic conditions and CRC risk was 0.88 (95% CI 0.83–0.92). The inverse association was observed both in colon cancer (pooled RR = 0.83, 95% CI 0.72–0.97) and rectal cancer (pooled RR = 0.83, 95% CI 0.74–0.93). Moreover, no gender difference was observed in the analysis of CRC risk (for males, pooled RR = 0.88, 95% CI 0.81–0.96; for females, pooled RR = 0.88, 95% CI 0.82–0.95). And allergic conditions were also found to be inversely associated with CRC mortality (pooled RR = 0.88, 95% CI 0.83–0.92). In conclusion, the current meta-analysis provides further evidence that allergic conditions were inversely associated with CRC risk and mortality.
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Affiliation(s)
- Wangqian Ma
- Department of Gastroenterology, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, 310009, China
| | - Jia Yang
- Department of Radiotherapy, Zhejiang Provincial People's Hospital, Hangzhou, 310014, China
| | - Peiwei Li
- Department of Gastroenterology, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, 310009, China
| | - Xinliang Lu
- Department of Gastroenterology, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, 310009, China.
| | - Jianting Cai
- Department of Gastroenterology, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, 310009, China.
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Faustino-Rocha AI, Ferreira R, Gama A, Oliveira PA, Ginja M. Antihistamines as promising drugs in cancer therapy. Life Sci 2017; 172:27-41. [DOI: 10.1016/j.lfs.2016.12.008] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 12/11/2016] [Accepted: 12/13/2016] [Indexed: 12/28/2022]
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6
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Gloria-Bottini F, Ammendola M, Saccucci P, Pietropolli A, Neri A, Magrini A, Bottini E. Allergy and Uterine Leiomyomas: Cooperative Interaction with ACP1 Genetic Polymorphism. J Reprod Infertil 2015; 16:199-202. [PMID: 27110517 PMCID: PMC4819208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The possible association between allergy and neoplastic disorders has been the subject of many investigations but no general relationship has been determined. Little attention, however, has been paid to the possible role of allergy in the clinical manifestations of these diseases. In this study, the role of allergy in the susceptibility to uterine leiomyomas and in their growth was investigated. Interaction with ACP1 , a genetic polymorphism associated with the growth of leiomyomas, has been also considered. METHODS Two hundred and three White woman from the population of Rome hospitalized for symptomatic leiomyomas requiring surgical intervention have been studied. One hundred thirty eight healthy women have been considered as controls. Allergy has been evaluated by prick test. T-test for equality of means, analysis of variance and linear correlation analysis has been performed. The level of statistical significance was set at 0.05. RESULTS The frequency of allergic manifestations in women with leiomyomas does not differ from healthy women. The dimension of leiomyomas is lower in allergic than in non allergic women (p=0.004). The ACP1 *B/*B genotype and allergy cooperate in lowering the dimension of leiomyomas; the proportion of woman with small leiomyomas (<10 percentile) is much higher in allergic women carrying the *B/*B genotype as compared to other women (p<0.001). About 8% of variance of leiomyomas dimension is attributable to the joint effect of ACP1 and allergy. CONCLUSION Allergic women with high concentration of ACP1 f isoform (*B/*B genotype) are protected from excessive leyomioma growth. If confirmed in other clinical settings, our observation may have practical importance in identifying women at risk of more severe clinical manifestations.
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Affiliation(s)
- Fulvia Gloria-Bottini
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy,Corresponding Author: Fulvia Gloria-Bottini, Department of Biomedicine and Prevention, University of Tor Vergata Via Montpellier, 00133 Rome, Italy, E-mail:
| | - Maria Ammendola
- Department of Obstetrics and Gynecology, P. Colombo Hospital, Velletri, Italy
| | - Patrizia Saccucci
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Adalgisa Pietropolli
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Anna Neri
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Andrea Magrini
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Egidio Bottini
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
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7
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Kowalczewska ME, Brożyna A, Jóźwicki W, Pławski K, Przybyszewski M, Wrotek S, Bartuzi Z, Kozak W. Analysis of the involvement of cytokines in allergy and breast cancer association. Contemp Oncol (Pozn) 2014; 18:396-402. [PMID: 25784837 PMCID: PMC4355658 DOI: 10.5114/wo.2014.47903] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Revised: 07/01/2014] [Accepted: 08/06/2014] [Indexed: 11/17/2022] Open
Abstract
AIM OF THE STUDY The existence of a correlation between allergy disorders and cancer diseases has been confirmed by several epidemiological studies. Although the molecular mechanism involved in this phenomenon remains unknown, there are data indicating that certain cytokines, engaged in allergic processes, have antineoplastic activities. The aim of the present study was to explore the association between advanced breast cancer and allergic state on the molecular level. MATERIAL AND METHODS We determined and compared the mRNA and protein expression of interleukin-1β (IL-1β), IL-4, IL-6, and interferon-γ (IFN-γ), cytokines known for antitumor properties, in the blood of advanced breast cancer patients and individuals with allergic diseases related to type 2 response. In addition, we performed an in vitro assay of reactivity of peripheral blood mononuclear cells after exogenous antigen stimulation. As a preliminary to molecular analysis we conducted a questionnaire study concerning the incidence of allergy among breast cancer patients and healthy subjects without malignancy. RESULTS The results of the survey study revealed a negative relation between breast cancer and allergy prevalence. Subsequent molecular analysis, however, did not show statistically significant differences in cytokines mRNA and protein expression levels between allergic patients and those with malignancy. The in vitro reactivity test also did not reveal marked differences between IL-1β, IL-4 and IL-6 production after PBMC triggering with exogenous antigen. CONCLUSIONS We concluded that the studied cytokines (IL-1β, IL-4, IL-6, and IFN-γ) are not engaged in breast cancer-allergy negative relation.
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Affiliation(s)
- Małgorzata E Kowalczewska
- Department of Immunology Faculty of Biology and Environment Protection Nicolaus Copernicus University, Torun, Poland
| | - Anna Brożyna
- Department of Tumor Pathology and Pathomorphology, Oncology Center - Prof. Franciszek Łukaszczyk Memorial Hospital, The Ludwik Rydygier Collegium Medicum of Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Wojciech Jóźwicki
- Department of Tumor Pathology and Pathomorphology, Oncology Center - Prof. Franciszek Łukaszczyk Memorial Hospital, The Ludwik Rydygier Collegium Medicum of Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Krzysztof Pławski
- Department of Breast Cancer and Reconstructive Surgery, Oncology Center - Prof. Franciszek Łukaszczyk Memorial Hospital, Bydgoszcz, Poland
| | - Michał Przybyszewski
- Department of Allergology, Clinical Immunology and Internal Medicine, The Ludwik Rydygier Collegium Medicum of Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Sylwia Wrotek
- Department of Immunology Faculty of Biology and Environment Protection Nicolaus Copernicus University, Torun, Poland
| | - Zbigniew Bartuzi
- Department of Allergology, Clinical Immunology and Internal Medicine, The Ludwik Rydygier Collegium Medicum of Nicolaus Copernicus University, Bydgoszcz, Poland
| | - Wiesław Kozak
- Department of Immunology Faculty of Biology and Environment Protection Nicolaus Copernicus University, Torun, Poland
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