CC BY-NC-ND 4.0 · South Asian J Cancer 2019; 08(04): 212-214
DOI: 10.4103/sajc.sajc_427_18
ORIGINAL ARTICLE: Breast Cancers

Organochlorine pesticide exposure as a risk factor for breast cancer in young Indian women: A case–control study

Navneet Kaur
Department of Surgery, UCMS and GTB Hospital, Delhi
,
Srikant K Swain
Department of Surgery, UCMS and GTB Hospital, Delhi
,
Basudev D Banerjee
Department of Biochemistry, UCMS and GTB Hospital, Delhi
,
Tusha Sharma
Department of Biochemistry, UCMS and GTB Hospital, Delhi
,
Thammineni Krishnalata
Department of Biochemistry, UCMS and GTB Hospital, Delhi
› Institutsangaben
Financial support and sponsorship Nil.

Abstract

Background: Incidence rates of breast cancer are showing an increasing trend in young women (≤40 years) in India. Risk for breast cancer in this age group can be attributed only partially to various known risk factors. Environmental exposure to organochlorine (OC) compounds has been identified as a potential risk factor. However, the possible role of OC compounds in increasing breast cancer risk in young women has not been explored. This case–control study was planned with the objectives to assess the serum levels of OC compound in a North Indian population of young women. Materials and Methods: Forty-two patients of breast cancer ≤ 40 years age and 42 age-matched controls were evaluated for exposure to OC compounds by performing assays in blood samples for pesticides such as dichlorodiphenyltrichloroethane (DDT) and its metabolites DDD and DDE; dieldrin; aldrin; methoxychlor, heptachlor; α-endosulfan; β-endosulfan; and hexachlorocyclohexane and its isomers (α, β, and γ). Results: Young women with breast cancer were found to have significantly higher serum levels of all the OC compounds except aldrin, p, p’ DDT, and methoxychlor. Conclusions: Exposure to OC pesticides could be an important modifiable risk factor for breast cancer, especially in younger women.



Publikationsverlauf

Artikel online veröffentlicht:
14. Dezember 2020

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  • References

  • 1 GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. GLOBOCAN, Section of Cancer Surveillance. IARC; 2012. Available from: http://www.globocan.iarc.fr/Pages/fact_sheets_cancer.aspx?cancer=breast. [Last accessed on 2017 Apr 11].
  • 2 Malvia S, Bagadi SA, Dubey US, Saxena S. Epidemiology of breast cancer in Indian women. Asia Pac J Clin Oncol 2017;13:289-95.
  • 3 Varughese AA, Poothiode U, Manjula VD. Descriptive study on selected risk factors and histopathology of breast carcinoma in a tertiary care centre in Kerala, India with special reference to women under 40 years old. Asian Pac J Cancer Prev 2015;16:181-4.
  • 4 Thangjam S, Laishram RS, Debnath K. Breast carcinoma in young females below the age of 40 years: A histopathological perspective. South Asian J Cancer 2014;3:97-100.
  • 5 Surakasula A, Nagarjunapu GC, Raghavaiah KV. A comparative study of pre- and post-menopausal breast cancer: Risk factors, presentation, characteristics and management. J Res Pharm Pract 2014;3:12-8.
  • 6 Murthy NS, Agarwal UK, Chaudhry K, Saxena S. A study on time trends in incidence of breast cancer – Indian scenario. Eur J Cancer Care (Engl) 2007;16:185-6.
  • 7 Available from: http://www.breastcancerindia.net/statistics/stat_global.html. [Last accessed on 2017 Jan 25].
  • 8 Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS. Spectrum of breast cancer in Asian women. World J Surg 2007;31:1031-40.
  • 9 Thapa B, Singh Y, Sayami P, Shrestha UK, Sapkota R, Sayami G. Breast cancer in young women from a low risk population in Nepal. Asian Pac J Cancer Prev 2013;14:5095-9.
  • 10 Vinod R, Ganesan P. Risk Factors for Breast Cancer in India: An Index Case-Control Study. New Delhi: INDOX Cancer Research Network; 2011.
  • 11 Kaur N, Attam A, Saha S, Bhargava SK. Breast cancer risk factor profile in Indian women. JIMSA 2011;24:163-5.
  • 12 Jayaraj R, Megha P, Sreedev P. Organochlorine pesticides, their toxic effects on living organisms and their fate in the environment. Interdiscip Toxicol 2016;9:90-100.
  • 13 Gray JM, Rasanayagam S, Engel C, Rizzo J. State of the evidence 2017: An update on the connection between breast cancer and the environment. Environ Health 2017;16:94.
  • 14 Wolff MS, Toniolo PG, Lee EW, Rivera M, Dubin N. Blood levels of organochlorine residues and risk of breast cancer. J Natl Cancer Inst 1993;85:648-52.
  • 15 Olaya-Contreras P, Rodríguez-Villamil J, Posso-Valencia HJ, Cortez JE. Organochlorine exposure and breast cancer risk in Colombian women. Cad Saude Publica 1998;14 Suppl 3:125-32.
  • 16 Demers A, Ayotte P, Brisson J, Dodin S, Robert J, Dewailly E. Risk and aggressiveness of breast cancer in relation to plasma organochlorine concentrations. Cancer Epidemiol Biomarkers Prev 2000;9:161-6.
  • 17 Gatto NM, Longnecker MP, Press MF, Sullivan-Halley J, McKean-Cowdin R, Bernstein L, et al. Serum organochlorines and breast cancer: A case-control study among African-American women. Cancer Causes Control 2007;18:29-39.
  • 18 Shakeel MK, George PS, Jose J, Jose J, Mathew A. Pesticides and breast cancer risk: A comparison between developed and developing countries. Asian Pac J Cancer Prev 2010;11:173-80.
  • 19 Mathur V, Bhatnagar P, Sharma RG, Acharya V, Sexana R. Breast cancer incidence and exposure to pesticides among women originating from Jaipur. Environ Int 2002;28:331-6.
  • 20 Gupta PK. Pesticide exposure – Indian scene. Toxicology 2004;198:83-90.
  • 21 Rusiecki JA, Baccarelli A, Bollati V, Tarantini L, Moore LE, Bonefeld-Jorgensen EC. Global DNA hypomethylation is associated with high serum-persistent organic pollutants in Greenlandic Inuit. Environ Health Perspect 2008;116:1547-52.
  • 22 Eldakroory SA, Morsi DE, Abdel-Rahman RH, Roshdy S, Gouida MS, Khashaba EO, et al. Correlation between toxic organochlorine pesticides and breast cancer. Hum Exp Toxicol 2017;36:1326-34.
  • 23 He TT, Zuo AJ, Wang JG, Zhao P. Organochlorine pesticides accumulation and breast cancer: A hospital-based case-control study. Tumour Biol 2017;39:1010428317699114.
  • 24 Wielsøe M, Kern P, Bonefeld-Jørgensen EC. Serum levels of environmental pollutants is a risk factor for breast cancer in Inuit: A case control study. Environ Health 2017;16:56.
  • 25 Høyer AP, Jørgensen T, Rank F, Grandjean P, Ahlborg U, Lipworth L, et al. Organochlorine exposures influence on breast cancer risk and survival according to estrogen receptor status: A Danish cohort-nested case-control study. BMC Cancer 2001;1:1-8.
  • 26 Arrebola JP, Belhassen H, Artacho-Cordón F, Ghali R, Ghorbel H, Boussen H, et al. Risk of female breast cancer and serum concentrations of organochlorine pesticides and polychlorinated biphenyls: A case-control study in Tunisia. Sci Total Environ 2015;520:106-13.
  • 27 Ibarluzea JJ, Fernández MF, Santa-Marina L, Olea-Serrano MF, Rivas AM, Aurrekoetxea JJ, et al. Breast cancer risk and the combined effect of environmental estrogens. Cancer Causes Control 2004;15:591-600.