Evidence map›Paper›PMID 28423605›Full record

ArticleOncotarget2017

Pregnancy at early age is associated with a reduction of progesterone-responsive cells and epithelial Wnt signaling in human breast tissue.

Simone Muenst, Robert Mechera, Silvio Däster, Salvatore Piscuoglio, Charlotte K Y Ng, Fabienne Meier-Abt, Walter P Weber, Savas D Soysal

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Epigenetic and Immune Mechanisms Linking Breastfeeding to Lower Breast Cancer Rates.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  3. Review
  4. Article
  5. Review
  6. Third Trimester Estrogens and Maternal Breast Cancer: Prospective Evidence.The Journal of clinical endocrinology and metabolism · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Simone MuenstInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Robert MecheraDepartment of Surgery, University Hospital Basel, Basel, Switzerland.
Silvio DästerDepartment of Surgery, University Hospital Basel, Basel, Switzerland.
Salvatore PiscuoglioInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Charlotte K Y NgInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Fabienne Meier-AbtInstitute of Hematology, University Hospital Zurich, Zurich, Switzerland.
Walter P WeberDepartment of Surgery, University Hospital Basel, Basel, Switzerland.
Savas D SoysalDepartment of Surgery, University Hospital Basel, Basel, Switzerland.
University Hospital of Basel · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy at early age is the most significant modifiable factor which consistently decreases lifetime breast cancer risk. However, the underlying mechanisms haven't been conclusively identified. Studies in mice suggest a reduction in progesterone-receptor (PR) sensitive epithelial cells as well as a downregulation of the Wnt signaling pathway as being one of the main mechanisms for the protective effect of early pregnancy. The aim of our study was to validate these findings in humans.

methodsWe collected benign breast tissue of 125 women who had been stratified according to age at first pregnancy and the occurrence of subsequent breast cancer, and performed immunohistochemistry for PR, Wnt4 and the Wnt-target Versican.

resultsThe number of PR positive epithelial cells was significantly lower in the group of women with early pregnancy and no subsequent breast cancer compared to the group of nulliparous women with subsequent invasive breast cancer (p = 0.0135). In women with early pregnancy, expression of Versican and Wnt4 was significantly lower compared to nulliparous women (p = 0.0036 and p = 0.0241 respectively), and Versican expression was also significant lower compared to women with late pregnancy (p < 0.0001). DISCUSSION: Our results confirm prior observations in mice and suggest a role of downregulation of epithelial Wnt signaling in the protective effect of early pregnancy in humans. This results in a decreased proliferation of stem/progenitor cells; therefore, the Wnt signaling pathway may represent a potential target for breast cancer prevention in humans.

Indexed as

Age FactorsPregnancyAdolescentAdultAgedAnimalsBreast NeoplasmsEpithelial CellsFemaleHumansMammary Glands, HumanMiceMiddle AgedProgesteroneReceptors, ProgesteroneRiskProgesteroneReceptors, ProgesteroneVersicansWnt4 Proteinbreast cancerbreast cancer preventionearly pregnancyPathology SectionWnt signaling pathway

Identifiers

PMID28423605
PMCPMC5410228
OpenAlexW2593439752

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.