Evidence map›Paper›PMID 29360814›Full record

ArticleBritish journal of cancer2018

Postmenopausal breast cancer and oestrogen associations with the IgA-coated and IgA-noncoated faecal microbiota.

James J Goedert, Xing Hua, Agata Bielecka, Isao Okayasu, Ginger L Milne, Gieira S Jones, Mutsunori Fujiwara, Rashmi Sinha, Yunhu Wan, Xia Xu and 4 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 8 pooled it
4.3field-weighted citation impact, top 5% 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

84 citing papers in PubMed, 8 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Global Microbiome: Core and Unique Signatures Across Diverse Populations.International journal of molecular sciences · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Changes in the fecal microbiota of breast cancer patients based on 16S rRNA gene sequencing: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Pooled it
  6. Pooled it
  7. The Human Microbiome in Relation to Cancer Risk: A Systematic Review of Epidemiologic Studies.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Review
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  16. Article
  17. Article
  18. Dysbiosis and extraintestinal cancers.Journal of experimental & clinical cancer research : CR · 2025
    Review
  19. Article
  20. Effects of gut microbiota in breast cancer.Frontiers in oncology · 2025
    Review

24 more citing papers are in PubMed but not listed here.

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

14 authors at 9 institutions in 2 countries.

James J GoedertDivision of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Room 6E106, MSC 9767, Bethesda, MD 20892, USA.
Xing HuaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Room 6E106, MSC 9767, Bethesda, MD 20892, USA.
Agata BieleckaDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 21702, USA.
Isao OkayasuDepartment of Pathology, Kitasato University School of Medicine, Sagamihara, Kanagawa 252-0374, Japan.
Ginger L MilneDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Gieira S JonesDivision of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Room 6E106, MSC 9767, Bethesda, MD 20892, USA.
Mutsunori FujiwaraDepartment of Clinical Pathology, Japanese Red Cross Medical Center, Shibuya-ku, Tokyo 150-0012, Japan.
Rashmi SinhaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Room 6E106, MSC 9767, Bethesda, MD 20892, USA.
Yunhu WanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Room 6E106, MSC 9767, Bethesda, MD 20892, USA.
Xia XuCancer Research Technology Program, Leidos Biomedical Research Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA.
Jacques RavelUniversity of Maryland Medical School, Baltimore, MD 21201, USA.
Jianxin ShiDivision of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Room 6E106, MSC 9767, Bethesda, MD 20892, USA.
Noah W PalmDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 21702, USA.
Heather Spencer FeigelsonInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237, USA.
Division of Cancer Epidemiology and GeneticsNational Cancer Institute · USYale University · USFrederick National Laboratory for Cancer Research · USJapanese Red Cross Medical Center · JPKaiser Permanente · USKitasato University · JPUniversity of Maryland, Baltimore · USVanderbilt University Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Microbes and Human MalignanciesZIACP010214 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI VOGTMANN, EMILY · 2010 to 2021
$5.5M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Intramural NIH HHS ZIA CP010214NCATS NIH HHS UL1 TR001863NCI NIH HHS T32 CA057726
6 · The paper itself

Abstract

backgroundThe diversity and composition of the gut microbiota may affect breast cancer risk by modulating systemic levels of oestrogens and inflammation. The current investigation tested this hypothesis in postmenopausal women by identifying breast cancer associations with an inflammation marker, oestrogen levels, and faecal microbes that were or were not coated with mucosal immunoglobulin A (IgA).

methodsIn this population-based study, we compared 48 postmenopausal breast cancer cases (75% stage 0-1, 88% oestrogen-receptor positive) to 48 contemporaneous, postmenopausal, normal-mammogram, age-matched controls. Microbiota metrics employed 16S rRNA gene amplicon sequencing from IgA-coated and -noncoated faecal microbes. High-performance liquid chromatography/mass spectrometry (HPLC/MS) and radioimmunoassay were used to quantify urine prostaglandin E metabolite (PGE-M), a possible marker of inflammation; urine oestrogens and oestrogen metabolites were quantified by HPLC/MS-MS.

resultsWomen with pre-treatment breast cancer had non-significantly elevated oestrogen levels; controls' (but not cases') oestrogens were directly correlated with their IgA-negative microbiota alpha diversity (P=0.012). Prostaglandin E metabolite levels were not associated with case status, oestrogen levels, or alpha diversity. Adjusted for oestrogens and other variables, cases had significantly reduced alpha diversity and altered composition of both their IgA-positive and IgA-negative faecal microbiota. Cases' faecal microbial IgA-positive imputed Immune System Diseases metabolic pathway genes were increased; also, cases' IgA-positive and IgA-negative imputed Genetic Information Processing pathway genes were decreased (P⩽0.01).

conclusionsCompared to controls, breast cancer cases had significant oestrogen-independent associations with the IgA-positive and IgA-negative gut microbiota. These suggest that the gut microbiota may influence breast cancer risk by altered metabolism, oestrogen recycling, and immune pressure.

Indexed as

AgedBacteriaBreast NeoplasmsChromatography, High Pressure LiquidDNA, BacterialDNA, RibosomalEstrogensFecesFemaleGastrointestinal MicrobiomeHumansImmunoglobulin AMass SpectrometryMiddle AgedPostmenopauseProstaglandins E, SyntheticDNA, BacterialDNA, RibosomalEstrogensImmunoglobulin AProstaglandins E, SyntheticRNA, Ribosomal, 16S

Identifiers

PMID29360814
PMCPMC5830593
OpenAlexW2785009486

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

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.