Evidence map›Paper›PMID 30083950›Full record

ArticleBreast cancer research and treatment2018

Pro-inflammatory cytokines and growth factors in human milk: an exploratory analysis of racial differences to inform breast cancer etiology.

Jeanne Murphy, Ruth M Pfeiffer, Brittny C Davis Lynn, Ana I Caballero, Eva P Browne, Elizabeth C Punska, Hannah P Yang, Roni T Falk, Douglas L Anderton, Gretchen L Gierach and 2 more

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Lactation and cardiovascular health: A comprehensive review.American heart journal plus : cardiology research and practice · 2025
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Humoral and Cell-Mediated Immune Response in Colostrum from Women Diagnosed Positive for SARS-CoV-2.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021
    Article
  10. Review
  11. Review
  12. Review
  13. Article
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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

12 authors at 5 institutions in 1 country.

Jeanne MurphyGeorge Washington University School of Nursing, 1919 Pennsylvania Ave NW, Suite 500, Washington, DC, 20006, USA. jeannemurphy@gwu.edu.ORCID http://orcid.org/0000-0002-2460-7670
Ruth M PfeifferDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Brittny C Davis LynnDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Ana I CaballeroDepartment of Veterinary and Animal Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Eva P BrowneDepartment of Veterinary and Animal Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Elizabeth C PunskaDepartment of Veterinary and Animal Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Hannah P YangDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Roni T FalkDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Douglas L AndertonDepartment of Sociology, Sloan College, University of South Carolina, Columbia, SC, USA.
Gretchen L GierachDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Kathleen F ArcaroDepartment of Veterinary and Animal Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Mark E ShermanDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
National Cancer Institute · USUniversity of Massachusetts Amherst · USGeorge Washington University · USMayo Clinic in Florida · USUniversity of South Carolina · US

Funding

Hormone-Related CancersZIACP010126 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI GIERACH, GRETCHEN · 2009 to 2025
$103.5M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA CP010126NCI NIH HHS ZIA CP010126-16
6 · The paper itself

Abstract

backgroundAnalysis of cytokines and growth factors in human milk offers a noninvasive approach for studying the microenvironment of the postpartum breast, which may better reflect tissue levels than testing blood samples. Given that Black women have a higher incidence of early-onset breast cancers than White women, we hypothesized that milk of the former contains higher levels of pro-inflammatory cytokines, adipokines, and growth factors.

methodsParticipants included 130 Black and 162 White women without a history of a breast biopsy who completed a health assessment questionnaire and donated milk for research. Concentrations of 15 analytes in milk were examined using two multiplex and 4 single-analyte electrochemiluminescent sandwich assays to measure pro-inflammatory cytokines, angiogenesis factors, and adipokines. Mixed-effects ordinal logistic regression was used to identify determinants of analyte levels and to compare results by race, with adjustment for confounders. Factor analysis was used to examine covariation among analytes.

resultsThirteen of 15 analytes were detected in ≥ 25% of the human milk specimens. In multivariable models, elevated BMI was significantly associated with increased concentrations of 5 cytokines: IL-1β, bFGF, FASL, EGF, and leptin (all p-trend < 0.05). Black women had significantly higher levels of leptin and IL-1β, controlling for BMI. Factor analysis of analyte levels identified two factors related to inflammation and growth factor pathways.

conclusionThis exploratory study demonstrated the feasibility of measuring pro-inflammatory cytokines, adipokines, and angiogenesis factors in human milk, and revealed higher levels of some pro-inflammatory factors, as well as increased leptin levels, among Black as compared with White women.

Indexed as

AdultBiopsyBlack or African AmericanBreast NeoplasmsCytokinesFas Ligand ProteinFemaleFibroblast Growth FactorsHumansIntercellular Signaling Peptides and ProteinsInterleukin-1betaLeptinMilk, HumanPostpartum PeriodWhite PeopleCytokinesFASLG protein, humanFas Ligand ProteinFibroblast Growth FactorsIntercellular Signaling Peptides and ProteinsInterleukin-1betaLeptinBreast cancer riskHuman milkPreventionRace

Identifiers

PMID30083950
PMCPMC6191357
OpenAlexW2886722255

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.