Evidence map›Paper›PMID 30157950›Full record

ArticleClinical epigenetics2018

Increased epigenetic age in normal breast tissue from luminal breast cancer patients.

Erin W Hofstatter, Steve Horvath, Disha Dalela, Piyush Gupta, Anees B Chagpar, Vikram B Wali, Veerle Bossuyt, Anna Maria Storniolo, Christos Hatzis, Gauri Patwardhan and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical epigenetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  6. Molecular underpinnings of induced degenerative heterogeneity in the retinal pigment epithelium.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  16. Current status and challenges of breast cancer prevention~DNA methylation would lead to groundbreaking progress in breast cancer prevention~.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2023
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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

18 authors at 4 institutions in 2 countries.

Erin W HofstatterDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA. erin.hofstatter@yale.edu.ORCID 0000-0002-0908-8841
Steve HorvathDepartment of Human Genetics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Disha DalelaDepartment of Pharmacology, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Piyush GuptaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, 10065, USA.
Anees B ChagparDepartment of Surgery, Yale School of Medicine, 330 Cedar Street, New Haven, CT, 06511, USA.
Vikram B WaliDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA.
Veerle BossuytDepartment of Pathology, Yale School of Medicine, 330 Cedar Street, New Haven, CT, 06511, USA.
Anna Maria StornioloDepartment of Internal Medicine, Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN, 46202, USA.
Christos HatzisDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA.
Gauri PatwardhanDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA.
Marie-Kristin Von WahldeDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA.
Meghan ButlerDepartment of Pharmacology, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Lianne EpsteinDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA.
Karen StavrisDepartment of Pharmacology, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Tracy SturrockDepartment of Pharmacology, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Alexander AuDepartment of Pharmacology, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Stephanie KweiDepartment of Pharmacology, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Lajos PusztaiDepartment of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, 300 George Street, Suite 120, New Haven, CT, 06511, USA.
Yale University · USIndiana University Health · USMemorial Sloan Kettering Cancer Center · USUniversity of California, Los Angeles · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Systems genetic and reverse phenotypic analysis of age and retirementR01AG042511 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HORVATH, STEVE · 2013 to 2016
$1.3M
High Performance Computing Instrumentation for the Yale Center for Genome AnalysisS10OD030363 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2022 to 2022
$1.2M
The epiGenetIcs Leads to aGe-relAted diseases (GILGA-mesh) NetworkU34AG051425 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HORVATH, STEVE · 2015 to 2017
$954k
High Performance Computing Instrumentation for the Yale Center for Genome AnalysiS10OD018521 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2015 to 2015
$890k
NCI NIH HHS P30 CA008748NIA NIH HHS R01 AG042511NIA NIH HHS U34 AG051425NIH HHS S10 OD018521NIH HHS S10 OD030363
6 · The paper itself

Abstract

backgroundAge is one of the most important risk factors for developing breast cancer. However, age-related changes in normal breast tissue that potentially lead to breast cancer are incompletely understood. Quantifying tissue-level DNA methylation can contribute to understanding these processes. We hypothesized that occurrence of breast cancer should be associated with an acceleration of epigenetic aging in normal breast tissue.

resultsNinety-six normal breast tissue samples were obtained from 88 subjects (breast cancer = 35 subjects/40 samples, unaffected = 53 subjects/53 samples). Normal tissue samples from breast cancer patients were obtained from distant non-tumor sites of primary mastectomy specimens, while samples from unaffected women were obtained from the Komen Tissue Bank (n = 25) and from non-cancer-related breast surgery specimens (n = 28). Patients were further stratified into four cohorts: age < 50 years with and without breast cancer and age ≥ 50 with and without breast cancer. The Illumina HumanMethylation450k BeadChip microarray was used to generate methylation profiles from extracted DNA samples. Data was analyzed using the "Epigenetic Clock," a published biomarker of aging based on a defined set of 353 CpGs in the human genome. The resulting age estimate, DNA methylation age, was related to chronological age and to breast cancer status. The DNAmAge of normal breast tissue was strongly correlated with chronological age (r = 0.712, p < 0.001). Compared to unaffected peers, breast cancer patients exhibited significant age acceleration in their normal breast tissue (p = 0.002). Multivariate analysis revealed that epigenetic age acceleration in the normal breast tissue of subjects with cancer remained significant after adjusting for clinical and demographic variables. Additionally, smoking was found to be positively correlated with epigenetic aging in normal breast tissue (p = 0.012).

conclusionsWomen with luminal breast cancer exhibit significant epigenetic age acceleration in normal adjacent breast tissue, which is consistent with an analogous finding in malignant breast tissue. Smoking is also associated with epigenetic age acceleration in normal breast tissue. Further studies are needed to determine whether epigenetic age acceleration in normal breast tissue is predictive of incident breast cancer and whether this mediates the risk of chronological age on breast cancer risk.

Indexed as

CpG IslandsDNA MethylationAdultAge FactorsBreastBreast NeoplasmsCase-Control StudiesEpigenesis, GeneticFemaleHigh-Throughput Nucleotide SequencingHumansMiddle AgedSequence Analysis, DNATissue BanksBiomarkersBreastBreast neoplasmsDNA methylationEpigeneticsEpigenomicsGenomeHumansMultivariate analysisSmoking

Identifiers

PMID30157950
PMCPMC6114717
OpenAlexW2889199419

What OpenQuestion holds

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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.