Evidence map›Paper›PMID 33004039›Full record

ArticleBreast cancer research : BCR2020

Association between indicators of systemic inflammation biomarkers during puberty with breast density and onset of menarche.

Karin B Michels, Kristen Keller, Ana Pereira, Claire E Kim, José L Santos, John Shepherd, Camila Corvalan, Alexandra M Binder

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

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  6. A Bibliometric Analysis of Global Research Trends in Psoriasis and Metabolic Syndrome.Clinical, cosmetic and investigational dermatology · 2024
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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

8 authors at 6 institutions in 3 countries.

Karin B MichelsDepartment of Epidemiology, Fielding School of Public Health, University of California, 650 Charles Young Drive South, Room 71-264 CHS, Los Angeles, CA, 90095, USA. k.michels@ucla.edu.ORCID 0000-0001-5137-5505
Kristen KellerDepartment of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, USA.
Ana PereiraInstitute of Nutrition and Food Technology, University of Chile, Santiago, Chile.
Claire E KimDepartment of Epidemiology, Fielding School of Public Health, University of California, 650 Charles Young Drive South, Room 71-264 CHS, Los Angeles, CA, 90095, USA.
José L SantosDepartment of Nutrition, Diabetes and Metabolism, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
John ShepherdPopulation Sciences in the Pacific Program (Cancer Epidemiology), University of Hawai'i Cancer Center, University of Hawai'i, Honolulu, HI, USA.
Camila CorvalanInstitute of Nutrition and Food Technology, University of Chile, Santiago, Chile.
Alexandra M BinderDepartment of Epidemiology, Fielding School of Public Health, University of California, 650 Charles Young Drive South, Room 71-264 CHS, Los Angeles, CA, 90095, USA.
University of Chile · CLUniversity of Hawaii System · USFielding Graduate University · USPontificia Universidad Católica de Chile · CLUniversity of California, Los Angeles · USUniversity of Freiburg · DE

Funding

TRPA1 Physiology in Diabetes, Metabolic Syndrome, and MetabolismP20GM113134 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI Michael A. Ortega · 2017 to 2026
$21.5M
Predictors of Mammary Gland Development & Breast Fibroglandular Volume at pubertyR01CA158313 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MICHELS, KARIN B · 2012 to 2015
$1.9M
Epigenetic Age as a Marker of Reproductive Age and Modifier of Invasive Breast Cancer Risk Among Postmenopausal WomenK07CA225856 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI BINDER, ALEXANDRA MARGARET LYNN · 2018 to 2020
$468k
FONDECYT 11170670NCI NIH HHS K07 CA225856NCI NIH HHS R01 CA158313NIGMS NIH HHS P20 GM113134PCI Proyecto REDI170060World Cancer Research Fund 2010/245
6 · The paper itself

Abstract

backgroundSystemic inflammation may play a role in shaping breast composition, one of the strongest risk factors for breast cancer. Pubertal development presents a critical window of breast tissue susceptibility to exogenous and endogenous factors, including pro-inflammatory markers. However, little is known about the role of systemic inflammation on adolescent breast composition and pubertal development among girls.

methodsWe investigated associations between circulating levels of inflammatory markers (e.g., interleukin-6 (IL-6), tumor necrosis factor receptor 2 (TNFR2), and C-reactive protein (CRP)) at Tanner stages 2 and 4 and breast composition at Tanner stage 4 in a cohort of 397 adolescent girls in Santiago, Chile (Growth and Obesity Cohort Study, 2006-2018). Multivariable linear models were used to examine the association between breast composition and each inflammatory marker, stratifying by Tanner stage at inflammatory marker measurement. Accelerated failure time models were used to evaluate the association between inflammatory markers concentrations at each Tanner stage and time to menarche.

resultsIn age-adjusted linear regression models, a doubling of TNFR2 at Tanner 2 was associated with a 26% (95% CI 7-48%) increase in total breast volume at Tanner 4 and a 22% (95% CI 10-32%) decrease of fibroglandular volume at Tanner 4. In multivariable models further adjusted for body fatness and other covariates, these associations were attenuated to the null. The time to menarche was 3% (95% CI 1-5%) shorter among those in the highest quartile of IL-6 at Tanner 2 relative to those in the lowest quartile in fully adjusted models. Compared to those in the lowest quartile of CRP at Tanner 4, those in the highest quartile experienced 2% (95% CI 0-3%) longer time to menarche in multivariable models.

conclusionsSystemic inflammation during puberty was not associated with breast volume or breast density at the conclusion of breast development among pubertal girls after adjusting for body fatness; however, these circulating inflammation biomarkers, specifically CRP and IL-6, may affect the timing of menarche onset.

Indexed as

Breast DensityMenarchePubertyBiomarkersBreastChildCohort StudiesC-Reactive ProteinFemaleHumansInflammationInterleukin-6Receptors, Tumor Necrosis Factor, Type IIRisk FactorsSexual MaturationBiomarkersC-Reactive ProteinIL6 protein, humanInterleukin-6Receptors, Tumor Necrosis Factor, Type IIAdiposityBreast CancerBreast densityC-reactive proteinInterleukin-6MenarchePubertySystemic inflammationTumor necrosis factor receptor 2

Identifiers

PMID33004039
PMCPMC7531086
OpenAlexW3091245608

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.