Evidence map›Paper›PMID 33599865›Full record

ArticleBreast cancer research and treatment2021

Associations of one-carbon metabolism-related gene polymorphisms with breast cancer risk are modulated by diet, being higher when adherence to the Mediterranean dietary pattern is low.

Shang Cao, Zheng Zhu, Jinyi Zhou, Wei Li, Yunqiu Dong, Yun Qian, Pingmin Wei, Ming Wu

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In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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 3 institutions in 2 countries.

Shang Cao *Department of Epidemiology and Health Statistics, Southeast University, , Dingjiaqiao Road 87th, Nanjing 210009, Jiangsu, Nanjing, China.
Zheng Zhu *Department of Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Jinyi ZhouDepartment of Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Wei LiDepartment of Epidemiology and Health Statistics, Southeast University, , Dingjiaqiao Road 87th, Nanjing 210009, Jiangsu, Nanjing, China.
Yunqiu DongDepartment of Health Promotion and Chronic Non-Communicable Disease Control, Wuxi Center for Disease Control and Prevention, Wuxi, China.
Yun QianDepartment of Health Promotion and Chronic Non-Communicable Disease Control, Wuxi Center for Disease Control and Prevention, Wuxi, China.
Pingmin WeiDepartment of Epidemiology and Health Statistics, Southeast University, , Dingjiaqiao Road 87th, Nanjing 210009, Jiangsu, Nanjing, China. mpw1963@126.com.
Ming WuDepartment of Epidemiology and Health Statistics, Southeast University, , Dingjiaqiao Road 87th, Nanjing 210009, Jiangsu, Nanjing, China. mingwu@seu.edu.cn.ORCID http://orcid.org/0000-0002-8798-0288
Southeast University · CNJiangsu Provincial Center for Disease Control and Prevention · CNSoutheast University · BD

Funding

World Cancer Research Fund 2011/RFA/473Wuxi Young Medical Talents QNRC035
6 · The paper itself

Abstract

purposeBreast cancer is more likely attributed to a combination of genetic variations and lifestyle factors. Both one-carbon metabolism and diet-related factors could interfere with the carcinogenesis of breast cancer (BC), but whether diet consumed underlie a specific metabolism pathway could influence the impact of genetic variants on breast cancer risk remains equivocal.

methodsA case-control study of the Chinese female population (818 cases, 935 controls). 13 SNPs in eight one-carbon metabolism-related genes (MTHFD1, TYMS, MTRR, MAT2B, CDO1, FOLR1, UNG2, ADA) were performed. Diet was assessed by a validated food-frequency questionnaire. We examined the associations of the adherence to the Mediterranean dietary pattern (MDP) and single-nucleotide polymorphisms (SNPs) of one-carbon metabolism with breast cancer risk. We constructed an aggregate polygenic risk score (PRS) to test the additive effects of genetic variants and analyzed the gene-diet interactions.

resultsHigh adherence (highest quartile) to the MDP decreased the risk of breast cancer among post- but not premenopausal women, respectively (OR = 0.54, 95% CI = 0.38 to 0.78 and 0.90, 0.53 to 1.53). Neither of the polymorphisms or haplotypes was associated with breast cancer risk, irrespective of menopause. However, a high PRS (highest quartile) was associated with more than a doubling risk in both post- and premenopausal women, respectively (OR = 1.95, 95% CI = 1.32 to 2.87 and 2.09, 1.54 to 2.85). We found a gene-diet interaction with adherence to the MDP for aggregate PRS (P-interaction = 0.000) among postmenopausal women. When adherence to the MDP was low (< median), carries with high PRS (highest quartile) had higher BC risk (OR = 2.80, 95% CI = 1.55 to 5.07) than low PRS (lowest quartile), while adherence to the MDP was high (≥ median), the association disappeared (OR = 1.57, 95% CI = 0.92 to 2.66).

conclusionHigh adherence to the MDP may counteract the genetic predisposition associated with one-carbon metabolism on breast cancer risk in postmenopausal women.

Indexed as

Breast NeoplasmsDiet, MediterraneanCarbonCase-Control StudiesDietFemaleGenetic Predisposition to DiseaseHumansPolymorphism, Single NucleotideRisk FactorsCarbonBreast cancerMediterranean dietary pattern (MDP)One-carbon metabolismPolygenic risk score (PRS)Single-nucleotide polymorphisms (SNPs)

Identifiers

PMID33599865
OpenAlexW3189436324

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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.