Evidence map›Paper›PMID 33649363›Full record

ArticleNPJ breast cancer2021

Effects of obesity on breast aromatase expression and systemic metabo-inflammation in women with BRCA1 or BRCA2 mutations.

Neil M Iyengar, Xi Kathy Zhou, Hillary Mendieta, Omar El-Hely, Dilip D Giri, Lisle Winston, Domenick J Falcone, Hanhan Wang, Lingsong Meng, Taehoon Ha and 3 more

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Breast Cancer and Metabolic Dysfunction-Associated Steatotic Liver Disease.International journal of molecular sciences · 2026
    Review
  2. Article
  3. Complex Interplay Between Obesity and BRCA1/2-Associated Breast Cancer: An Overview.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
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

13 authors at 3 institutions in 2 countries.

Neil M IyengarDepartments of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-9773-5235
Xi Kathy ZhouDepartments of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.ORCID http://orcid.org/0000-0002-8942-439X
Hillary MendietaDepartments of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Omar El-HelyDepartments of Medicine, Weill Cornell Medical College, New York, NY, USA.
Dilip D GiriDepartments of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lisle WinstonDepartments of Medicine, Weill Cornell Medical College, New York, NY, USA.
Domenick J FalconeDepartments of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Hanhan WangDepartments of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.
Lingsong MengDepartments of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.ORCID http://orcid.org/0000-0003-4456-1902
Taehoon HaDepartments of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.ORCID http://orcid.org/0000-0002-4533-1140
Michael PollakDepartments of Medicine and Oncology, McGill University, Montreal, QC, Canada.
Monica MorrowDepartments of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andrew J DannenbergDepartments of Medicine, Weill Cornell Medical College, New York, NY, USA. ajdannen@med.cornell.edu.ORCID http://orcid.org/0000-0002-1901-6497
Cornell University · USMemorial Sloan Kettering Cancer Center · USMcGill University · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Project 3: Physical and Metabolic Constraints of Cancer Cell InvasionU54CA210184 · NCI · CORNELL UNIVERSITY · PI CERIONE, RICHARD A. · 2016 to 2020
$10.2M
Obesity Increases Breast Cancer Penetrance in BRCA Mutation Carriers: A Role for Local and Systemic FactorsR01CA215797 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI BROWN, KRISTY A. · 2017 to 2021
$2.6M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA215797NCI NIH HHS U54 CA210184U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01CA215797-01U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U54 CA210184-01
6 · The paper itself

Abstract

Obesity is associated with an increased risk of breast cancer in post-menopausal women and decreased risk in pre-menopausal women. Conversely, in BRCA1/2 mutation carriers, pre-menopausal obesity is associated with early-onset breast cancer. Here we show that obese, pre-menopausal BRCA1/2 mutation carriers have increased levels of aromatase and inflammation in the breast, as occurs in post-menopausal women. In a prospective cohort study of 141 women with germline BRCA1 (n = 74) or BRCA2 (n = 67) mutations, leptin, and aromatase expression were higher in the breast tissue of obese versus lean individuals (P < 0.05). Obesity was associated with breast white adipose tissue inflammation, which correlated with breast aromatase levels (P < 0.01). Circulating C-reactive protein, interleukin-6, and leptin positively correlated with body mass index and breast aromatase levels, whereas negative correlations were observed for adiponectin and sex hormone-binding globulin (P < 0.05). These findings could help explain the increased risk of early-onset breast cancer in obese BRCA1/2 mutation carriers.

Identifiers

PMID33649363
PMCPMC7921427
OpenAlexW3135423629

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.