Evidence map›Paper›PMID 34978015›Full record

ArticleBreast cancer research and treatment2022

Neighborhood characteristics and breast tumor methylation: using epigenomics to explore cancer outcome disparities.

Jazib Gohar, Whitney L Do, Jasmine Miller-Kleinhenz, Karen Conneely, Uma Krishnamurti, Olivia D'Angelo, Keerthi Gogineni, Mylin Torres, Sheryl Gabram-Mendola, Lauren E McCullough

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Article in Breast cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Review
  3. Applying a Novel Measure of Community-Level Healthcare Access to Assess Breast Cancer Care Timeliness.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  4. Neighborhood Disinvestment Predicts Shorter Cancer Survival Time among Black Women Diagnosed with Invasive Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  5. Article
  6. Review
  7. Social Genomic Determinants of Health: Understanding the Molecular Pathways by Which Neighborhood Disadvantage Affects Cancer Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Research Silos in Cancer Disparities: Obstacles to Improving Clinical Outcomes for Underserved Patient Populations.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  12. Review
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  17. Review
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

10 authors at 2 institutions in 1 country.

Jazib GoharDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0003-4716-4232
Whitney L DoDepartment of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA.
Jasmine Miller-KleinhenzDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA.
Karen ConneelyDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Uma KrishnamurtiDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Olivia D'AngeloDepartment of Surgery, Jackson Memorial Hospital/University of Miami Miller School of Medicine, Miami, FL, 33136, USA.
Keerthi GogineniDepartment of Medical Oncology, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Mylin TorresDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Sheryl Gabram-MendolaDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Lauren E McCulloughDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA. lauren.mccullough@emory.edu.
Emory University · USUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial exposures may drive epigenetic alterations that affect racial disparities in breast cancer outcomes. This study examined the association between neighborhood-level factors and DNA methylation in non-Hispanic Black and White women diagnosed with breast cancer.

methodsGenome-wide DNA methylation was measured using the EPIC array in the tumor tissue of 96 women. Linear regression models were used to examine the association between nine neighborhood-level factors and methylation, regressing β values for each cytosine-phosphate guanine dinucleotide (CpG) site on neighborhood-level factors while adjusting for covariates. Neighborhood data were obtained from the Opportunity Atlas. We used a false discovery rate (FDR) threshold < 0.05, and for CpGs below this threshold, we examined interactions with race. We employed multivariable Cox proportional-hazards models to estimate whether aberrant methylation was associated with all-cause mortality.

results26 of the CpG sites were associated with job density or college education (FDR < 0.05). Further exploration of these 26 CpG sites revealed no interactions by race, but a single probe in TMEM204 was associated with all-cause mortality.

conclusionWe identified novel associations between neighborhood-level factors and the breast tumor DNA methylome. Our data are the first to show that dysregulation in neighborhood associated CpG sites may be associated with all-cause mortality. Neighborhood-level factors may contribute to differential tumor methylation in genes related to tumor progression and metastasis. This contributes to the increasing body of evidence that area-level factors (such as neighborhood characteristics) may play an important role in cancer disparities through modulation of the breast tumor epigenome.

Indexed as

Breast NeoplasmsEpigenomicsCpG IslandsDNA MethylationEpigenesis, GeneticFemaleGenome-Wide Association StudyHumansNeighborhood CharacteristicsBreast cancerDNA methylationMortalityRacial disparitySocial epidemiology

Identifiers

PMID34978015
OpenAlexW4205595896

What OpenQuestion holds

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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.