Evidence map›Paper›PMID 36209141›Full record

ArticleBreast cancer research : BCR2022

Sex steroid hormones and risk of breast cancer: a two-sample Mendelian randomization study.

Aayah Nounu, Siddhartha P Kar, Caroline L Relton, Rebecca C Richmond

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
12.9field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  7. Observational
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  9. The association betweenFrontiers in genetics · 2026
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  15. Causal Effects of Breast Cancer Risk Factors across Hormone Receptor Breast Cancer Subtypes: A Two-Sample Mendelian Randomization Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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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

4 authors at 1 institution in 1 country.

Aayah NounuMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK. an0435@bristol.ac.uk.ORCID 0000-0002-3579-1864
Siddhartha P KarMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Caroline L ReltonMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Rebecca C RichmondMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
University of Bristol · GB

Funding

Cancer Research UK 29019Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MR/T043202/1
6 · The paper itself

Abstract

backgroundBreast cancer (BC) has the highest cancer incidence and mortality in women worldwide. Observational epidemiological studies suggest a positive association between testosterone, estradiol, dehydroepiandrosterone sulphate (DHEAS) and other sex steroid hormones with postmenopausal BC. We used a two-sample Mendelian randomization analysis to investigate this association.

methodsGenetic instruments for nine sex steroid hormones and sex hormone-binding globulin (SHBG) were obtained from genome-wide association studies (GWAS) of UK Biobank (total testosterone (TT) N: 230,454, bioavailable testosterone (BT) N: 188,507 and SHBG N: 189,473), The United Kingdom Household Longitudinal Study (DHEAS N: 9722), the LIFE-Adult and LIFE-Heart cohorts (estradiol N: 2607, androstenedione N: 711, aldosterone N: 685, progesterone N: 1259 and 17-hydroxyprogesterone N: 711) and the CORtisol NETwork (CORNET) consortium (cortisol N: 25,314). Outcome GWAS summary statistics were obtained from the Breast Cancer Association Consortium (BCAC) for overall BC risk (N: 122,977 cases and 105,974 controls) and subtype-specific analyses.

resultsWe found that a standard deviation (SD) increase in TT, BT and estradiol increased the risk of overall BC (OR 1.14, 95% CI 1.09-1.21, OR 1.19, 95% CI 1.07-1.33 and OR 1.03, 95% CI 1.01-1.06, respectively) and ER + BC (OR 1.19, 95% CI 1.12-1.27, OR 1.25, 95% CI 1.11-1.40 and OR 1.06, 95% CI 1.03-1.09, respectively). An SD increase in DHEAS also increased ER + BC risk (OR 1.09, 95% CI 1.03-1.16). Subtype-specific analyses showed similar associations with ER+ expressing subtypes: luminal A-like BC, luminal B-like BC and luminal B/HER2-negative-like BC.

conclusionsTT, BT, DHEAS and estradiol increase the risk of ER+ type BCs similar to observational studies. Understanding the role of sex steroid hormones in BC risk, particularly subtype-specific risks, highlights the potential importance of attempts to modify and/or monitor hormone levels in order to prevent BC.

Indexed as

Breast NeoplasmsSex Hormone-Binding Globulin17-alpha-HydroxyprogesteroneAdultAldosteroneAndrostenedioneDehydroepiandrosterone SulfateEstradiolFemaleGenome-Wide Association StudyGonadal Steroid HormonesHumansHydrocortisoneLongitudinal StudiesMendelian Randomization AnalysisProgesterone17-alpha-HydroxyprogesteroneAldosteroneAndrostenedioneDehydroepiandrosterone SulfateEstradiolGonadal Steroid HormonesHydrocortisoneProgesteroneSex Hormone-Binding GlobulinTestosteroneBreast cancerMendelian randomizationSex steroid hormones

Identifiers

PMID36209141
PMCPMC9548139
OpenAlexW4303650495

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.