Evidence map›Paper›PMID 37254150›Full record

ReviewBreast cancer research : BCR2023

Progesterone from ovulatory menstrual cycles is an important cause of breast cancer.

Herjan J T Coelingh Bennink, Iman J Schultz, Marcus Schmidt, V Craig Jordan, Paula Briggs, Jan F M Egberts, Kristina Gemzell-Danielsson, Ludwig Kiesel, Kirsten Kluivers, Jan Krijgh and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Breast cancer research : BCR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Rat Models of Hormone Receptor-Positive Breast Cancer.Journal of mammary gland biology and neoplasia · 2024
    Review
  13. Review
  14. Article
  15. In-utero exposure to polybrominated biphenyl (PBB) and menstrual cycle function in adulthood.International journal of hygiene and environmental health · 2024
    Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 6 countries.

Herjan J T Coelingh BenninkPantarhei Bioscience BV, P.O. Box 464, 3700 AL, Zeist, The Netherlands. hcb@pantarheibio.com.
Iman J SchultzPantarhei Bioscience BV, P.O. Box 464, 3700 AL, Zeist, The Netherlands.
Marcus SchmidtDepartment of Obstetrics and Gynaecology, University Medical Center Mainz, Mainz, Germany.
V Craig JordanDepartment of Breast Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Paula BriggsSexual and Reproductive Health, Liverpool Women's NHS Foundation Trust, Liverpool, UK.
Jan F M EgbertsTerminal 4 Communications, Hilversum, The Netherlands.
Kristina Gemzell-DanielssonDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Ludwig KieselDepartment of Gynaecology and Obstetrics, University of Münster, Münster, Germany.
Kirsten KluiversDepartment of Obstetrics and Gynaecology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Jan KrijghPantarhei Bioscience BV, P.O. Box 464, 3700 AL, Zeist, The Netherlands.
Tommaso SimonciniDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Frank Z Stanczyk *Department of Obstetrics and Gynaecology, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA.
Robert D Langer *Department of Family Medicine and Public Health, University of California San Diego School of Medicine, San Diego, CA, USA.
Pantarhei Bioscience (Netherlands) · NLJohannes Gutenberg University Mainz · DEKarolinska Institutet · SELiverpool Womens NHS Foundation Trust · GBRadboud University Medical Center · NLThe University of Texas MD Anderson Cancer Center · USUniversity of California, San Diego · USUniversity of Münster · DEUniversity of Pisa · ITUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many factors, including reproductive hormones, have been linked to a woman's risk of developing breast cancer (BC). We reviewed the literature regarding the relationship between ovulatory menstrual cycles (MCs) and BC risk. Physiological variations in the frequency of MCs and interference with MCs through genetic variations, pathological conditions and or pharmaceutical interventions revealed a strong link between BC risk and the lifetime number of MCs. A substantial reduction in BC risk is observed in situations without MCs. In genetic or transgender situations with normal female breasts and estrogens, but no progesterone (P4), the incidence of BC is very low, suggesting an essential role of P4. During the MC, P4 has a strong proliferative effect on normal breast epithelium, whereas estradiol (E2) has only a minimal effect. The origin of BC has been strongly linked to proliferation associated DNA replication errors, and the repeated stimulation of the breast epithelium by P4 with each MC is likely to impact the epithelial mutational burden. Long-lived cells, such as stem cells, present in the breast epithelium, can carry mutations forward for an extended period of time, and studies show that breast tumors tend to take decades to develop before detection. We therefore postulate that P4 is an important factor in a woman's lifetime risk of developing BC, and that breast tumors arising during hormonal contraception or after menopause, with or without menopausal hormone therapy, are the consequence of the outgrowth of pre-existing neoplastic lesions, eventually stimulated by estrogens and some progestins.

Indexed as

Breast NeoplasmsProgesteroneEstradiolEstrogensFemaleHumansMenstrual CyclePharmaceutical PreparationsEstradiolEstrogensPharmaceutical PreparationsProgesteroneBreast cancerDNA replicationEstrogensMenstrual cyclesProgesteroneTumor doubling timeWNT4

Identifiers

PMID37254150
PMCPMC10228093
OpenAlexW4378782878

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.