Evidence map›Paper›PMID 41187615›Full record

ArticleEBioMedicine2025

Prospective evaluation of circulating plasma thyroid hormones concentrations and breast cancer risk in the EPIC cohort.

Mathilde His, Agnès Fournier, Thérèse Truong, Amandine Gelot, Anne-Sophie Navionis, Carine Biessy, Pietro Ferrari, Anne Tjønneland, Rudolf Kaaks, Renée T Fortner and 17 more

Abstract read
In one paragraph

Article in EBioMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

27 authors.

Mathilde HisInternational Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France; Prevention Cancer Environment Department, Centre Leon Bérard, Lyon, France; Inserm, U1296 Unit, "Radiations: Defense, Health, Environment", Centre Leon Bérard, Lyon, France. Electronic address: mathilde.his@lyon.unicancer.fr.
Agnès FournierParis-Saclay University, UVSQ, INSERM, Gustave Roussy, CESP, 94805, Villejuif, France.
Thérèse TruongParis-Saclay University, UVSQ, INSERM, Gustave Roussy, CESP, 94805, Villejuif, France.
Amandine GelotParis-Saclay University, UVSQ, INSERM, Gustave Roussy, CESP, 94805, Villejuif, France.
Anne-Sophie NavionisInternational Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France.
Carine BiessyInternational Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France.
Pietro FerrariInternational Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France.
Anne TjønnelandDanish Cancer Institute, Strandboulevarden 49, DK-2100, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Renée T FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Department of Research, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, 14558, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany.
Giovanna MasalaClinical Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Villa delle Rose, 50139, Florence, Italy.
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133, Milan, Italy.
Rosario TuminoCancer Registry and Histopathology Department, "M.P.Arezzo" Hospital, ASP Ragusa, Ragusa, Italy.
Alberto CatalanoDepartment of Translational Medicine, University of Piemonte Orientale, Novara, Italy; Department of Clinical and Biological Sciences, Centre for Biostatistics, Epidemiology and Public Health, University of Turin, Turin, Italy.
Inger T GramDepartment of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway.
Karina Standahl OlsenDepartment of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway.
Carlota Castro-EspinUnit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Marcela GuevaraInstituto de Salud Pública y Laboral de Navarra, 31003, Pamplona, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain; Navarra Institute for Health Research (IdiSNA), 31008, Pamplona, Spain.
Amaia Aizpurua AtxegaMinistry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastian, Spain; Biogipuzkoa Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain.
María-Dolores ChilarqueCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029, Madrid, Spain; Department of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia University, Murcia, Spain.
Sandar Tin TinCancer Epidemiology Unit, Oxford Population Health, University of Oxford, Oxford, UK.
Alicia HeathCancer Epidemiology and Prevention Research Unit, School of Public Health, Imperial College London, White City Campus, 90 Wood Lane, London, W12 0BZ, UK.
Sofia ChristakoudiCancer Epidemiology and Prevention Research Unit, School of Public Health, Imperial College London, White City Campus, 90 Wood Lane, London, W12 0BZ, UK.
Elom Kouassivi AglagoCancer Epidemiology and Prevention Research Unit, School of Public Health, Imperial College London, White City Campus, 90 Wood Lane, London, W12 0BZ, UK.
Marc J GunterInternational Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France; Cancer Epidemiology and Prevention Research Unit, School of Public Health, Imperial College London, White City Campus, 90 Wood Lane, London, W12 0BZ, UK.
Sabina RinaldiInternational Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundHyperthyroidism has been associated with increased risk of breast cancer and in vitro studies have shown that thyroid hormones may influence breast tumorigenesis. We aimed to study associations between prediagnostic circulating thyroid hormone concentrations and breast cancer risk.

methodsWe evaluated associations between breast cancer risk and circulating concentrations of thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), free thyroxine (fT4), fT3/fT4 ratio, and anti-thyroid peroxidase antibody (TPO-Ab) positivity, in plasma samples from 1518 invasive breast cancer cases (diagnosed between 2 and 14 years after blood collection) and 1518 matched controls from a case-control study nested in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort using validated immunoassays. Conditional logistic regression models were used to evaluate associations with breast cancer, with adjustment for established breast cancer risk factors.

findingsIn fully adjusted models, fT3 (OR

interpretationIn this large-scale study, higher prediagnostic circulating fT3 and fT4 concentrations were associated with increased breast cancer risk, particularly for HER2-positive tumours. Confirming these findings is critical to achieving a better understanding of the associations between thyroid function and breast cancer risk, which may inform personalised prevention.

fundingThis work was funded by the French National Cancer Institute (grant number 2018-118).

Indexed as

Breast NeoplasmsThyroid HormonesAdultAgedAutoantibodiesBiomarkers, TumorCase-Control StudiesFemaleHumansMiddle AgedProspective StudiesRisk FactorsThyrotropinThyroxineAutoantibodiesBiomarkers, TumorThyroid HormonesThyrotropinThyroxineBreast cancerProspective studyThyroid hormonesThyroid-stimulating hormone

Identifiers

PMID41187615
PMCPMC12629916

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.