CPQ Cancer (2019) 1:5
Editorial

Breast-Cancer: The Environment in Which You Grow Before Born Matters


Raquel Santana da Cruz

Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, USA

*Correspondence to: Dr. Raquel Santana da Cruz, Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, USA.

Copyright © 2019 Dr. Raquel Santana da Cruz. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 29 December 2018
Published: 02 January 2019

Keywords: Breast Cancer; Somatic Mutations

Breast cancer is a global public health problem [1]. It is the most common cancer in American women, being the second leading cause of cancer-related death in this group. Strategies to reduce breast cancer risk should become a major priority since this could substantially reduce death numbers, treatment cost along with providing quality health benefits [2].

The breast cancer risk development can be acquired through germline mutation. Somatic mutations cause approximately 80% of all breast cancer [3]. Recently, their growing field research has proposed that the risk of developing breast cancer may have a fetal origin, namely, that exposure to a variety of environmental chemicals such as, some pesticides during critical periods of development can influence the epigenome - the non-coding alterations that affect DNA and thus influence gene expression - which might programming the cells and tissues to metabolic dysfunction and/or breast cancer development across their lifespan [4].

Furthermore, nutrition status can, also, severely impact fetal growth and subsequent risk of developing breast cancer in adult life [5-7]. Experimental evidence has shown that nutrition status flows across generation: Daughters from parents that consume a high-fat diet may have a higher breast cancer risk. More recently, paternal malnutrition induced metabolic changes in early-life and dysfunction of amino acids metabolism in offspring mammary tumours [8].

There is clear evidence that exposure to environmental chemicals, nutrition status and life-style during the window of development can increase breast cancer risk.

How can we decrease or eliminate breast cancer risk? When we realize that the future’s not only in our genes, but also in our day-to-day.

Adoption of a healthy lifestyle, involving diet and exercise, could decrease breast cancer risk.

Bibliography

  1. Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., et al. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in LOBOCAN 2012. Int J Cancer., 136(5), E359-86.
  2. American Cancer Society. 2017.
  3. Encinas, G., Sabelnykova, V. Y., de Lyra, E. C., Hirata Katayama, M. L., Maistro, S., et al. (2018). Somatic mutations in early onset luminal breast cancer. Oncotarget, 9(32), 22460-22479.
  4. Hill, J. & Hodsdon, W. (2014). In utero exposure and breast cancer development: an epigenetic perspective. J Environ Pathol Toxicol Oncol., 33(3), 239-245.
  5. Hilakivi-Clarke, L., et al. (2002). Dietary modulation of pregnancy estrogen levels and breast cancer risk among female rat offspring. Clin Cancer Res., 8(11), 3601-3610.
  6. de Assis, S., Khan, G. & Hilakivi-Clarke, L. (2006). High birth weight increases mammary tumorigenesis in rats. Int J Cancer., 119(7), 1537-1546.
  7. Lane, M., et al. (2015). Peri-conception parental obesity, reproductive health, and transgenerational impacts. Trends Endocrinol Metab., 26(2), 84-90.
  8. da Cruz, R. S., Carney, E. J., Clarke, J., et al. (2018). Paternal malnutrition programs breast cancer risk and tumor metabolism in offspring. Breast Cancer Res., 20(1), 99.

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