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Risk of breast cancer recurrence associated with carbohydrate intake and tissue expression of IGFI receptor.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Emond, Jennifer A. Pierce, John P. Natarajan, Loki Gapuz, Laarni R. Nguyen, John Parker, Barbara A. Varki, Nissi M. Patterson, Ruth E.
Description	Author Affiliation: Emond JA ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine); Pierce JP ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine); Natarajan L ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine); Gapuz LR ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine); Nguyen J ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine); Parker BA ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine); Varki NM ( Department of Pathology, University of California, San Diego, La Jolla, California.); Patterson RE ( Authors' Affiliations: Cancer Prevention and Control Program, Moores UCSD Cancer Center, Department of Family and Preventive Medicine)
Abstract	BACKGROUND: The insulin-like growth factor-I (IGFI) receptor is a potential target for breast cancer treatment and may be influenced by dietary intake. METHODS: Nested, case-control study of 265 postmenopausal breast cancer survivors; primary breast cancer tissue was stained to determine IGFI receptor status. Change in carbohydrate intake from baseline to year 1 of study was estimated from 24-hour dietary recalls. Breast cancer recurrence cases (91) were matched to two controls (n = 174) on disease and study characteristics and counter matched on change in carbohydrate intake. Weighted conditional logistic regression models fit the risk of recurrence on IGFI receptor status and dietary change. RESULTS: Half of the tumors were IGFI receptor positive. Increased risk of recurrence was associated with IGFI receptor-positive status [HR 1.7; 95% confidence interval (CI), 1.2-2.5] and, separately, with a stable/increased intake of carbohydrates (HR 2.0; 95% CI, 1.3-5.0). There was a borderline significant interaction between those two variables (P = 0.11). Specifically, carbohydrate intake had no significant impact on risk of recurrence among women who were receptor negative, yet increased the risk of recurrence by more than 5-fold among women who were receptor positive (HR 5.5; 95% CI, 1.8-16.3). CONCLUSIONS: Among women whose tumor tissue is positive for the IGFI receptor, reducing carbohydrate intake after diagnosis could reduce the risk of breast cancer recurrence. These findings need replication in a larger sample. IMPACT: This is the first study to suggest that it may be possible to personalize dietary recommendations for breast cancer survivors based on molecular characteristics of their primary tumor tissue. .
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
DOI	10.1158/1055-9965.EPI-13-1218
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	7
Volume Number	23
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2014-07-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology Breast Neoplasms Pathology Dietary Carbohydrates Neoplasm Recurrence, Local Epidemiology Receptor, Igf Type 1 Metabolism Case-control Studies Immunohistochemistry Risk Factors Survivors Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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