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ABSTRACT: An Evaluation of Plasma Antioxidant Levels and the Risk
of Breast Cancer: A Pilot Case Control Study
[02/12/2001; The Breast]
Antioxidant micronutrients found in fruits and vegetables have been shown
in numerous studies to be protective against cancer. There is
limited information on the relationship between blood antioxidant
micronutrient levels and cancer among ethnic minorities. We conducted
a pilot case-control study to evaluate the potential for accrual
to a study of the association of plasma levels of b-carotene,
retinol, lycopene, a-tocopherol, and g-tocopherol with breast
cancer risk among African American and Caucasian women seen at
a large university medical center in Detroit.
Cases included
women with newly diagnosed invasive breast cancer who had not
yet had any cancer-related therapy and who were age-matched to
controls within 5 years. Plasma levels of micronutrients were
analyzed by high-pressure liquid chromatography. Compared to
the expected accrual based on cancer registry data, only 26%
(11/42) of African American women with breast cancer enrolled,
while 100% (16/16) of Caucasian cases enrolled.
Control women
were quickly accrued with only a 6% refusal rate. Among African
American women, there was a weak inverse association between
plasma lycopene levels and breast cancer risk, with a mean level
of 0.17 mmol/L (SD = 0.18) among cases, and 0.24 mmol/L (SD =
0.18) among controls (p = 0.09). There was a weak direct association
between plasma retinol levels and breast cancer risk among African
American women, with a mean retinol level of 2.37 mmol/L (SD
= 0.73) among cases and 1.98 mmol/L (SD = 0.49) among controls
(p = 0.132). The interaction effect of race and lycopene was
statistically significant (p = 0.048).
Among the lowest lycopene
tertile, the risk of breast cancer among Caucasian women was
0.76 and the risk of breast cancer among African American women
was 2.29, although these odds ratios were not statistically significant.
Our recruitment efforts were largely successful among Caucasian
cases and controls, and African American controls, but were unsuccessful
among African American cases.
The results suggest a possible
relationship between plasma lycopene level and breast cancer
among African American women, but these results should be confirmed
by a larger, more definitive study.
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