In:
International Journal of Environmental Research and Public Health, MDPI AG, Vol. 19, No. 10 ( 2022-05-17), p. 6093-
Abstract:
Insulin levels, adipocytokines, and inflammatory mediators trigger benign breast disease (BBD) and breast cancer (BC). The relationship between serum adipocytokines levels, overweight-obesity, metabolic disturbs, and BC is unclear. Methods: To analyze the serum levels of the adipocytokines, insulin, and the HOMA IR in women without breast disease, with BBD or BC, and the role of these as risk factors for benign breast disease or breast cancer. Results: Adipsin values 〉 0.91 and visfatin levels 〉 1.18 ng/mL represent a risk factor to develop BBD in NBD lean women (OR = 18; and OR = 12). Data in overweight-obese women groups confirm the observation due to insulin levels 〉 2.6 mU/mL and HOMA IR 〉 0.78, with OR = 60.2 and 18, respectively; adipsin OR = 26.4, visfatin OR = 12. Breast cancer risk showed a similar behavior: Adipsin risk, adjusted by insulin and visfatin OR = 56 or HOMA IR and visfatin OR = 22.7. Conclusion: Adipose tissue is crucial for premalignant and malignant tissue transformation in women with overweight-obesity. The adipocyte–breast epithelium interaction could trigger a malignant transformation in a continuum, starting with BBD as premalignant disease, especially in overweight-obese women.
Type of Medium:
Online Resource
ISSN:
1660-4601
DOI:
10.3390/ijerph19106093
Language:
English
Publisher:
MDPI AG
Publication Date:
2022
detail.hit.zdb_id:
2175195-X
