Acrylamide and Glycidamide Hemoglobin Adduct Levels and Breast Cancer Risk in Japanese Women: A Nested Case-Control Study in the JPHC.

Abstract

BACKGROUND:

Acrylamide (AA) is classified as "probably carcinogenic to humans (class 2A)" by the International Agency for Research on Cancer. AA causes cancer owing to its mutagenic and genotoxic metabolite, glycidamide (GA), and its effects on sex hormones. Both AA and GA can interact with hemoglobin to hemoglobin adducts (HbAA and HbGA, respectively), which are considered appropriate biomarkers of internal exposure of AA. However, few epidemiologic studies reported an association of HbAA and HbGA with breast cancer.

METHODS:

We conducted a nested case-control study within the Japan Public Health Center-based Prospective Study cohort (125 cases and 250 controls). Cases and controls were categorized into tertiles (lowest, middle, and highest) using the distribution of HbAA or HbGA levels in the control group and estimated ORs and 95% confidence intervals (CI) using conditional logistic regression, adjusting for potential confounders.

RESULTS:

No association was observed between HbAA (ORHighestvs.Lowest, 1.34; 95% CI, 0.69-2.59), HbGA (ORHighest vs. Lowest, 1.46; 95% CI, 0.79-2.69), their sum HbAA+HbGA (ORHighest vs. Lowest, 1.36; 95% CI, 0.72-2.58) and breast cancer; however, some evidence of positive association was observed between their ratio, HbGA/HbAA, and breast cancer (ORHighest vs. Lowest, 2.19; 95% CI, 1.11-4.31).

CONCLUSIONS:

There was no association between biomarkers of AA and breast cancer.

IMPACT:

It is unlikely that AA increases breast cancer risk; however, the association of AA with breast cancer may need to be evaluated, with a focus not only on the absolute amount of HbAA or HbGA but also on HbGA/HbAA and the activity of metabolic genes.

• Authors: Nobuhiro Narii, Kumiko Kito, Tomotaka Sobue, Ling Zha, Tetsuhisa Kitamura, Yasuto Matsui, Tomonari Matsuda, Ayaka Kotemori, Misako Nakadate, Motoki Iwasaki, Manami Inoue, Taiki Yamaji, Shoichiro Tsugane, Junko Ishihara, Norie Sawada
• Journal: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology (Cancer Epidemiol Biomarkers Prev) Vol. 32 Issue 3 Pg. 415-421 (03 06 2023) ISSN: 1538-7755 [Electronic] United States
• PMID: 36535654 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: ©2022 American Association for Cancer Research.

Chemical References

• glycidamide
• Acrylamide
• Epoxy Compounds
• Hemoglobins
• Biomarkers

Topics

• Humans
• Female
• Breast Neoplasms
• Case-Control Studies
• Acrylamide
• Prospective Studies
• East Asian People
• Epoxy Compounds (metabolism)
• Hemoglobins (analysis)
• Biomarkers
• Logistic Models