Does Asthma Affect the Risk of Developing Breast Cancer?

ABSTRACT Background The role of the immune system in cancer defense is likely underappreciated. While there has been longstanding interest in the role of atopic diseases in cancer, only a few studies have tested this hypothesis. Methods We analyzed data from 202,055 women participating in the Nurses...

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Main Authors: Karin B. Michels, Orianne Dumas, Raphaelle Varraso, Carlos A. Camargo Jr
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Cancer Medicine
Online Access:https://doi.org/10.1002/cam4.70539
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author Karin B. Michels
Orianne Dumas
Raphaelle Varraso
Carlos A. Camargo Jr
author_facet Karin B. Michels
Orianne Dumas
Raphaelle Varraso
Carlos A. Camargo Jr
author_sort Karin B. Michels
collection DOAJ
description ABSTRACT Background The role of the immune system in cancer defense is likely underappreciated. While there has been longstanding interest in the role of atopic diseases in cancer, only a few studies have tested this hypothesis. Methods We analyzed data from 202,055 women participating in the Nurses' Health Study (NHS) and the Nurses' Health Study II (NHS II) to explore whether asthma is associated with breast cancer. We used Cox proportional hazards models to link physician‐diagnosed asthma with subsequent incidence of breast cancer. Results Across the two cohorts, we identified 18,403 cases of physician‐diagnosed asthma. During 4,393,760 person‐years of follow‐up, 11,096 incident cases of breast cancer were diagnosed. In NHS, women with asthma had a covariate‐adjusted hazard ratio of 0.92 (95% CI: 0.86–0.99) to develop breast cancer compared to women without asthma; the respective HR in NHS II was 0.93 (0.84–1.03), and 0.92 (0.87–0.98) in the pooled analysis. Among never‐smokers, the HR for breast cancer was 0.91 (0.81–1.02) in NHS, 0.81 (0.70–0.93) in NHS II, and 0.86 (0.77–0.97) combined. In two large prospective cohorts of women, participants with asthma had a somewhat lower risk of breast cancer. An active immune system may provide protection from breast cancer. Conclusions In these longitudinal studies, women with asthma had a somewhat lower risk of breast cancer. This association was most pronounced among never smokers. An active immune system may provide protection from breast cancer.
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spelling doaj-art-c27e0f2977a24f99863aef7028217be12025-01-13T13:22:38ZengWileyCancer Medicine2045-76342025-01-01141n/an/a10.1002/cam4.70539Does Asthma Affect the Risk of Developing Breast Cancer?Karin B. Michels0Orianne Dumas1Raphaelle Varraso2Carlos A. Camargo Jr3Institute for Prevention and Cancer Epidemiology, Faculty of Medicine and Medical Center University of Freiburg Freiburg GermanyÉquipe d'Épidémiologie Respiratoire Intégrative, Inserm, CESP, Université Paris‐Saclay, UVSQ, Univ. Paris‐Sud Villejuif FranceÉquipe d'Épidémiologie Respiratoire Intégrative, Inserm, CESP, Université Paris‐Saclay, UVSQ, Univ. Paris‐Sud Villejuif FranceDepartment of Emergency Medicine, Massachusetts General Hospital Harvard Medical School Boston Massachusetts USAABSTRACT Background The role of the immune system in cancer defense is likely underappreciated. While there has been longstanding interest in the role of atopic diseases in cancer, only a few studies have tested this hypothesis. Methods We analyzed data from 202,055 women participating in the Nurses' Health Study (NHS) and the Nurses' Health Study II (NHS II) to explore whether asthma is associated with breast cancer. We used Cox proportional hazards models to link physician‐diagnosed asthma with subsequent incidence of breast cancer. Results Across the two cohorts, we identified 18,403 cases of physician‐diagnosed asthma. During 4,393,760 person‐years of follow‐up, 11,096 incident cases of breast cancer were diagnosed. In NHS, women with asthma had a covariate‐adjusted hazard ratio of 0.92 (95% CI: 0.86–0.99) to develop breast cancer compared to women without asthma; the respective HR in NHS II was 0.93 (0.84–1.03), and 0.92 (0.87–0.98) in the pooled analysis. Among never‐smokers, the HR for breast cancer was 0.91 (0.81–1.02) in NHS, 0.81 (0.70–0.93) in NHS II, and 0.86 (0.77–0.97) combined. In two large prospective cohorts of women, participants with asthma had a somewhat lower risk of breast cancer. An active immune system may provide protection from breast cancer. Conclusions In these longitudinal studies, women with asthma had a somewhat lower risk of breast cancer. This association was most pronounced among never smokers. An active immune system may provide protection from breast cancer.https://doi.org/10.1002/cam4.70539
spellingShingle Karin B. Michels
Orianne Dumas
Raphaelle Varraso
Carlos A. Camargo Jr
Does Asthma Affect the Risk of Developing Breast Cancer?
Cancer Medicine
title Does Asthma Affect the Risk of Developing Breast Cancer?
title_full Does Asthma Affect the Risk of Developing Breast Cancer?
title_fullStr Does Asthma Affect the Risk of Developing Breast Cancer?
title_full_unstemmed Does Asthma Affect the Risk of Developing Breast Cancer?
title_short Does Asthma Affect the Risk of Developing Breast Cancer?
title_sort does asthma affect the risk of developing breast cancer
url https://doi.org/10.1002/cam4.70539
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