Elevated Risk of Breast Cancer in Blood Type a Female Individuals in Hubei Province, China
DOI:
https://doi.org/10.54097/a20k8q87Keywords:
Breast Cancer, ABO Blood Group, CA153, MastitisAbstract
The relationship between the ABO blood group and the risk of female breast cancer remains a subject of ongoing debate, with differing conclusions likely attributable to variations in ethnicity and region of study populations. To elucidate the correlation between breast cancer risk and the ABO blood group in Hubei Province, China, we conducted a comprehensive analysis involving 4,060 female breast cancer patients, 10,522 breast mastitis patients, and 1621 patients who progressed from mastitis to breast cancer, all admitted to “Hubei Provincial Cancer Hospital” between 2017 and 2024. The distribution of both ABO blood groups and CA153 levels among these patients was examined. Our results show that women with blood group A have a significantly higher risk of mastitis and breast cancer, with the highest risk for progression from mastitis to cancer. In contrast, women with blood group O demonstrated the lowest incidence of mastitis, breast cancer, and progression from mastitis to breast cancer. Notably, CA153 levels were more likely to normalize in women with blood group A as treatment progressed. These results suggest that women with blood group A in Hubei Province face a heightened risk of breast cancer but experience the best treatment outcomes, whereas those with blood group O have a lower risk yet may encounter greater treatment challenges. Our findings provide more evidence for the correlation between the ABO blood group and breast cancer risk in the Han Chinese population; meanwhile, we propose the concept of setting different CA153 thresholds according to the ABO blood group.
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[1] Calafell F, Roubinet F, Ramírez-Soriano A, Saitou N, Bertranpetit J, Blancher A. Evolutionary dynamics of the human ABO gene. Hum Genet. 2008; 124: 123-135. https://doi. org/ 10.1007/s00439-008-0530-8.
[2] Garratty G. Blood groups and disease: a historical perspective. Transfus Med Rev. 2000; 14: 291-301. https://doi.org/ 10. 1053/ tmrv.2000.16228.
[3] Ewald DR, Sumner SC. Blood type biochemistry and human disease. Wires Syst Biol Med. 2016; 8: 517-535. https:// doi. org/ 10.1002/wsbm.1355.
[4] Franchini M, Liumbruno GM, Lippi G. The prognostic value of ABO blood group in cancer patients. Blood Transfus. 2016; 14: 434-440. https://doi.org/10.2450/2015.0164-15.
[5] Anstee DJ. The relationship between blood groups and disease. Blood. 2010; 115: 4635-4643. https://doi.org/10.1182/blood-2010-01-261859.
[6] Hakomori S. Antigen structure and genetic basis of histoblood groups A, B and O: their changes associated with human cancer. Biochim Biophys Acta. 1999; 1473: 247-266. https://doi.org/ 10. 1016/s0304-4165(99)00183-x.
[7] Garratty G. Association of blood groups and disease: do blood group antigens and antibodies have a biological role. Hist Phil Life Sci. 1996; 18: 321-344. https://doi.org/ 10.1080/ 014453 49608837266.
[8] Cui H, Qu Y, Zhang L, Zhang W, Yan P, Yang C, Zhang M, Bai Y, Tang M, Wang Y, Chen L, Xiao C, Zou Y, Liu Y, Zhang L, Yang Y, Yao Y, Li J, Liu Z, Yang C, Jiang X, Zhang B. Epidemiological and genetic evidence for the relationship between ABO blood group and human cancer. Int J Cancer. 2023; 153: 320-330. https://doi.org/10.1002/ijc.34533.
[9] Iodice S, Maisonneuve P, Botteri E, Sandri MT, Lowenfels AB. ABO blood group and cancer. Eur J Cancer. 2010; 46: 3345-3350. https://doi.org/10.1016/j.ejca.2010.08.009.
[10] Wolpin BM, Chan AT, Hartge P, Chanock SJ, Kraft P, Hunter DJ, Giovannucci EL, Fuchs CS. ABO blood group and the risk of pancreatic cancer. J Natl Cancer I. 2009; 101: 424-431. https://doi.org/10.1093/jnci/djp020.
[11] Wolpin BM, Kraft P, Gross M, Helzlsouer K, Bueno-de-Mesquita HB, Steplowski E, Stolzenberg-Solomon RZ, Arslan AA, Jacobs EJ, Lacroix A, Petersen G, Zheng W, Albanes D, Allen NE, Amundadottir L, Anderson G, Boutron-Ruault MC, Buring JE, Canzian F, Chanock SJ, Clipp S, Gaziano JM, Giovannucci EL, Hallmans G, Hankinson SE, Hoover RN, Hunter DJ, Hutchinson A, Jacobs K, Kooperberg C, Lynch SM, Mendelsohn JB, Michaud DS, Overvad K, Patel AV, Rajkovic A, Shu XO, Slimani N, Thomas G, Tobias GS, Trichopoulos D, Vineis P, Virtamo J, Wactawski-Wende J, Yu K, Zeleniuch-Jacquotte A, Hartge P, Fuchs CS. Pancreatic cancer risk and ABO blood group alleles: results from the pancreatic cancer cohort consortium. Cancer Res. 2010; 70: 1015-1023. https:// doi. org/10.1158/0008-5472.CAN-09-2993.
[12] Nakao M, Matsuo K, Hosono S, Ogata S, Ito H, Watanabe M, Mizuno N, Iida S, Sato S, Yatabe Y. ABO blood group alleles and the risk of pancreatic cancer in a Japanese population. Cancer Sci. 2011; 102: 1076-1080. https://doi.org/ 10.1111/ j. 1349-7006.2011.01907.x.
[13] Arend P. Position of human blood group O(H) and phenotype-determining enzymes in growth and infectious disease. Ann NY Acad Sci. 2018; 1425: 5-18. https://doi.org/ 10.1111/ nyas. 13694.
[14] Grivennikov SI, Greten FR, Karin M. Immunity, inflammation, and cancer. Cell. 2010; 140: 883-899. https://doi.org/10. 1016/j. cell. 2010.01.025.
[15] Witkowska AM, Borawska MH. Soluble intercellular adhesion molecule-1 (sICAM1): an overview. Eur Cytokine Netw. 2004; 15: 91-98. https://doi.org/10.1038/sj.embor.7400143.
[16] Rieckmann P, Michel U, Albrecht M, Bruck W, Wockel L, Felgenhauer K. Soluble forms of intercellular adhesion molecule-1 (ICAM-1) block lymphocyte attachment to cerebral endothelial cells. J Neuroimmunol. 1995; 60: 9-15. https:// doi.org/10.1016/0165-5728(95)00047-6.
[17] Gill JC, Endres-Brooks J, Bauer PJ, Marks WJJr, Montgomery RR. The effect of ABO blood group on the diagnosis of von Willebrand disease. Blood. 1987; 69: 1691-1695. https://doi. org/ 10.1203/00006450-198604000-00024.
[18] Kobayashi H, Boelte KC, Lin PC. Endothelial cell adhesion molecules and cancer progression. Curr Med Chem. 2007; 14: 377-386. https://doi.org/10.2174/092986707779941032.
[19] Patmore S, Dhami SPS, O'Sullivan JM. Von Willebrand factor and cancer; metastasis and coagulopathies. J Thromb Haemost. 2020; 18: 2444-2456. https://doi.org/10.1111/jth.14976.
[20] Melzer D, Perry J, Hernandez D, Corsi AM, Stevens K, Rafferty I, Lauretani F, Murray A, Gibbs JR, Paolisso G. A genome-wide association study identifies protein quantitative trait loci (pQTLs). Plos Genet. 2008; 4: e1000072. https:// doi. org/ 10.1371/journal.pgen.1000072.
[21] Balkwill F. Tumour necrosis factor and cancer. Nat Rev Cancer. 2009; 9: 361-371. https://doi.org/10.1038/nrc2628.
[22] Stamatakos M, Kontzoglou K, Safioleas P, Safioleas C, Manti C, Safioleas M. Breast cancer incidence in Greek women in relation to ABO blood groups and Rh factor. Int Semin Surg Oncol. 2009; 6: 14. https://doi.org/10.1186/1477-7800-6-14.
[23] Tryggvadottir L, Tulinius H, Robertson JM. Familial and sporadic breast cancer cases in Iceland: a comparison related to ABO blood groups and risk of bilateral breast cancer. Int J Cancer. 1988; 42: 499-501. https://doi.org/ 10.1002/ ijc. 291 0420405.
[24] Zouine S, Marnissi F, Otmani N, Bennani Othmani M, El Wafi M, Kojok K, Zaid Y, Tahiri Jouti N, Habti N. ABO blood groups in relation to breast carcinoma incidence and associated prognostic factors in Moroccan women. Med Oncol. 2016; 33: 67. https://doi.org/10.1007/s12032-016-0784-2.
[25] Sun P. Discussion on the correlation between gynecological tumors and ABO blood types. China Health Stand Manag. 2020; 11: 131-133. https://doi.org/10.3969/j.issn.1674-9316.2020. 19. 053.
[26] Liu M, Qu H, Wu S, Song Z, Xie F. Correlation analysis of ABO blood types and common malignant tumors in Xinjiang. Mod Med Health Res. 2022; 6: 37-41.
[27] Sun Y, Wang L, Niu J, Ma T, Xing L, Song A, Wang W, Shen Y, Yang J. Distribution characteristics of ABO blood groups in China. Heliyon. 2022; 8: e10568. https://doi. org/10. 1016/j. heliyon. 2022.e10568.
[28] Dede DS, Aksoy S, Dizdar O, Cerci P, Gullu I, Ozisik Y, Altundag K. Blood ABO groups and risk of breast cancer. Med Oncol. 2010; 27: 1433-1436. https://doi.org/10.1007/s12032-009-9346-1.
[29] Yu J, Gao F, Klimberg VS, Margenthaler JA. ABO blood type/Rh factor and the incidence and outcomes for patients with triple-negative breast cancer. Ann Surg Oncol. 2012; 19: 3159-3164. https://doi.org/10.1245/s10434-012-2533-x.
[30] Hosseini SM, Feng JJ. How malaria parasites reduce the deformability of infected red blood cells. Biophys J. 2012; 103: 1-10. https://doi.org/10.1016/j.bpj.2012.05.026.
[31] Cooling L. Blood Groups in Infection and Host Susceptibility. Clin Microbiol Rev. 2015; 28: 801-870. https://doi. org/ 10. 1128/ CMR.00109-14.
[32] Hawkins BR, Simons MJ. Blood group genetic studies in an urban Chinese population. Hum Hered. 1976; 26: 441-453. https://doi.org/10.1159/000152839.
[33] Dai R, Kelly BN, Ike AA, Berger D, Chan A, Drew DA, Ljungman D, Mutiibwa D, Ricciardi R, Tumusiime G, Cusack JC. The impact of the gut microbiome, environment, and diet in early-onset colorectal cancer development. Cancers (Basel). 2024; 16: 1-10. https://doi.org/10.3390/cancers16030676.
[34] Yu LX, Ling Y, Wang HY. Role of nonresolving inflammation in hepatocellular carcinoma development and progression. NPJ Precis Oncol. 2018; 2: 6. https://doi.org/10.1038/s41698-018-0048-z.
[35] Wang F, Meng W, Wang B, Qiao L. Helicobacter pylori-induced gastric inflammation and gastric cancer. Cancer Lett. 2014; 345: 196-202. https://doi.org/ 10.1016/j. canlet. 2013. 08. 016.
[36] Salvatori S, Marafini I, Laudisi F, Monteleone G, Stolfi C. Helicobacter pylori and gastric cancer: pathogenetic mechanisms. Int J Mol Sci. 2023; 24: 2895. https://doi.org/ 10. 3390/ ijms24032895.
[37] Lian M, Zhang C, Zhang D, Chen P, Yang H, Yang Y, Chen S, Hong G. The association of five preoperative serum tumor markers and pathological features in patients with breast cancer. J Clin Lab Anal. 2019; 33: e22875. https://doi.org/ 10. 1002/ jcla. 22875.
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