Grant Number:	1R01CA078682-01A1 Interpret this number
Primary Investigator:	Slattery, Martha
Organization:	University Of Utah
Project Title:	Four-Corners Breast and Endometrial Cancer Study
Fiscal Year:	1999

DESCRIPTION: (Adapted from Applicant's Abstract) The incidence of breast and endometrial cancers varies almost three-fold between non-Hispanic white populations and Native American and Hispanic populations living in the 4-Corners area of the United States (Arizona, New Mexico, Colorado, and Utah). Interestingly, although American Indian and Hispanic women have higher prevalences of many risk factors for breast and endometrial cancer identified in non-Hispanic white women (e.g., obesity, low levels of vigorous physical activity, low intakes of fruits and vegetables, high rates of insulin resistance) they have lower cancer incidence rates. In this study the investigators focus on the metabolic factors of obesity/weight changes and indicators of insulin status as they relate to breast and endometrial cancers. Obesity is associated both with estrogen and insulin by two interrelated disease pathways. Insulin may influence cancer risk directly through its effects on insulin-like growth factor (IGF) and its binding proteins (IGFBPs) and well as indirectly through its effect on estrogen levels. The investigators propose focusing on the insulin pathway because of the high levels of insulin pathway dysfunction in this population. A multi-center case-control study is proposed that targets women living in the 4-Corners area; the study will consist of a 2.5 hour in-person interview and a blood draw. Over a three-year case ascertainment period, the study will enroll 3000 breast cancer cases, 450 endometrial cancer cases and 3000 controls, half of whom will be Hispanic/Native American and half of whom will be non-Hispanic white women between the ages of 25 and 79. Molecular variants of genes that influence obesity and insulin (androgen receptor gene (AR), vitamin D receptor gene(VDR), insulin receptor (ADRB3)) will be examined both independently and in conjunction with metabolic factors to determine differences in genetic susceptibility in the population. Because of the diverse population (Hispanics, Native American, and non-Hispanic white women), the investigators propose to evaluate ethnic background and genetic admixture in relationship to gene markers, environmental factors, and breast and endometrial cancer risk. Genetic admixture (Ameridian to European genetic mixture) is a novel and innovative way to study the continuum of ethnic diversity. C-peptide, glycosylated hemoglobin, IGF-1, and IGFBP3 will be evaluated with respect to breast and endometrial cancer in a subset of women.




Overall survival is the lowest among young women with postpartum breast cancer.
Authors: Shagisultanova E. , Gao D. , Callihan E. , Parris H.J. , Risendal B. , Hines L.M. , Slattery M.L. , Baumgartner K. , Schedin P. , John E.M. , et al. .
Source: European Journal Of Cancer (oxford, England : 1990), 2022 06; 168, p. 119-127.
EPub date: 2022-05-04 00:00:00.0.
PMID: 35525161
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Source: International Journal Of Cancer, 2021-09-01 00:00:00.0; , .
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Source: International Journal Of Cancer, 2020-02-16 00:00:00.0; , .
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Authors: Sangaramoorthy M. , Hines L.M. , Torres-Mejía G. , Phipps A.I. , Baumgartner K.B. , Wu A.H. , Koo J. , Ingles S.A. , Slattery M.L. , John E.M. .
Source: Epidemiology (cambridge, Mass.), 2019 05; 30(3), p. 449-457.
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Source: International Journal Of Cancer, 2018-01-13 00:00:00.0; , .
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Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2016-12-08 00:00:00.0; , .
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Source: Cancer Causes & Control : Ccc, 2016 Apr; 27(4), p. 527-43.
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Source: Journal Of Women's Health (2002), 2016 Mar; 25(3), p. 299-310.
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Source: Cancer Causes & Control : Ccc, 2016 Jan; 27(1), p. 47-57.
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Source: Cancer Epidemiology, 2015 Dec; 39(6), p. 1113-22.
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Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2015 Nov; 24(11), p. 1731-8.
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Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2015 Jan; 24(1), p. 128-37.
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Characteristics associated with mammography screening among both Hispanic and non-Hispanic white women.
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Pre-diagnosis body mass index, post-diagnosis weight change, and prognosis among women with early stage breast cancer.
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Family history and age at onset of breast cancer in Hispanic and non-Hispanic white women.
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Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2008 Oct; 17(10), p. 2700-6.
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