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EDRI Federal Project Inventory:
66572-01 Breast Cancer and the Environment on Long Island



  1. Sponsor Organization: NIH/NCI

  2. Project Title: 66572-01 BREAST CANCER AND THE ENVIRONMENT ON LONG ISLAND

  3. Project Focus: HUMAN HEALTH EFFECTS

  4. Description: Recently, several studies suggest that certain environmental exposures, primarily some organochlorines, effectestrogen production under laboratory conditions, increase mammary tumors in animals, and many increase a woman'srisk of breast cancer. Possible route through which organochlorine compounds (OCC) may effect breast cancer riskinclude estrogen metabolism. Further studies have linked residence near hazardous waste sites or chemical facilitieswith breast cancer risk. Although the exact exposures have not been identified, putative agents derived from suchexposures may include polycyclic aromatic hydrocarbons (PAH), ubiquitous mammary carcinogens that are estrogenicin some in vitro test systems. The primary aim of the proposed study is to determine whether OCC (DDE, PCBs,chlordane) and PAH are associated with breast cancer risk among Long Island women. This investigation will be a five-year, population-based case-control study. Cases will be residents of Nassau and Suffolk counties who are newlydiagnosed with primary breast cancer during a 12-month period. Cases will be identified through review of pathology/cytology records. Population-based controls will be frequency matched to cases by 5- year age groups, and identifiedusing random digit dialing and the Health Care and Finance Administration rosters. Completed in-home interviews areexpected for 80106f eligible subjects (1,623 cases and 1,623 controls). About 60111f all respondents are expected toprovide biologic specimens; for cases, specimens will be collected prior to treatment, whereas for controls, specimenswill be obtained at the interview. Home samples of water, soil, and dust will also be collected among women who haveresided in their homes for 15 years or longer. A random sample of blood and urine samples from 400 cases and 400counts will be analyzed. Laboratory analyses include determination of OCC in blood, PAH-DNA adduct, and urinarymarkers of estrogen metabolism. The 650 home samples of soil, water, and dust will be assayed for pesticides and PAH. For all respondents, historic environmental exposure to these compounds will also be calculated using geographicmodeling techniques, as well as self-reports of occupational and residential exposure. To estimate the associationbetween breast cancer and exposure to OCC or PAH, adjusted odd; ratios and corresponding confidence intervals willbe calculated using standard statistical methods. Effect modification by estrogen or carcinogen metabolism, and otherfactors will be explored where possible. The effect of established and suspected risk factors on breast cancer risk amongLong Island women will also be assessed.

  5. References:

  6. Category: METHODS

  7. Subcategory: HAZARD IDENTIFICATION

  8. Keywords for Experimental System/Species: HUMAN, FIELD STUDY

  9. Keywords for Experimental Endpoints: EXPOSURE MONITORING, RISK FACTORS,CARCINOGENESIS

  10. Chemical Agents: PCBs, PAH, ORGANOCHLORINE COMPOUNDS, PESTICIDES

  11. Performing Institution: COLUMBIA UNIVERSITY NEW YORK

  12. Contact: CONTACT PERSON: ELAINE C. LEE; BUILDING 31; 11A21, NATIONAL CANCER INSTITUTE, NIH,BETHESDA, MD 20892-2590; 301- 496-5515; LEEE@OD.NCI.NIH.GOV


 

 
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