Scientists who combined data from five large breast cancer
studies have found no link to the pesticide DDT or to PCBs,
a widespread industrial chemical.
Both were suspect because they are chemicals in the
environment with similarities to estrogen, the so-called
female hormone associated with a risk of breast cancer.
The five studies were funded in 1993 by the National Cancer
Institute and the National Institute of Environmental
Health Sciences among women in the northeastern United
States. None had shown a link between either DDT or PCBs
and the Northeast's elevated rates of breast cancer. But
some scientists thought the studies might simply have been
too small and that their combined data might reveal such
associations, at least for some subgroups of women.
Today that explanation was dashed as scientists analyzing
the combined data also concluded that neither exposure
explains the high rates of breast cancer in the U.S.
Northeast. Their results appear in the May 16 issue of the
"Journal of the National Cancer Institute".
The women in the five studies totaled 1,400 breast cancer
patients and 1,642 controls. Two of the studies were
conducted among women in New York state, one was in
Connecticut, and one was in Maryland. Half the women in
the fifth study, the nationwide Nurses Health Study, live
in the northeastern states, including Maryland.
In each of the studies, blood was drawn from patients and
controls alike and tested for DDE, the major break-down
product of DDT, and for PCBs. DDT and PCBs were widely
used in the United States until the 1970s and accumulate in
the body's fatty tissues and thus can be found in human
blood and breast milk many years after exposures.
The principal author of the analysis, Francine Laden, Sc.D
of Brigham and Women's Hospital, Boston, said, "We found
that the combined results from these five studies do not
support an association between plasma or serum
concentrations of DDE and PCBs and an increased risk of
breast cancer."
The second author, Gwen Collman, Ph.D., of the National
Institute of Environmental Health Sciences, said, "The
investigators used a standardized approach to data analysis
across all five studies and we did not find a consistent
association in the various subgroups we looked at:
Caucasian women, African-American women, women of various
body mass and lactation histories."
Brigham and Women's Hospital is a 716-bed affiliate of
Harvard Medical School. The National Institute of
Environmental Health Sciences, while headquartered in
Research Triangle Park, N.C., is a part of the National
Institutes of Health, as is the National Cancer Institute.
NIH and NCI have their headquarters in Bethesda, Md.