Skip to main content

Presence of Carotenoid, an Anticarcinogenic Marker, in Nipple Aspirates Postlactation

  • Chapter
Bioactive Components of Human Milk

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 501))

Abstract

Case-controlled studies have identified a protective effect of lactation against breast cancer; however, little is known about the nature of this protective mechanism. The purpose of this study was to examine postweaned, nipple aspirate fluid (NAF) from women, ages 18 to 45, for carotenoid, a known antioxidant and anticarcinogenic marker, and compare carotenoid availability in NAF with that reported in colostrum. Women who had lactated at least 6 months and weaned for at least 6 months were recruited into the study. A prestudy and poststudy serum prolactin level was obtained. NAF was obtained through a nipple aspirator method. Total carotenoid ranged from 0.4 to 4.0 µg/mL, with a mean level of 1.9 ± 1.2 (SD). Women who had weaned earlier (<12mo) had significantly more carotenoids than those who had lactated longer (>12mo) (P = 0.04). These levels were similar to those known to occur in colostrum. This research elucidates possible mechanisms of the protective effect of lactation on the microenvironment of the breast.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bendich A. A role for carotenoids in immune functions. Clin Nutr 1988;7:113–117.

    Article  Google Scholar 

  • Buescher ES, Mcllheran SM. Antioxidant properties of human colostrum. Pediatr Res 1988;24:14–19.

    Google Scholar 

  • Byers T, Graham S, Rzepka T, Marshall J. Lactation and breast cancer: Evidence for a negative association in pre-menopausal women. Am J Epidemiol 1985;121:664–674.

    Google Scholar 

  • Campbell TV. Mimicking nature to develop superior materials. In: Bender DL, editor. What Will Be the Impacts of New Technologies? San Diego: Greenhaven Press; 1996. Chapter 2,21“ Century Earth: Opposing Viewpoints; pp 99–106.

    Google Scholar 

  • Donegan WL, Spratt JS, editors. Cancer of the Breast. 4’hed. Philadelphia: WB Saunders; 1995.

    Google Scholar 

  • Dupont W, Page D. Risk factors for breast cancer in women with proliferative disease. N Eng J Med 1985;312:46–151.

    Article  Google Scholar 

  • Grubbs CJ, Eto I, Juliana MM, Hardin JM, Whitaker LM. Effect of retinyl acetate and 4hydroxyphenylretinamide on initiation of chemically-induced mammary tumors. Anticancer Res 1990;10:661–666.

    PubMed  CAS  Google Scholar 

  • [IM] Institute of Medicine, Subcommittee on Nutrition During Lactation, Committee on Nutritional Status During Pregnancy and Lactation, Food and Nutrition Board. Nutrition During Lactation. Washington DC: National Academy Press; 1991.

    Google Scholar 

  • Kvãle G, Heuch I. Lactation and cancer risk: Is there a relation specific to breast cancer? J Epidemiol Community Health 1987;42:30–37.

    Article  Google Scholar 

  • Lawrence R. Breastfeeding: A Guide for the Medical Profession. 4`hed. St Louis: Mosby; 1994. pp. 91–148: Biochemistry of human milk.

    Google Scholar 

  • Layde PM, Webster LA, Baughman AL, Wingo PA, Rubin GL, Ory HW. The independent associations of parity, age at first full term pregnancy, and duration of breastfeeding with the risk of breast cancer. J Clin Epidemiol 1989;42:963–973.

    Article  PubMed  CAS  Google Scholar 

  • London SJ, Colditz GA, Stampfer MJ, Willett WC, Rosner BA, Corsano K, Speizer FE. Lactation and risk of breast cancer in a cohort of US women. Am J Epidemiol 1990;132:17–26.

    PubMed  CAS  Google Scholar 

  • McCormickDLMoon RC. Retinoid-tamoxifen interaction in mammary cancer chemoprevention. Carcinogenesis 1986;7:193–196.

    Article  PubMed  CAS  Google Scholar 

  • McTiernan A, Thomas DB. Evidence for a protective effect of lactation on risk of breast cancer in young women: Results from a case-control study. Am J Epidemiol 1986;124:353–358.

    PubMed  CAS  Google Scholar 

  • Murrell TGC. Epidemiological and biochemical support for a theory on the cause and prevention of breast cancer. Med Hypotheses 1991;36:389–396.

    Article  PubMed  CAS  Google Scholar 

  • [NCHS] National Center for Health Statistics. Health, United States, 1995. Hyattsville MD: US Public Health Service; 1996.

    Google Scholar 

  • Patton S, Huston G, Montgomery P, Josephson R. Approaches to the study of colostrum The onset of lactation. In: Hamosh M, Goldman A, editors. Human Lactation 2: Maternal and Environmental Factors. New York: Plenum Press; 1986. pp. 231–239.

    Google Scholar 

  • Patton S, Canfield LM, Huston GE, Ferris AM, Jensen RG. Carotenoids of human colostrum. Lipids 1990;25:159–165.

    Article  PubMed  CAS  Google Scholar 

  • Petrakis NL. Physiologic, biochemical, and cytologic aspects of nipple aspirate fluid. Breast Cancer Res Treat 1986;8:7–19.

    Article  PubMed  CAS  Google Scholar 

  • Petrakis NL, Mason L, Lee R, Sugiomoto B, Pawson S, Catchpool E Association of race, age, menopausal status, and cerumen type with breast fluids secretions in nonlactating women determined by nipple aspiration. J Natl Cancer Inst 1975;54:829–834.

    CAS  Google Scholar 

  • Petrakis NL, Maack CA, Lee RE, Lyon M. Mutagenic activity in nipple aspirates from human breast fluid. Cancer Res 1980;40:188–189.

    PubMed  CAS  Google Scholar 

  • Petrakis NL, Wrensch MR, Ernster VL, Miike R, King EB, Goodson WH. Prognostic significance of atypical epithelial hyperplasia in nipple aspirates of breast fluid. Lancet 1987a; 2:505.

    Article  PubMed  CAS  Google Scholar 

  • Petrakis NL, Wrensch MR, Ernster VL, Miike R, Murai J, Simberg N, Siiteri PK. Influence of pregnancy and lactation on serum and breast fluid estrogen levels: Implications for breast cancer risk. Int J Cancer 1987b;40:587–591.

    Article  PubMed  CAS  Google Scholar 

  • Petrakis NL, Miike R, King EB, Lee L, Mason L, Chang-Lee B. Association of breast fluid coloration with age, ethnicity, and cigarette smoking. Breast Cancer Res Treat 1988a;11:255–226.

    Article  PubMed  CAS  Google Scholar 

  • Petrakis NL, Lee RE, Miike R, Dupuy ME, Morris M. Coloration of breast fluid related to concentration of cholesterol, cholesterol epoxides, estrogen, and lipid peroxides. Am J Clin Pathol 1988b;89:117–120.

    PubMed  CAS  Google Scholar 

  • Petrakis NL, Lim ML, Miike R, Lee RE, Morris M, Lee L, Mason L. Nipple aspirate fluids in adult non-lactating women—lactose content, cationic NA+, K+, Na+/K+ ratio, and coloration. Breast Cancer Res Treat 1989;13:71–78.

    Article  PubMed  CAS  Google Scholar 

  • Pitt GAJ. Vitamin A. In: Diplock AT, editor. Fat soluble vitamins: Their biochemistry and application. Lancaster PA: Technomic Publishing; 1985. pp. 1–61.

    Google Scholar 

  • Rennison ME, Handel SE, Wilde CJ, BurgoyneRD.Investigation of the role of microtubules in proteinsecretion from lactating mouse mammary epithelial cells. J Cell Sci 1992;102(Pt 2):239–247.

    PubMed  CAS  Google Scholar 

  • Reuter KL, Baker SP, Krolikowski FJ. Risk factors for breast cancer in women undergoing mammogra-phy. Am J Roentgen 1992;158:273–278.

    Article  CAS  Google Scholar 

  • Rose DP.Hormones in breast fluid. Breast Cancer Res Treat 1986;8:25–28.

    Article  PubMed  CAS  Google Scholar 

  • Rose DP.Hormones and growth factors in nipple aspirates from normal women and benign breast disease patients. Cancer Detect Prey 1992;16:43–51.

    CAS  Google Scholar 

  • Rose DP, Berke B, Cohen LA, Lahti H. A comparison of serum and breast duct fluid-immunoassayable prolactin and growth hormone with bioassayable lactogenic hormones in healthy women and patients with cystic breast disease. Cancer 1987;60:2761–2765.

    Article  PubMed  CAS  Google Scholar 

  • Russo J, Furmanski P, Bradley R, Wells P, Rich MA. Differentiation of normal human mammary epithelial cells in culture: An ultrastructural study. Am J Anat 1976;145:57–58.

    Article  PubMed  CAS  Google Scholar 

  • Sanghera M, Peh W. Breast ductography in the investigation of nipple discharge. Radiography Today 1991;57:15–16.

    PubMed  CAS  Google Scholar 

  • SartoriusOSmith H, Morris P, Benedict D, Friesen L. Cytological evaluation of breast fluid in the detection of breast disease. J Natl Cancer Inst 1977;59:1073–1080.

    PubMed  CAS  Google Scholar 

  • Sauter ER, Daly M, Linahan K, EhyaHEngstrom P, Bonney G, Ross E, Yu H, Diamandis E. Prostate-specific antigen levels in nipple aspirate fluid correlate with breast cancer risk. Cancer Epidemiol Biomarkers Prey 1996;5:967–970.

    CAS  Google Scholar 

  • Tanaka T, Shiu RP, Gout PW, Beer CT, Noble RI, Friesen HG. A new sensitive and specific bioassay for lactogenic hormones: Measurement of prolactin and growth hormone in human serum. J Clin Endocrinol Metab 1980;51:1058–1063.

    Article  PubMed  CAS  Google Scholar 

  • Tao SC, Yu MC, Ross RK, Xiu KW. Risk factors for breast cancer in Chinese women of Beijing. Int J Cancer 1988;42:495–498.

    Article  PubMed  CAS  Google Scholar 

  • Vizoso F, Sanchez LM, Diez-Itza I, Luz LM, Lopez-Otin C. Factors affecting protein composition of breast secretions from nonlacting women. Breast Cancer Res Treat 1992;23:251–258.

    Article  PubMed  CAS  Google Scholar 

  • Wald NJ, Boreham JL, Hayward JL, Bulbrook RD. Plasma retinol, 13-carotene and vitamin E levels in relation to the future risk of breast cancer. Br J Cancer 1984;49:321–324.

    CAS  Google Scholar 

  • Wrensch MR, Petrakis NL, Gruenke LD, Ernster VL, Miike R, King EB, Hauck WW. Factors associated with obtaining nipple aspirate fluid: Analysis of 1428 women and literature review. Breast Cancer Res Treat 1990;15:39–51.

    Article  PubMed  CAS  Google Scholar 

  • Yuan JM, Yu MC, Ross RK, Gao YT, Henderson BE. Risk factors for breast cancer in Chinese women in Shanghai. Cancer Res 1988;48:1949–1953.

    PubMed  CAS  Google Scholar 

  • Ziegler RG. A review of epidemiologic evidence that carotenoids reduce the risk of cancer. J Nutr 1989; 119:116–122.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media New York

About this chapter

Cite this chapter

Covington, C., Mitchell-Gieleghem, A., Lawson, D., Eto, I., Grubbs, C. (2001). Presence of Carotenoid, an Anticarcinogenic Marker, in Nipple Aspirates Postlactation. In: Newburg, D.S. (eds) Bioactive Components of Human Milk. Advances in Experimental Medicine and Biology, vol 501. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1371-1_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-1371-1_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5521-2

  • Online ISBN: 978-1-4615-1371-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics