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Advisory Committee on Health Effects of Endocrine Disruptors
The Supplement II to the Intermediary Report
1.4.2.2_1

 

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  [Results]
1. Organochlorine compounds
Many epidemiologic studies have been performed on the relationships of PCBs and organochlorine pesticides with breast cancer.
1) Cohort studies
A large-scale retrospective studies on cohorts distributed in 10 European countries by Saracci et al. (1991) did not show increase in SMR due to exposure to chlorophenoxy pesticides. However, they did not mention the incidence, and observed a limited number of death cases. Reynolds et al. (2000) did not find a significant correlation between the exposure level to pesticides estimated by residence of the subjects and breast cancer risk in a prospective cohort study on Californian female teachers.

2) Nested case-control studies
Many case-control studies have been reported. Ten nested studies and 24 retrospective studies (of which 3 population-based, 21 hospital-based including 3 using population-based control) were published up to Dec. 31, 2000; 4 nested studies and 14 retrospective studies (of which 5 population-based, 6 hospital-based including 1 using population-based control) were added between Jan. 1, 2001 and Oct. 31, 2004.
The nested studies may be classified according to the nature of the cohort. Wolff et al. (1993) reports a significant increase in risk by DDE and PCB in the U.S. Women's Health Study. The dose-response relationship was not clear for PCB. Wolff et al. (2000), however, did not find significant increase in risk in a study based on the fat-adjusted concentration in serum. In the U.S. Nurse's Health Study, Hunter et al. (1997) did not observe increase in risk for DDE and PCB, as Laden et al. (2001) did not for PCB homologues. Laden et al. (2002) reports an increased risk, though statistically marginal, for a group of women after menopause with a mutant CYP1A1-exon7 allele with high plasma PCB level. Hoyer et al. (1998) observed a significant increase in breast cancer risk by dieldrin in Copenhagen City Heart Study. Hoyer et al. (2000) found again a significantly increased risk also by PCB138, but not by other organochlorine compounds. Hoyer et al (2001) further reports that serum dieldrin level is significantly correlated with the risk of estrogen receptor-negative breast cancer, and (in 2002) that mutation of p53 may modify the effect of organochlorine compounds on the increase of breast cancer, although the correlation between the existence of p53 mutation and serum level of the compounds were statistically insignificant.
Dorgan et al. (1999) observed a significant increase of risk by HCB, but not by dieldrin or other organochlorine compounds, in a study of a cohort consisting of donors to the serum bank in Columbia, U.S. Helzlsouer et al. (1999) did not observe risk increase by DDE and PCB in the subjects of the U.S. CLUE study. Ward et al. (2000) found no increase in risk by PCB or organochlorine pesticides in a cohort of Norwegian serum bank donors. In a study of a cohort consisting of New York State residents, O'Leary et al. (2004) found results that suggest an increase of breast cancer risk by exposure to pesticides existing in residents, water and nearby waste treatment sites.
 

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