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Migraines
associated with lower risk of Breast Cancer
Newswise — Women who suffer from migraines
may take at least some comfort in a recent,
first-of-its-kind study that suggests a
history of such headaches is associated with
a significantly lower risk of breast cancer.
Christopher I. Li, M.D., Ph.D., and
colleagues at Fred Hutchinson Cancer
Research Center report these findings in the
November issue of Cancer Epidemiology,
Biomarkers and Prevention.
“We found that, overall, women who had a
history of migraines had a 30 percent lower
risk of breast cancer compared to women who
did not have a history of such headaches,”
said Li, a breast-cancer epidemiologist and
associate member of the Hutchinson Center’s
Public Health Sciences Division.
In particular, migraine history appeared to
reduce the risk of the most common subtypes
of breast cancer: those that are
estrogen-receptor and/or
progesterone-receptor positive.
Such tumors have estrogen and/or
progesterone receptors, or docking sites, on
the surface of their cells, which makes them
more responsive to hormone-blocking drugs
than tumors that lack such receptors.
The biological mechanism behind the
association between migraines and breast
cancer is not fully known, but Li and
colleagues suspect that it has to do with
fluctuations in levels of circulating
hormones.
“Migraines seem to have a hormonal component
in that they occur more frequently in women
than in men, and some of their known
triggers are associated with hormones,” Li
said.
“For example, women who take oral
contraceptives – three weeks of active pills
and one week of inactive pills to trigger
menstruation – tend to suffer more migraines
during their hormone-free week,” he said.
Conversely,
pregnancy – a high-estrogen state – is
associated with a significant decrease in
migraines.
“By the third trimester of pregnancy, 80
percent of migraine sufferers do not have
these episodes,” he said. Estrogen is known
to stimulate the growth of hormonally
sensitive breast cancer.
While this study represents the first of its
kind to look at a potential connection
between migraines and breast cancer, Li and
colleagues have data from two other studies
that in preliminary analyses appear to
confirm these findings, he said.
“While these results need to be interpreted
with caution, they point to a possible new
factor that may be related to breast-cancer
risk.
"This
gives us a new avenue to explore the biology
behind risk reduction. Hopefully this could
help stimulate other ideas and extend what
we know about the biology of the disease.”
For the study, the researchers combined data
from two population-based, case-control
studies of 3,412 Seattle-area postmenopausal
women, 1,938 of whom had been diagnosed with
breast cancer and 1,474 of whom had no
history of breast cancer, who served as a
comparison group.
Information on migraine history was based on
self-report and was limited to migraines
that had been diagnosed by a physician or
other health professional.
The National Cancer Institute funded the
research, which also involved researchers
from the Hutchinson Center’s Human Biology
Division and the University of Washington
School of Medicine Department of Neurology.
At Fred Hutchinson Cancer Research Center,
our interdisciplinary teams of
world-renowned scientists and humanitarians
work together to prevent, diagnose and treat
cancer, HIV/AIDS and other diseases.
Our researchers, including three Nobel
laureates, bring a relentless pursuit and
passion for health, knowledge and hope to
their work and to the world. For more
information, please visit www.fhcrc.org
.
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