Zinc and Its Antioxidant Properties: The Potential Use of Blood Zinc Levels as a Marker of Cancer Risk in BRCA1 Mutation Carriers

Author:

Matuszczak Milena1ORCID,Kiljańczyk Adam1,Marciniak Wojciech2ORCID,Derkacz Róża2ORCID,Stempa Klaudia1,Baszuk Piotr1,Bryśkiewicz Marta1,Sun Ping3,Cheriyan Angela3,Cybulski Cezary12,Dębniak Tadeusz1ORCID,Gronwald Jacek12ORCID,Huzarski Tomasz124,Lener Marcin R.1,Jakubowska Anna1,Szwiec Marek5ORCID,Stawicka-Niełacna Małgorzata4ORCID,Godlewski Dariusz6,Prusaczyk Artur7,Jasiewicz Andrzej8ORCID,Kluz Tomasz9ORCID,Tomiczek-Szwiec Joanna10ORCID,Kilar-Kobierzycka Ewa11,Siołek Monika12,Wiśniowski Rafał13,Posmyk Renata14,Jarkiewicz-Tretyn Joanna15,Scott Rodney J.16ORCID,Narod Steven A.3ORCID,Lubiński Jan12ORCID

Affiliation:

1. Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, ul. Unii Lubelskiej 1, 71-252 Szczecin, Poland

2. Read-Gene, Grzepnica, ul. Alabastrowa 8, 72-003 Dobra, Poland

3. Women’s College Research Institute, Women’s College Hospital, University of Toronto, Toronto, ON M5G 1N8, Canada

4. Department of Clinical Genetics and Pathology, University of Zielona Góra, ul. Zyty 28, 65-046 Zielona Góra, Poland

5. Department of Surgery and Oncology, University of Zielona Góra, Zyty 28, 65-046 Zielona Góra, Poland

6. OPEN, Kazimierza Wielkiego 24 St., 61-863 Poznań, Poland

7. Medical and Diagnostic Center, 08-110 Siedlce, Poland

8. Genetic Counseling Center, Subcarpatian Oncological Hospital, 18 Bielawskiego St., 36-200 Brzozów, Poland

9. Department of Gynecology, Gynecology Oncology and Obstetrics, Institute of Medical Sciences, Medical College, Rzeszow University, Rejtana 16c, 35-959 Rzeszow, Poland

10. Department of Histology, Department of Biology and Genetics, Faculty of Medicine, University of Opole, 45-040 Opole, Poland

11. Department of Oncology, District Specialist Hospital, Leśna 27-29 St., 58-100 Świdnica, Poland

12. Holycross Cancer Center, Artwińskiego 3 St., 25-734 Kielce, Poland

13. Regional Oncology Hospital, Wyzwolenia 18 St., 43-300 Bielsko Biała, Poland

14. Department of Clinical Genetics, Medical University of Bialystok, 15-089 Białystok, Poland

15. Non-Public Health Care Centre, Cancer Genetics Laboratory, 87-100 Toruń, Poland

16. Medical Genetics, Hunter Medical Research Institute, Priority Research Centre for Cancer Research, Innovation and Translation, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Pathology North, John Hunter Hospital, King and Auckland Streets, Newcastle, NSW 2300, Australia

Abstract

BRCA1 mutations predispose women to breast and ovarian cancer. The anticancer effect of zinc is typically linked to its antioxidant abilities and protecting cells against oxidative stress. Zinc regulates key processes in cancer development, including DNA repair, gene expression, and apoptosis. We took a blood sample from 989 female BRCA1 mutation carriers who were initially unaffected by cancer and followed them for a mean of 7.5 years thereafter. There were 172 incident cases of cancer, including 121 cases of breast cancer, 29 cases of ovarian cancers, and 22 cancers at other sites. A zinc level in the lowest tertile was associated with a modestly higher risk of ovarian cancer compared to women with zinc levels in the upper two tertiles (HR = 1.65; 95% CI 0.80 to 3.44; p = 0.18), but this was not significant. Among those women with zinc levels in the lowest tertile, the 10-year cumulative risk of ovarian cancer was 6.1%. Among those in the top two tertiles of zinc level, the ten-year cumulative risk of ovarian cancer was 4.7%. There was no significant association between zinc level and breast cancer risk. Our preliminary study does not support an association between serum zinc level and cancer risk in BRCA1 mutation carriers.

Funder

Minister of Science and Higher Education “Regional Initiative of Excellence”

Publisher

MDPI AG

Reference52 articles.

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