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To: AgAuUSA who wrote (1650)5/20/1998 12:02:00 PM
From: AgAuUSA  Read Replies (1) | Respond to of 6439
 
Cigarettes may lower cancer risk for
some women, study finds

Copyright c 1998 Nando.net
Copyright c 1998 The Associated Press

WASHINGTON (May 20, 1998 09:32 a.m. EDT
nando.net) -- Women with gene mutations linked to
high rates of breast cancer may actually lower their risk of
the disease by smoking cigarettes, according to a study
published Wednesday.

But researchers cautioned that smoking poses far greater
risks from other tobacco-related diseases, including other
cancers.

"This study is interesting scientifically, but it should not
encourage anyone to smoke," said Jean-Sebastien Brunet,
a researcher at the Women's College Hospital of the
University of Toronto in Canada. He was lead author of a
study published Wednesday in the Journal of the National
Cancer Institute.

The study examined the breast cancer history of 372
women who had mutations of the BRCA1 or BRCA2 genes.
By some estimates, about 80 percent of such women will
develop breast cancer.

Half the women in the study were smokers.

Brunet said the incidence of breast cancer was 54 percent
lower among heavy smokers than among nonsmokers.
The effect, he said, was "dose-related" -- the more a
woman with a BRCA gene mutation smoked, the less
likelihood of her developing breast cancer.

Smoking a pack a day for four years or four packs a day for
a year reduced the risk by 35 percent, he said. The
reduction was 54 percent for a woman who smoked more.

The study involved only women with the BRCA gene
mutation. This mutation occurs, on average, in only one of
every 250 women. Among some ethnic groups, the rate can
be as high as one in 50. Between 5 percent and 10 percent
of all women with breast cancer have a BRCA mutation.

Brunet said the study was scientifically valuable because it
suggests that some action of smoking or of some of the
1,300 compounds in cigarette smoke may be protective
against breast cancer. However, he said, "We don't have
any idea what that compound is."

Some breast cancers have been linked to estrogen, the
female hormone, and cigarette smoking is known to lower
production of estrogen, said Brunet. Smoking also is linked
to early menopause and to a decreased risk of endometrial
cancer, Brunet said.

However, smoking significantly increases the risk of other,
even more dangerous cancers, such as those of the lung,
throat and pancreas.

Brunet said he and his 18 co-authors came to their
conclusions reluctantly and only after putting the study
results to rigorous statistical tests. Further, Brunet said that
scientific referees on the journal also carefully scrutinized
the data.

"We did everything we could to test the data, but we would
really like for someone to replicate the study just to prove
that our data set is correct," he said.

In a commentary in the journal, Dr. John A. Baron of
Dartmouth Medical School and Dr. R. W. Haile of the
University of Southern California said the study "certainly
should not be taken as encouragement for women with
(the) mutations to smoke," but that it does raise the
possibility that something in cigarette smoke could benefit
such women.

They said more research could lead to a drug that would
protect against mutation-related breast cancer, but without
the serious health risks of smoking.

By PAUL RECER, AP Science Writer