Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study

Abstract Increasing evidence suggests that endocrine-disrupting chemicals (EDCs) have adverse effects on breast cancer (BC). The aim of this study was to assess the association between exposure to prevalent EDCs—phenols and parabens—and the risk of developing BC. Data on urinary bisphenol A (BPA), t...

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Main Authors: Yao Xiong, Zhiyu Li, Xiong Xiong, Zixuan Luo, Kaixin Zhong, Jiawei Hu, Shengrong Sun, Chuang Chen
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-88765-z
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author Yao Xiong
Zhiyu Li
Xiong Xiong
Zixuan Luo
Kaixin Zhong
Jiawei Hu
Shengrong Sun
Chuang Chen
author_facet Yao Xiong
Zhiyu Li
Xiong Xiong
Zixuan Luo
Kaixin Zhong
Jiawei Hu
Shengrong Sun
Chuang Chen
author_sort Yao Xiong
collection DOAJ
description Abstract Increasing evidence suggests that endocrine-disrupting chemicals (EDCs) have adverse effects on breast cancer (BC). The aim of this study was to assess the association between exposure to prevalent EDCs—phenols and parabens—and the risk of developing BC. Data on urinary bisphenol A (BPA), triclosan (TRS), benzophenone-3 (BP3), methyl paraben (MPB), ethyl paraben (EPB), propyl paraben (PPB), and butyl paraben (BUP) were obtained from the 2005–2014 National Health and Nutrition Examination Survey. A total of 4455 subjects were included in this cross-sectional study. The results from the weighted multivariable regression models indicated that exposure to elevated concentrations of TRS increased the risk of developing BC by 2.33 (Q2: 95% CI = 1.45–3.75, p < 0.001) and 1.94 times (Q3: 95% CI = 1.21–3.09, p = 0.006), respectively. The nonlinear association between TRS concentrations and the risk of developing BC was statistically significant (P nonlinear = 0.007), with the restricted cubic splines (RCS) curve exhibiting an inverted U shape. The association between TRS concentrations and the risk of developing BC was more pronounced among overweight individuals (BMI ≥ 25 kg/m2), those aged < 60 years, and white individuals. Weighted quantile sum (WQS) and Bayesian Kernel Machine Regression (BKMR) analysis revealed no significant overall association between mixtures of urinary phenol and paraben metabolites and BC risk. However, TRS exposure was the most influential, with higher TRS concentrations (both continuous and categorical) significantly associated with an increased BC risk, particularly in overweight individuals (BMI ≥ 25 kg/m2), those aged < 60 years, and white individuals.
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spelling doaj-art-226eae830dd2480ab060bfe6edc70fa72025-02-09T12:32:39ZengNature PortfolioScientific Reports2045-23222025-02-0115111310.1038/s41598-025-88765-zAssociations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional studyYao Xiong0Zhiyu Li1Xiong Xiong2Zixuan Luo3Kaixin Zhong4Jiawei Hu5Shengrong Sun6Chuang Chen7Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityDepartment of Information, Electronic and Bioengineering, Politecnico Di Milano.Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan UniversityAbstract Increasing evidence suggests that endocrine-disrupting chemicals (EDCs) have adverse effects on breast cancer (BC). The aim of this study was to assess the association between exposure to prevalent EDCs—phenols and parabens—and the risk of developing BC. Data on urinary bisphenol A (BPA), triclosan (TRS), benzophenone-3 (BP3), methyl paraben (MPB), ethyl paraben (EPB), propyl paraben (PPB), and butyl paraben (BUP) were obtained from the 2005–2014 National Health and Nutrition Examination Survey. A total of 4455 subjects were included in this cross-sectional study. The results from the weighted multivariable regression models indicated that exposure to elevated concentrations of TRS increased the risk of developing BC by 2.33 (Q2: 95% CI = 1.45–3.75, p < 0.001) and 1.94 times (Q3: 95% CI = 1.21–3.09, p = 0.006), respectively. The nonlinear association between TRS concentrations and the risk of developing BC was statistically significant (P nonlinear = 0.007), with the restricted cubic splines (RCS) curve exhibiting an inverted U shape. The association between TRS concentrations and the risk of developing BC was more pronounced among overweight individuals (BMI ≥ 25 kg/m2), those aged < 60 years, and white individuals. Weighted quantile sum (WQS) and Bayesian Kernel Machine Regression (BKMR) analysis revealed no significant overall association between mixtures of urinary phenol and paraben metabolites and BC risk. However, TRS exposure was the most influential, with higher TRS concentrations (both continuous and categorical) significantly associated with an increased BC risk, particularly in overweight individuals (BMI ≥ 25 kg/m2), those aged < 60 years, and white individuals.https://doi.org/10.1038/s41598-025-88765-z
spellingShingle Yao Xiong
Zhiyu Li
Xiong Xiong
Zixuan Luo
Kaixin Zhong
Jiawei Hu
Shengrong Sun
Chuang Chen
Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study
Scientific Reports
title Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study
title_full Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study
title_fullStr Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study
title_full_unstemmed Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study
title_short Associations between phenol and paraben exposure and the risk of developing breast cancer in adult women: a cross-sectional study
title_sort associations between phenol and paraben exposure and the risk of developing breast cancer in adult women a cross sectional study
url https://doi.org/10.1038/s41598-025-88765-z
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