Breast cancer, alcohol, and phosphate toxicity.

alcohol consumption breast cancer chronic kidney disease dysregulated phosphate metabolism hyperphosphatemia inorganic phosphate onco-nephrology phosphate toxicity rhabdomyolysis tumorigenesis

Journal

Journal of applied toxicology : JAT
ISSN: 1099-1263
Titre abrégé: J Appl Toxicol
Pays: England
ID NLM: 8109495

Informations de publication

Date de publication:
Jan 2024
Historique:
revised: 18 05 2023
received: 08 04 2023
accepted: 25 05 2023
medline: 6 12 2023
pubmed: 19 6 2023
entrez: 18 6 2023
Statut: ppublish

Résumé

Alcohol consumption is associated with an increased risk of breast cancer, even at low alcohol intake levels, but public awareness of the breast cancer risk associated with alcohol intake is low. Furthermore, the causative mechanisms underlying alcohol's association with breast cancer are unknown. The present theoretical paper uses a modified grounded theory method to review the research literature and propose that alcohol's association with breast cancer is mediated by phosphate toxicity, the accumulation of excess inorganic phosphate in body tissue. Serum levels of inorganic phosphate are regulated through a network of hormones released from the bone, kidneys, parathyroid glands, and intestines. Alcohol burdens renal function, which may disturb the regulation of inorganic phosphate, impair phosphate excretion, and increase phosphate toxicity. In addition to causing cellular dehydration, alcohol is an etiologic factor in nontraumatic rhabdomyolysis, which ruptures cell membranes and releases inorganic phosphate into the serum, leading to hyperphosphatemia. Phosphate toxicity is also associated with tumorigenesis, as high levels of inorganic phosphate within the tumor microenvironment activate cell signaling pathways and promote cancer cell growth. Furthermore, phosphate toxicity potentially links cancer and kidney disease in onco-nephrology. Insights into the mediating role of phosphate toxicity may lead to future research and interventions that raise public health awareness of breast cancer risk and alcohol consumption.

Identifiants

pubmed: 37332052
doi: 10.1002/jat.4504
doi:

Substances chimiques

Phosphates 0
Ethanol 3K9958V90M

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

17-27

Informations de copyright

© 2023 The Authors. Journal of Applied Toxicology published by John Wiley & Sons Ltd.

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Auteurs

Ronald B Brown (RB)

School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Philip Bigelow (P)

School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Joel A Dubin (JA)

School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Ontario, Canada.

Elena Neiterman (E)

School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

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