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Estrogen and Breast Cancer

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Estrogen and Breast Cancer

Estrogen is an essential hormone connected with proper reproductive functioning and health. Its presence is necessary for the healthy development of the breast, where it acts as a chemical messenger that triggers breast cell division. Estrogen controls menstrual cycles, while also helping to strengthen the bones and the heart.

In normal circumstances, estrogen performs a necessary and vital role. However, when breast cancer cells appear, estrogen can have a pernicious and destructive effect. About two-thirds of breast cancer tumors have estrogen receptors, which can bind to estrogen and use it in exactly the same way it is used by healthy breast cells, to stimulate and encourage cell division. In this case, however, this helps the cancerous tumor to grow larger, converting a process that was once healthy into something pathological and dangerous.

Complicating the issue further is that there appears to be some kind of cause and effect relationship between exposure to estrogen and the development of breast cancer. In other words, the presence of estrogen in abundance in a woman’s body is not just advantageous to cancer cells; it appears to be involved somehow in their manifestation. One possibility is that because estrogen encourages cell division through its absorption into the cell nucleus where genetic materials lie, increases in this activity may create more chances for mutation or copying errors that alter DNA cumulatively, until cells go pathological and become cancerous.

At that point, estrogen-positive cancers can then use estrogen for their own benefit. For treatment, hormone-blocking drugs are used to keep estrogen-receptors from taking in more estrogen, and in some instances the ovaries are removed to stop estrogen at the source. It was discovered in the past that when women had their ovaries surgically extracted at a young age, their incidence of breast cancer was very low. This observation helped establish the connection between estrogen and the development of breast cancer.

Reducing Estrogen Exposure
The cancer-causing effects of estrogen exposure are cumulative. The more estrogen that circulates in a woman’s body throughout her lifetime, the more likely that cancerous cells or tumors of the estrogen-receptor variety will appear. Estrogen levels in the body are affected by a number of factors, and it is possible for a woman to take a series of steps to reduce her lifetime exposure.

The type of diet consumed has a definite influence on the body’s supply of estrogen. Even though it is produced by the ovaries, fats also contain estrogen, and in postmenopausal women they are the primary source. Therefore, diets should be kept high in fiber and low in fat, and this may be especially important for older women who get breast cancer more frequently even after the ovaries cease their estrogen production. Obesity in general is a risk factor for breast cancer, so exercise should be combined with dietary changes to reduce not just fat intake but also fat storage.

Dietary estrogens should not be avoided altogether, however. There are plant-based estrogens called phytoestrogens, commonly found in various fruits, vegetables and whole grains, which are actually helpful in reducing the deleterious effects of internally produced estrogens. These estrogens are weaker than those produced by the body, and when they bind with hormone-receptors in the breast they do not stimulate breast cell division with anywhere near as much fervor. When the body has enough of these estrogens available, it can cut off the absorption of the more vigorous naturally produced variety.

The Complexities of Estrogen
It may seem surprising that the body would produce a hormone naturally that could actually contribute to the spread of cancer. And indeed, it appears that this traditional view of the effects of estrogen may be a bit simplistic. The body actually produces three types of estrogen, appropriately named E1, E2 and E3, and it is known that there are differences in the carcinogenic potential between them. Similar to cholesterol, the ratios of good to bad types seem to be responsive to changes in diet, which may explain in part how better diet can reduce the risk of cancer developing. Another factor may be contamination caused by chemical pollution. Carcinogenic substances can be absorbed by the cells of the breast and stored for long periods of time, and some chemicals actually contain artificial estrogens or estrogen-like substances that may cause havoc with the body’s natural system of production and intake. In sum, it is likely that the role of estrogen in causing cancer is complicated significantly by factors such as diet and exposure to chemical contaminants, although much more study needs to be done to establish these links more clearly.

The Mystery Deepens
In February of this year, there was a study released in Breast Cancer Research and Treatment that has muddied the picture. It has been discovered that cancer stem cells play a huge role in the development of breast cancer, and that estrogen helps to reduce the number of cancer stem cells available for tumor formation in the breast. This may explain why estrogen-receptor positive breast cancers are more responsive to treatment and can be sent into remission more often than the one-third of breast cancers that do not use estrogen to fuel their growth. So while estrogen will stimulate the processes that lead to tumor - building, apparently it does have some way to differentiate between healthy breast cells and cancerous ones. In effect, estrogen fights cancer in a stealthy way, by attacking the stem cells at the same time the tumor is using it to stimulate its growth.

These discoveries are quite new and surprising, given what has been known and presumed about estrogen up until now. In the past, keeping estrogen away has been the preferred method for treating estrogen-receptor positive cancers. In the future, as cancer treatment evolves and new innovations emerge, we may see the reverse occurring, as medical professionals focus on finding ways to introduce more estrogen into cancerous stem cells where it can make a positive difference. As it turns out, the more we learn about estrogen, the more fascinating and unpredictable this amazing hormone becomes.

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