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Vitamin D is important in mammary homeostasis, but the vitamin D signaling pathway is dysregulated in breast cancer epithelial cells. Preclinical and several ecologic and associational studies suggest an inverse relation between vitamin D intake or 25-OH D3 levels and mammary cancer risk, particularly in younger women. However, human correlative and interventional trial results are inconsistent, perhaps due to differences in cohort selection, research methodology, confounding influences, or a small magnitude of effect. Significant risk reduction may require blood 25-OH D3 of >50 ng/mL, a level much higher than that generally observed in Western populations in cohort studies or after low doses of supplements in placebo-controlled intervention trials. Ongoing phase II trials in premenopausal women are designed to achieve levels of 25-OH D3 of ≥50 ng/mL and assess impact on risk biomarkers for breast cancer. These studies will inform design of future cancer incidence trials.
Current Breast Cancer Reports – Springer Journals
Published: Jul 16, 2011
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