Review Article

Relationships between Global DNA Methylation in Circulating White Blood Cells and Breast Cancer Risk Factors

Table 3

Study findings for lifestyle, dietary, and reproductive factors.

AuthorsMethylation TypeMeasurement methodStudy participantsFindingsComments

⁢Physical activity

Duggan et al., 2014 [24]LINE-1Pyrosequencing300 overweight women aged 50–75 in the USNo differences

Perng et al., 2014 [34]LINE-1Pyrosequencing987 adults aged 45–84 from the Multi-Ethnic Study of Atherosclerosis (MESA), NY & LANo differences

White et al., 2013 [49]LINE-1Pyrosequencing647 non-Hispanic white women aged 35–74 from the NIH sister study, USASignificant differences () between “0” and “3” physical activity duration level above the median of physical activityPhysical activity levels of women greater than or equal to the median of physical activity at three time points (ages 5–12, 13–19 and currently) had higher global methylation compared to women with activity levels below the median for all three time periods (beta = .33, 95% CI: .01, 0.66)

Zhang et al., 2011 [50]LINE-1MethyLight161 individuals aged 45–75 from the North Texas Healthy Heart StudyNo differences

Zhang et al., 2012 [37]LINE-1Pyrosequencing165 individuals aged 18–78 from the COMIR (Commuting Mode and Inflammatory Response) study, NYNo differences

⁢Alcohol

Agodi et al., 2015 [21]LINE-1Pyrosequencing177 women aged 13–50, HelsinkiNo differences

Hou et al., 2010 [27]LINE-1Pyrosequencing421 individuals aged 21–79 in Warsaw, PolandNo differences

Hsiung et al., 2007 [28]LINE-1COBRA PCR765 individuals aged 18–75, Greater Boston Metropolitan AreaNo differencesAdjusted for age, sex, race, smoking, HPV serology, dietary folate, MTHFR

Karami et al., 2015 [29]LINE-1PyrosequencingPLCO - 436 controls from individuals aged 55–74 in the US, ATBC, 575 controls from individuals aged 55–69 in FinlandPLCO -No differences
ATBC - No differences

Mirabello et al., 2010 [32]LINE-1Pyrosequencing314 individuals aged 12–75+ from the NCI Clinical Genetics Branch Familial TGTC Study in the USNo differences

Pearce et al., 2012 [33]LINE-1Pyrosequencing228 individuals aged 49–51 from Newcastle, EnglandNo differences

Tajuddin et al., 2013 [47]LINE-1Pyrosequencing892 individuals aged 20–81 from the Spanish Bladder Cancer/EPICURO study, SpainNo differences

Perng et al., 2014 [34]LINE-1Pyrosequencing987 adults aged 45–84 from the Multi-Ethnic Study of Atherosclerosis (MESA), NY & LANo differences

Xu et al., 2012 [11]LINE-1Pyrosequencing1101 women aged 20–98, from The Long Island Breast Cancer Study ProjectNo differences

Zhang et al., 2011 [36]LINE-1Pyrosequencing161 individuals aged 45–75 from the North Texas Healthy Heart StudyNo differences

Zhang et al., 2012 [37]LINE-1Pyrosequencing165 individuals aged 18–78 from the COMIR (Commuting Mode and Inflammatory Response) study, NYNo differences

Zhu et al., 2012 [38]LINE-1Pyrosequencing1465 individuals total from a combination of 5 individual studies across MA; Warsaw, Poland; Milan, Italy; Brescia, Italy; Trissino, ItalyNo differences

Zhu et al., 2012 [38]AuPyrosequencing1465 individuals total from a combination of 5 individual studies across MA; Warsaw, Poland; Milan, Italy; Brescia, Italy; Trissino, ItalyNo differences

Kim et al., 2010 [40]AluPyrosequencing86 individuals aged 42–69, South KoreaNo differencesAdjusted for age

Na et al., 2014 [41]AluPyrosequencing244 women aged 20–51, KoreaNo differences

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Smoking

Agodi et al., 2015 [21]LINE-1Pyrosequencing177 women aged 13–50, HelsinkiNo differences

Andreotti et al., 2014 [45]LINE-1Pyrosequencing676 individuals aged 55–74 from the Prostate, Lung, Colorectal, Ovarian Cancer Screening Trial (PLCO) in the USNo difference for females. Significant differences () between “Never” and “Ever” smokers for males“Never” smoked had 84% average LINE-1 methylation% and “Ever” smoked had 83.6% average LINE-1 methylation% for males

Gomes et al., 2012 [26]LINE-1ELISA126 individuals aged 60–88, BrazilNo differences

Hou et al., 2010 [27]LINE-1Pyrosequencing421 individuals aged 21–79 in Warsaw, PolandNo differences

Hsiung et al., 2007 [28]LINE-1COBRA PCR765 individuals aged 18–75, Greater Boston Metropolitan AreaNo differencesAdjusted for age, sex, race, alcohol, HPV serology, dietary folate, MTHFR

Karami et al., 2015 [29]LINE-1PyrosequencingPLCO - 436 controls from individuals aged 55–74 in the USPLCO - No differences for females. Significant difference () between smokers and nonsmokers for malesPLCO, males who had never smoked have an average 77.35% LINE-1 methylation%, and males who had ever smoked have an average 77.02% LINE-1 methylation%

Liao et al., 2011 [30]LINE-1Pyrosequencing654 individuals aged 20–79 from the Central and Eastern European Renal Cancer Study (CEERCC)No differences

Mirabello et al., 2010 [32]LINE-1Pyrosequencing314 individuals aged 12–75+ from the NCI Clinical Genetics Branch Familial TGTC Study in the USNo differences

Pearce et al., 2012 [33]LINE-1Pyrosequencing228 individuals aged 49–51 from Newcastle, EnglandNo differences

Perng et al., 2014 [34]LINE-1Pyrosequencing987 adults aged 45–84 from the Multi-Ethnic Study of Atherosclerosis (MESA), NY & LANo differences

Tajuddin et al., 2013 [47]LINE-1Pyrosequencing892 individuals aged 20–81 from the Spanish Bladder Cancer/EPICURO study, SpainNo differencesAdjusted for age, sex, region

Wilhelm et al., 2010 [35]LINE-1Pyrosequencing465 individuals aged 25–74, from NHNo differences

Xu et al., 2012 [11]LINE-1Pyrosequencing1101 women aged 20–98, from The Long Island Breast Cancer Study ProjectNo differences

Zhang et al., 2011 [36]LINE-1Pyrosequencing161 individuals aged 45–75 from the North Texas Healthy Heart StudyNo differences

Zhu et al., 2012 [38]LINE-1Pyrosequencing1465 individuals total from a combination of 5 individual studies across MA; Warsaw, Poland; Milan, Italy; Brescia, Italy; Trissino, ItalyNo differences

Kim et al., 2010 [40]AluPyrosequencing86 individuals aged 42–69, South KoreaNo differencesAdjusted for age

Na et al., 2014 [41]AluPyrosequencing244 women aged 20–51, KoreaNo differences

Rusiecki et al., 2008 [42]AluPyrosequencing70 individuals aged 19–67 from Greenlandic Inuit, GreenlandNo differences

Zhu et al., 2012 [38]AluPyrosequencing1465 individuals total from a combination of 5 individual studies across MA; Warsaw, Poland; Milan, Italy; Brescia, Italy; Trissino, ItalyNo differences

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

Moore et al., 2008 [44]5-mdCHPCE, HpaII digest, densitometry397 individuals aged 20–81 from the Spanish Bladder Cancer Study, SpainNo differences

⁢BMI

Agodi et al., 2015 [21]LINE-1Pyrosequencing177 women aged 13–50, HelsinkiNo differences

Duggan et al., 2014 [24]LINE-1Pyrosequencing300 overweight women aged 50–75 in the USNo differences

Gomes et al., 2012 [26]LINE-1ELISA126 individuals aged 60–88, BrazilNo differences

Karami et al., 2015 [29]LINE-1PyrosequencingPLCO, 436 controls from individuals aged 55–74 in the US, ATBC, 575 controls from individuals aged 55–69 in FinlandPLCO, no differences. ATBC, significant differences between 16.7–<25, 25–30, and 30–62.1BMI 16.7–<25 had 79.00% average LINE-1 methylation%, BMI 25–30 had 78.73% average LINE-1 methylation%, and BMI 30–62.1 had 78.39% average LINE-1 methylation%

Liao et al., 2011 [30]LINE-1Pyrosequencing654 individuals aged 20–79 from the Central and Eastern European Renal Cancer Study (CEERCC)No differences

Marques-Rocha, 2016 [31]LINE-1MS-HRM156 individuals aged 19–27, BrazilNo differences

Pearce et al., 2012 [33]LINE-1Pyrosequencing228 individuals aged 49–51 from Newcastle, EnglandNo differencesAdjusted for sex

Perng et al., 2014 [34]LINE-1Pyrosequencing987 adults aged 45–84 from the Multi-Ethnic Study of Atherosclerosis (MESA), NY & LANo differences

Tajuddin et al., 2013 [47]LINE-1Pyrosequencing892 individuals aged 20–81 from the Spanish Bladder Cancer/EPICURO study, SpainNo differences

Zhang et al., 2011 [36]LINE-1Pyrosequencing161 individuals aged 45–75 from the North Texas Healthy Heart StudyNo differences

Zhang et al., 2012 [37]LINE-1Pyrosequencing165 individuals aged 18–78 from the COMIR (Commuting Mode and Inflammatory Response) study, NYNo differencesIn unadjusted models, there was a statistically significant difference ()

Zhu et al., 2012 [38]LINE-1Pyrosequencing1465 individuals total from a combination of 5 individual studies across MA; Warsaw, Poland; Milan, Italy; Brescia, Italy; Trissino, ItalyNo differences

Kim et al., 2010 [40]AluPyrosequencing86 individuals aged 42–69, South KoreaNo differencesAdjusted for age

Na et al., 2014 [41]AluPyrosequencing244 women aged 20–51, KoreaSignificant difference () between normal weight, overweight, and obese groupsNormal weight had 26.28 Alu methylation%, overweight had 24.95 Alu methylation%, normal weight had 25.96 Alu methylation%

Zhu et al., 2012 [38]AluPyrosequencing1465 individuals total from a combination of 5 individual studies across MA; Warsaw, Poland; Milan, Italy; Brescia, Italy; Trissino, ItalyNo differences

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Vegetables

Agodi et al., 2015 [21]LINE-1Pyrosequencing177 women aged 13–50, HelsinkiNo differences

Cash et al., 2012 [46]LINE-1Pyrosequencing528 individuals aged 25–74 from the Residents Registry of the Shanghai Municipal Government, ChinaSignificant differences () between “<4 times/week” and “≥4 times/week” intake of total cruciferous vegetables in men, not significant in womenMen with “<4 times/week” intake of total cruciferous vegetables had 81.31 average LINE-1 methylation% and men with “≥4 times/week” intake of total cruciferous vegetables had 82.2 average LINE-1 methylation%

Duggan et al., 2014 [24]LINE-1Pyrosequencing300 overweight women aged 50–75 in the USNo differences

Hou et al., 2010 [27]LINE-1Pyrosequencing421 individuals aged 21–79 in Warsaw, PolandNo differences

Karami et al., 2015 [29]LINE-1PyrosequencingPLCO - 436 controls from individuals aged 55–74 in the US, ATBC, 575 controls from individuals aged 55–69 in FinlandPLCO, No differences. ATBC, significant differences () between <690.9 grams of vegetables per day and ≥690.6 grams of vegetables per day<690.9 grams of vegetables per day have an average 78.64% LINE-1 methylation%, and ≥690.6 grams of vegetables per day have an average 78.90% LINE-1 methylation%

Liao et al., 2011 [30]LINE-1Pyrosequencing654 individuals aged 20–79 from the Central and Eastern European Renal Cancer Study (CEERCC)No differences

Martín-Núñez et al., 2014 [51]LINE-1Pyrosequencing155 individuals aged 40–65 from SpainLINE-1 methylation increased in the control group () but decreased in the Mediterranean diet intervention group ()The control group had 66.8 average LINE-1 methylation% and the intervention group had 63.6 average LINE-1 methylation% after one year. Adjusted for age, gender, BMI at baseline

Tajuddin et al., 2013 [47]LINE-1Pyrosequencing892 individuals aged 20–81 from the Spanish Bladder Cancer/EPICURO study, SpainNo differencesAdjusted for age, sex, region, smoking status

Zhang et al., 2012 [37]LINE-1Pyrosequencing165 individuals aged 18–78 from the COMIR (Commuting Mode and Inflammatory Response) study, NYNo differences

⁢Fruit

Agodi et al., 2015 [21]LINE-1Pyrosequencing177 women aged 13–50, HelsinkiSignificant differences () between fruit intake groups of <201 grams/day and <201 grams/dayData given in tertiles of methylation; women with <201 grams/day fruit intake had lower average LINE-1 methylation% than women with >201 grams/day fruit intake

Hou et al., 2010 [27]LINE-1Pyrosequencing421 individuals aged 21–79 in Warsaw, PolandNo differences

Karami et al., 2015 [29]LINE-1PyrosequencingPLCO, 436 controls from individuals aged 55–74 in the US, ATBC, 575 controls from individuals aged 55–69 in FinlandPLCO, No differences. ATBC, No differences

Tajuddin et al., 2013 [47]LINE-1Pyrosequencing892 individuals aged 20–81 from the Spanish Bladder Cancer/EPICURO study, SpainNo differencesAdjusted for age, sex, region, smoking status

Zhang et al., 2012 [37]LINE-1Pyrosequencing165 individuals aged 18–78 from the COMIR (Commuting Mode and Inflammatory Response) study, NYNo differences

⁢Folate

Agodi et al., 2015 [21]LINE-1Pyrosequencing177 women aged 13–50, HelsinkiSignificant differences () between folate deficient and non-folate deficient groupsData given in tertiles of methylation; women with folate deficiency had lower average LINE-1 methylation% than women without folate deficiency

Bae et al., 2014 [52]LINE-1LC-MS/MS408 women aged 50–79 from the WHI-OS cohort, throughout the USSignificant differences () among different levels of RBC folateWomen in “highest RBC folate group” had 5.12 baseline LINE-1 methylation% and women in “lowest RBC folate group” had 4.99 baseline LINE-1 methylation%

Gomes et al., 2012 [26]LINE-1ELISA126 individuals aged 60–88, BrazilNo differences

Hou et al., 2010 [27]LINE-1Pyrosequencing421 individuals aged 21–79 in Warsaw, PolandNo differences

Hsiung et al., 2007 [28]LINE-1COBRA PCR765 individuals aged 18–75, Greater Boston Metropolitan AreaNo differencesAdjusted for age, sex, race, smoking, alcohol, HPV serology, MTHFR

Karami et al., 2015 [29]LINE-1PyrosequencingPLCO, 436 controls from individuals aged 55–74 in the US, ATBC, 575 controls from individuals aged 55–69 in FinlandPLCO, No differences. ATBC, No differences

Perng et al., 2014 [34]LINE-1Pyrosequencing987 adults aged 45–84 from the Multi-Ethnic Study of Atherosclerosis (MESA), NY & LANo differences

Tajuddin et al., 2013 [47]LINE-1Pyrosequencing892 individuals aged 20–81 from the Spanish Bladder Cancer/EPICURO study, SpainNo differencesAdjusted for age, sex, region

Xu et al., 2012 [11]LINE-1Pyrosequencing1101 women aged 20–98, from The Long Island Breast Cancer Study ProjectNo differences

Zhang et al., 2011 [36]LINE-1Pyrosequencing161 individuals aged 45–75 from the North Texas Healthy Heart StudyNo differences

Zhang et al., 2012 [37]LINE-1Pyrosequencing165 individuals aged 18–78 from the COMIR (Commuting Mode and Inflammatory Response) study, NYSignificant differences () among different levels of dietary folate from fortified foodsDietary folate from fortified foods, µg/1,000 kJ spearman value 0.21

Moore et al., 2008 [44]5-mdCHPCE, HpaII digest, densitometry397 individuals aged 20–81 from the Spanish Bladder Cancer Study, SpainNo differences

⁢Menopause status

Xu et al., 2012 [11]LINE-1Pyrosequencing1101 women aged 20–98, from The Long Island Breast Cancer Study ProjectNo differences

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Fetal Birthweight

Michels et al., 2011 [53]LINE-1Pyrosequencing319 mother-child dyads from Brigham and Women’s Hospital, BostonSignificant differences between low birthweight () and high birthweight () compared to normal birthweight infants“Low birthweight, <2500 g” had a −0.82 change in LINE-1 methylation% and “High birthweight, 4000+ g” had a −0.43 change in LINE-1 methylation%

⁢Family history of breast cancer

Brennan et al., 2012 [9]LINE-1Pyrosequencing769 individuals aged 23–83 from 3 cohorts, USANo differences

Delgado-Cruzata et al., 2014 [54]LINE-1MethyLight333 unaffected women who had a sister with breast cancer from the Breast Cancer Family Registry, NYNo differences

Wu et al., 2011 [55]LINE-1Pyrosequencing, MethyLight51 girls aged 6–17, USANo differences

Xu et al., 2012 [11]LINE-1Pyrosequencing1101 women aged 20–98, from The Long Island Breast Cancer Study ProjectNo differences

Wu et al., 2011 [55]AluMethyLight51 girls aged 6–17, USASignificant differences () between family history and no family historyFamily history had 151.4 average Alu methylation% while no family history had 169.8 average Alu methylation%

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Age at Menarche

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Age at first birth

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Parity

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences

⁢Hormone Cycle

El-Maarri et al., 2011 [25]LINE-1Pyrosequencing, SIRPH500 individuals aged 18–64, Bonn, GermanyNo differences

⁢Sex Hormones

Iwasaki et al., 2012 [56]LINE-1LUMA185 women aged 55–74, JapanNo differences

Ulrich et al., 2012 [57]LINE-1Pyrosequencing173 women aged 55–75 from the Physical Activity for Total Health StudyNo differences

⁢Hormone use

Choi et al., 2009 [1]5-mdCLC/ESI-MS/MS180 women aged 35–75No differences