Evidence map›Paper›PMID 33203443›Full record

ReviewEnvironmental health : a global access science source2020

Environmental chemicals, breast cancer progression and drug resistance.

Meriem Koual, Céline Tomkiewicz, German Cano-Sancho, Jean-Philippe Antignac, Anne-Sophie Bats, Xavier Coumoul

Open access · goldAbstract readReview
In one paragraph

Review in Environmental health : a global access science source, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 3 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 3 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
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  8. Evaluating the Efficacy of Polyphenol-Enriched Plant Extracts and Pathway Modulators in the Bone Marrow to Suppress Breast Cancer Progression.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  11. Residential Proximity to NPL Superfund Sites and High Particulate Matter Exposure Is Associated with Increased Likelihood of Triple-Negative Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Meriem KoualINSERM UMR-S1124, 3TS, Toxicologie Pharmacologie et Signalisation Cellulaire, Université de Paris, Paris, France. meriem.koual@aphp.fr.ORCID 0000-0002-4318-7894
Céline TomkiewiczINSERM UMR-S1124, 3TS, Toxicologie Pharmacologie et Signalisation Cellulaire, Université de Paris, Paris, France.
German Cano-SanchoLABERCA, Oniris, INRA, Université Bretagne-Loire, 44307, Nantes, France.
Jean-Philippe AntignacLABERCA, Oniris, INRA, Université Bretagne-Loire, 44307, Nantes, France.
Anne-Sophie BatsAssistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Service de Chirurgie Cancérologique Gynécologique et du Sein, Paris, France.
Xavier CoumoulINSERM UMR-S1124, 3TS, Toxicologie Pharmacologie et Signalisation Cellulaire, Université de Paris, Paris, France. xavier.coumoul@parisdescartes.fr.
Inserm · FRLaboratoire D'étude des Résidus et Contaminants Dans les Aliments · FR

Funding

Académie Nationale de Médecine noneFondation ARC pour la Recherche sur le Cancer none
6 · The paper itself

Abstract

Breast cancer (BC) is one of the most common causes of cancer in the world and the second leading cause of cancer deaths among women. Mortality is associated mainly with the development of metastases. Identification of the mechanisms involved in metastasis formation is, therefore, a major public health issue. Among the proposed risk factors, chemical environment and pollution are increasingly suggested to have an effect on the signaling pathways involved in metastatic tumor cells emergence and progression. The purpose of this article is to summarize current knowledge about the role of environmental chemicals in breast cancer progression, metastasis formation and resistance to chemotherapy. Through a scoping review, we highlight the effects of a wide variety of environmental toxicants, including persistent organic pollutants and endocrine disruptors, on invasion mechanisms and metastatic processes in BC. We identified the epithelial-to-mesenchymal transition and cancer-stemness (the stem cell-like phenotype in tumors), two mechanisms suspected of playing key roles in the development of metastases and linked to chemoresistance, as potential targets of contaminants. We discuss then the recently described pro-migratory and pro-invasive Ah receptor signaling pathway and conclude that his role in BC progression is still controversial. In conclusion, although several pertinent pathways for the effects of xenobiotics have been identified, the mechanisms of actions for multiple other molecules remain to be established. The integral role of xenobiotics in the exposome in BC needs to be further explored through additional relevant epidemiological studies that can be extended to molecular mechanisms.

Indexed as

Breast NeoplasmsDrug Resistance, NeoplasmAnimalsDisease ProgressionEnvironmental PollutantsFemaleHumansEnvironmental PollutantsBreast cancerEndocrine disrupting chemicalsEnvironmental exposureEnvironmental pollutants; aryl hydrocarbon receptor; cancer stem cells; drug resistanceOrganochlorine pesticidesPerfluoroalkyl acidPolychlorinated biphenyls

Identifiers

PMID33203443
PMCPMC7672852
OpenAlexW3098266295

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.