Use of Underarm Cosmetic Products in Relation to Risk of Breast Cancer: A Case-Control Study
Open accessAbstract
BACKGROUND: Previous studies on breast cancer (BC), underarm cosmetic products (UCP) and aluminum salts have shown conflicting results. We conducted a 1:1 age-matched case-control study to investigate the risk for BC in relation to self-reported UCP application. METHODS: Self-reported history of UCP use was compared between 209 female BC patients (cases) and 209 healthy controls. Aluminum concentration in breast tissue was measured in 100 cases and 52 controls. Multivariable conditional logistic regression analysis was performed to estimate odds ratios (ORs) with 95% confidence intervals (CIs), adjusting for established BC risk factors. FINDINGS: Use of UCP was significantly associated with risk of BC (p=0.036). The risk for BC increased by an OR of 3.88 (95% CI 1.03-14.66) in women who reported using UCP's several times daily starting at an age earlier than 30years. Aluminum in breast tissue was found in both cases and controls and was significantly associated to self-reported UCP use (p=0.009). Median (interquartile) aluminum concentrations were significantly higher (p=0.001) in cases than in controls (5.8, 2.3-12.9 versus 3.8, 2.5-5.8nmol/g). INTERPRETATION: Frequent use of UCPs may lead to an accumulation of aluminum in breast tissue. More than daily use of UCPs at younger ages may increase the risk of BC.
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In a case control study, use of underarm cosmetic products containing Al was significantly associated with breast cancer incidence, and Al levels in breast tissues were significantly higher in breast cancer cases than controls (5.8 versus 3.8 nmol/g).
“In a case control study (Linhart et al., 2017), the use of underarm cosmetic products containing Al was significantly associated with breast cancer incidence and the Al levels in breast tissues were significantly higher in breast cancer cases than controls (5.8 versus 3.8 nmol/g).”
From Aluminium toxicosis: a review of toxic actions and effects (2019) · cites this paper as Linhart et al., 2017
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Experimental — accuracy not yet measuredAl chlorohydrate in antiperspirant cosmetics and other underarm cosmetic products may be an important source of Al exposure.
“Al chlorohydrate in antiperspirant cosmetics and other underarm cosmetic products may be an important source of Al exposure (Pineau et al., 2014; Linhart et al., 2017).”
From Aluminium toxicosis: a review of toxic actions and effects (2019) · cites this paper as Linhart et al., 2017
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Aluminium and the human breast
Darbre, P. D. (2016) · Morphologie · doi:10.1016/j.morpho.2016.02.001 · Cited by 78 · see citing works
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Research works printed but not linked: 38
- Bonefeld-Jorgensen E.C. Long M. Bossi R. Ayotte P. Asmund G. Krüger T. Ghisari M. Mulvad G. Kern P. Nzulumiki P. Dewailly E. Perfluorinated compounds are related to breast cancer risk in greenlandic inuit: a case control study Environ. Health 10 2011 88 21978366 PMC3203030
- Bright C.J. Rea D.W. Francis A. Feltbower R.G. Comparison of quadrant-specific breast cancer incidence trends in the United States and England between 1975 and 2013 Cancer Epidemiol. 44 2016 186 194 27632243
- Coyle Y.M. The effect of environment on breast cancer risk Breast Cancer Res. Treat. 84 2004 273 288 15026625
- Cui Y. Vogt S. Olson N. Glass A.G. Rohan T.E. Levels of zinc, selenium, calcium, and iron in Benign breast tissue and risk of subsequent breast cancer Cancer Epidemiol. Biomark. Prev. 16 2007 1682 1685 17684146
- Darbre P.D. Underarm cosmetics are a cause of breast cancer Eur. J. Cancer Prev. 10 2001 389 393 11711753
- Darbre P.D. Underarm cosmetics and breast cancer J. Appl. Toxicol. 95 2003 89 95 12666152
- Darbre P.D. Recorded quadrant incidence of female breast cancer in Great Britain suggests a disproportionate increase in the upper outer quadrant of Breast Anticancer Res. 25 2005 2543 2550 16080490
- Darbre P.D. Underarm antiperspirants/deodorants and breast cancer Breast Cancer Res. 11 Suppl. 3 2009 S5 20030880 PMC2797685
- Darbre P.D. Pugazhendhi D. Mannello F. Aluminium and human breast diseases J. Inorg. Biochem. 105 2011 1484 1488 22099158
- Darbre P.D. Bakir A. Iskakova E. Effect of aluminium on migratory and invasive properties of MCF-7 human breast cancer cells in culture J. Inorg. Biochem. 128 2013 245 249 23896199
- Darbre P.D. Mannello F. Exley C. Aluminium and breast cancer: sources of exposure, tissue measurements and mechanisms of toxicological actions on breast biology J. Inorg. Biochem. 128 2013 257 261 23899626
- Dyrssen D. Haraldsson C. Nyberg E. Wedborg M. Complexation of aluminum with DNA J. Inorg. Biochem. 29 1987 67 75 3559548
- Exley C. Charles L.M. Barr L. Martin C. Polwart A. Darbre P.D. Aluminium in human breast tissue J. Inorg. Biochem. 101 2007 1344 1346 17629949
- Fakri S. Antiperspirant use as a risk factor for breast cancer in Iraq East Mediterr. Health J. 12 2006 478 482 17037719
- Farasani A. Darbre P.D. Effects of aluminium chloride and aluminium chlorohydrate on DNA repair in MCF10A immortalised non-transformed human breast epithelial cells J. Inorg. Biochem. 152 2015 186 189 26319584
- Gail M.H. Pfeiffer R.M. Is the benign breast disease breast cancer model well calibrated? J. Clin. Oncol. 33 2015 2829 2830 26215936
- House E. Polwart A. Darbre P.D. Barr L. Metaxas G. Exley C. The aluminium content of breast tissue taken from women with breast cancer J. Trace Elem. Med. Biol. 27 2013 257 266 23870171
- Ionescu J.G. Novotny J. Stejskal V. Lätsch A. Blaurock-Busch E. Eisenmann-Klein M. Increased levels of transition metals in breast cancer tissue Neuro. Endocrinol. Lett. 27 Suppl. 1 2006 36 39 16804515
- Kristensen V.N. Lingjærde O.C. Russnes H.G. Vollan H.K.M. Frigessi A. Børresen-Dale A.-L. Principles and methods of integrative genomic analyses in cancer Nat. Rev. Cancer 14 2014 299 313 24759209
- Lankoff A. Banasik A. Duma A. Ochniak E. Lisowska H. Kuszewski T. Góźdź S. Wojcik A. A comet assay study reveals that aluminium induces DNA damage and inhibits the repair of radiation-induced lesions in human peripheral blood lymphocytes Toxicol. Lett. 161 2006 27 36 16139969
- Mandriota S.J. Tenan M. Ferrari P. Sappino A.-P. Aluminium chloride promotes tumorigenesis and metastasis in normal murine mammary gland epithelial cells Int. J. Cancer 139 2016 2781 2790 27541736 PMC5095782
- Mannello F. Tonti G. a Darbre P.D. Concentration of aluminium in breast cyst fluids collected from women affected by gross cystic breast disease J. Appl. Toxicol. 29 2009 1 6 18785682
- McGrath K.G. An earlier age of breast cancer diagnosis related to more frequent use of antiperspirants/deodorants and underarm shaving Eur. J. Cancer Prev. 12 2003 479 485 14639125
- Millos J. Costasrodriguez M. Lavilla I. Bendicho C. Multiple small volume microwave-assisted digestions using conventional equipment for multielemental analysis of human breast biopsies by inductively coupled plasma optical emission spectrometry Talanta 77 2009 1490 1496 19084669
- Mirick D.K. Davis S. Thomas D.B. Antiperspirant use and the risk of breast cancer 94 2002 1578 1580 12381712
- Namer M. Luporsi E. Gligorov J. Lokiec F. Spielmann M. The use of deodorants/antiperspirants does not constitute a risk factor for breast cancer Bull. Cancer 95 2008 871 880 18829420
- Ng K.H. Bradley D.A. Looi L.M. Elevated trace element concentrations in malignant breast tissues Br. J. Radiol. 70 1997 375 382 9166074
- Parkin D.M. Bray F. Ferlay J. Pisani P. Global cancer statistics, 2002 CA Cancer J. Clin. 55 2005 74 108 15761078
- Pasha Q. Malik S.A. Iqbal J. Shaheen N. Shah M.H. Comparative evaluation of trace metal distribution and correlation in human malignant and benign breast tissues Biol. Trace Elem. Res. 125 2008 30 40 18496653
- Petracci E. Decarli A. Schairer C. Pfeiffer R.M. Pee D. Masala G. Palli D. Gail M.H. Risk factor modification and projections of absolute breast cancer risk J. Natl. Cancer Inst. 103 2011 1037 1048 21705679 PMC3131219
- Pfeiffer R.M. Park Y. Kreimer A.R. Lacey J.V. Pee D. Greenlee R.T. Buys S.S. Hollenbeck A. Rosner B. Gail M.H. Hartge P. Risk prediction for breast, endometrial, and ovarian cancer in white women aged 50 y or older: derivation and validation from population-based cohort studies PLoS Med. 10 2013 e1001492 23935463 PMC3728034
- Pineau A. Fauconneau B. Sappino A.-P. Deloncle R. Guillard O. If exposure to aluminium in antiperspirants presents health risks, its content should be reduced J. Trace Elem. Med. Biol. 28 2014 147 150 24418462
- Rodrigues-Peres R.M. Cadore S. Febraio S. Heinrich J.K. Serra K.P. Derchain S.F.M. Vassallo J. Sarian L.O. Aluminum concentrations in central and peripheral areas of malignant breast lesions do not differ from those in normal breast tissues BMC Cancer 13 2013 104 23496847 PMC3599564
- Romanowicz-Makowska H. Forma E. Bryś M. Krajewska W.M. Smolarz B. Concentration of cadmium, nickel and aluminium in female breast cancer Pol. J. Pathol. 62 2011 257 261 22246912
- Sappino A.-P. Buser R. Lesne L. Gimelli S. Béna F. Belin D. Mandriota S.J. Aluminium chloride promotes anchorage-independent growth in human mammary epithelial cells J. Appl. Toxicol. 32 2012 233 https://www.lipodo.de/stetson-43 22223356
- Slanger T. Mutschelknauss E. Kropp S. Braendle W. Flesch-Janys D. Chang-Claude J. Test-retest reliability of self-reported reproductive and lifestyle data in the context of a German case-control study on breast cancer and postmenopausal hormone therapy Ann. Epidemiol. 17 2007 993 998 17855123
- Turnbull C. Rahman N. Genetic predisposition to breast cancer: past, present, and future Annu. Rev. Genomics Hum. Genet. 9 2008 321 345 18544032
- Willhite C.C. Karyakina N.A. Yokel R.A. Yenugadhati N. Wisniewski T.M. Arnold I.M.F.F. Momoli F. Krewski D. Systematic review of potential health risks posed by pharmaceutical, occupational and consumer exposures to metallic and nanoscale aluminum, aluminum oxides, aluminum hydroxide and its soluble salts Crit. Rev. Toxicol. 44 2014 1 80 PMC4997813 25233067
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Aluminium toxicosis: a review of toxic actions and effects
Igbokwe, I. O., Igwenagu, E., & Igbokwe, N. A. (2019) · Interdisciplinary Toxicology · doi:10.2478/intox-2019-0007 · Cited by 395 · see citing works
“In a case control study (Linhart et al., 2017), the use of underarm cosmetic products containing Al was significantly associated with breast cancer incidence and the Al levels in breast tissues were significantly higher in breast cancer cases than controls (5.8 versus 3.8 nmol/g).”
BackgroundInfluentialIrfan, M., Shafeeq, A., Siddiq, U., Bashir, F., Ahmad, T., Athar, M., Butt, M. T., Ullah, S., Mukhtar, A., Hussien, M., et al. (2022) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2022.128806 · Cited by 63 · see citing works
- Authors
- Linhart, C., Talasz, H., Morandi, E. M., Exley, C., Lindner, H. H., Taucher, S., Egle, D., Hubalek, M., Concin, N., & Ulmer, H.
- Affiliations
- Innsbruck Medical University (AT)
- Keele University (GB)
- Corresponding author
- Concin, Nicole
- Ulmer, Hanno
- ORCID
- Venue
- EBioMedicine
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 21
- Pages
- 79-85
- ISSN
- 2352-3964 (ISSN-L)
- PMC
- PMC5514401
- OpenAlex
- W2621480510
- Cited by
- 66
- References
- 1
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 10 · 2023: 15 · 2022: 9 · 2021: 11 · 2020: 6 · 2019: 5 · 2018: 1 · 2017: 3
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- EBioMedicine (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Keele Research Repository (Keele University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Keywords
- breast cancer, aluminum salts, breast cancer risk factors, aluminum exposure
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aluminum, Breast Neoplasms, Cosmetics, Female, Humans, Middle Aged, Risk, Odds Ratio, Case-Control Studies, Young Adult
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