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The frequency of the Greenlandic founder mutation in BRCA1 was as expected higher in cases than in controls. Peer Review reports. Breast cancer BC is the most common cancer for women in the western world and the incidence has been increasing since Known established BC risk factors include genetic inheritance e. Some factors seem to reduce the risk such as low age at first birth, large number of full term pregnancies and long duration of breastfeeding.

However, the known risk factors only explain less than a third of all cases and the risk of BC is thought to be modified by lifestyle and environmental exposures. Previous studies have shown that Inuit had lower incidence of various diseases e. This may suggest that changes in lifestyle and environmental factors might be affecting the BC risk possibly in combination with the genetic factors [ 1 ]. Polymorphisms including single nucleotide polymorphisms SNPs in genes involved in xenobiotic metabolism and in genes involved in oestrogen biosynthesis and metabolism might affect circulating estrogen levels and modulate the individual susceptibility to environmental carcinogens in relation to developing BC [ 5 ].

Simplified schematic presentation of enzymes involved in estrogen biosynthesis and metabolism. These catecholestrogens can be cleared via the methylation pathway catalysed by COMT. Alternatively the 4-OHE 2 can be oxidised into the semiquinone, which can undergo non-enzymatic conversion to its quinone generating superoxide radical.