1. Redlining−associated methylation in breast tumors: the impact of contemporary structural racism on the tumor epigenome
- Author
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Jasmine M. Miller-Kleinhenz, Leah Moubadder, Kirsten M. Beyer, Yuhong Zhou, Anne H. Gaglioti, Lindsay J. Collin, Jazib Gohar, Whitney Do, Karen Conneely, Uma Krishnamurti, Keerthi Gogineni, Sheryl Gabram-Mendola, Olivia D’Angelo, Kashari Henry, Mylin Torres, and Lauren E. McCullough
- Subjects
structural racism ,breast cancer ,health disparities ,DNA methylation ,epigenome ,epigenetic age acceleration ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
PurposePlace-based measures of structural racism have been associated with breast cancer mortality, which may be driven, in part, by epigenetic perturbations. We examined the association between contemporary redlining, a measure of structural racism at the neighborhood level, and DNA methylation in breast tumor tissue.MethodsWe identified 80 Black and White women diagnosed and treated for a first-primary breast cancer at Emory University Hospitals (2008–2017). Contemporary redlining was derived for census tracts using the Home Mortgage Disclosure Act database. Linear regression models were used to calculate the association between contemporary redlining and methylation in breast tumor tissue. We also examined epigenetic age acceleration for two different metrics, regressing β values for each cytosine-phosphate-guanine dinucleotide (CpG) site on redlining while adjusting for covariates. We employed multivariable Cox-proportional hazards models and 95% confidence intervals (CI) to estimate the association between aberrant methylation and mortality.ResultsContemporary redlining was associated with 5 CpG sites after adjustment for multiple comparisons (FDR
- Published
- 2023
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