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. 2023 Dec 15;13(12):6280–6289.

Table 2.

Associations of stem cell markers’ expression in normal terminal duct-lobular units (weighted average across cores) with breast cancer risk (odds ratios and 95% confidence intervals)a

Stem cell marker expression CD44 CD24 ALDH1A1



N cases/controls OR (95% CI) N cases/controls OR (95% CI) N cases/controls OR (95% CI)
Stroma
    Continuous, per 10% increase 94/324 0.95 (0.87-1.05) 95/333 0.87 (0.71-1.06) 90/315 0.92 (0.76-1.11)
    <10% 67/197 Ref 71/248 Ref 59/191 Ref
    ≥10% 27/127 0.58 (0.34-1.00) 24/85 0.85 (0.48-1.49) 31/124 0.81 (0.49-1.36)
    0-10% 67/197 Ref 71/249 Ref 59/191 Ref
    >10-50% 13/76 0.47 (0.23-0.94) 24/67 1.12 (0.63-1.99) 29/114 0.86 (0.51-1.46)
    >50% 14/51 0.75 (0.37-1.51) 0/17 NE 2/10 0.37 (0.06-2.26)
    p-trend 94/324 0.28 95/333 0.10 90/315 0.24
Epithelium
    Continuous, per 10% increase 91/300 0.96 (0.90-1.03) 92/312 0.96 (0.86-1.08) 90/299 1.01 (0.89-1.16)
    <10% 30/93 Ref 26/63 Ref 26/67 Ref
    ≥10% 61/207 1.03 (0.61-1.76) 66/249 0.67 (0.38-1.19) 64/132 0.66 (0.37-1.19)
    0-10% 30/93 Ref 26/63 Ref 26/67 Ref
    >10-50% 35/96 1.42 (0.77-2.59) 48/188 0.66 (0.36-1.20) 52/196 0.63 (0.34-1.14)
    >50% 26/111 0.73 (0.39-1.38) 18/61 0.69 (0.32-1.47) 12/36 0.86 (0.36-2.02)
    p-trend 91/300 0.17 92/312 0.48 90/299 0.70
Stroma + epithelial
    Continuous, per 10% change 94/325 0.96 (0.88-1.04) 96/335 0.94 (0.81-1.08) 96/326 0.99 (0.83-1.16)
    <10% 43/144 Ref 38/129 Ref 29/90 Ref
    ≥10% 51/181 1.06 (0.64-1.75) 58/206 0.90 (0.55-1.48) 67/236 0.79 (0.46-1.38)
    0-10% 44/144 Ref 38/129 Ref 29/91 Ref
    >10-50% 28/99 1.17 (0.66-2.09) 56/177 1.03 (0.62-1.70) 64/220 0.82 (0.47-1.42)
    >50% 22/82 0.83 (0.44-1.56) 2/29 0.17 (0.04-0.81) 3/15 0.61 (0.15-2.43)
    p-trend 94/325 0.51 96/335 0.03 96/326 0.39

Abbreviations: CI, confidence interval; OR, odds ratio; NE, not estimable.

a

Adjusted for age (continuous), BMI (continuous), a family history of breast cancer (Yes/No), menopausal status/postmenopausal hormone use (premenopausal, postmenopausal/no hormones, postmenopausal/past hormones, postmenopausal/current hormones, postmenopausal/unknown hormone use status, unknown menopausal status), age at menarche (<12, 12, 13, >13, unknown), combined parity/age at first birth (parous with first birth before age 25, parous with first birth at or after age 25, nulliparous, unknown), alcohol use (none, >0-<5, ≥5 g/day), and NHS cohort.