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Frontiers in Endocrinology logoLink to Frontiers in Endocrinology
. 2020 Jun 4;11:227. doi: 10.3389/fendo.2020.00227

Addendum: Metabolic Syndrome, and Particularly the Hypertriglyceridemic-Waist Phenotype, Increases Breast Cancer Risk, and Adiponectin Is a Potential Mechanism: A Case–Control Study in Chinese Women

Yujuan Xiang 1,2,, Wenzhong Zhou 1,3,, Xuening Duan 4, Zhimin Fan 5, Shu Wang 6, Shuchen Liu 1,3, Liyuan Liu 1,2, Fei Wang 1,2, Lixiang Yu 1,2, Fei Zhou 1,2, Shuya Huang 1,2, Liang Li 1,2, Qiang Zhang 1,2, Qinye Fu 1,2, Zhongbing Ma 1,2, Dezong Gao 1,2, Shude Cui 7, Cuizhi Geng 8, Xuchen Cao 9, Zhenlin Yang 10, Xiang Wang 11, Hong Liang 12, Hongchuan Jiang 13, Haibo Wang 14, Guolou Li 15, Qitang Wang 16, Jianguo Zhang 17, Feng Jin 18, Jinhai Tang 19, Fuguo Tian 20, Chunmiao Ye 1,3, Zhigang Yu 1,21,*
PMCID: PMC7287314  PMID: 32582018

In the original article, there were mistakes in Table 6, Table 7, Table 9 as published. The numbers of patients in Table 6 and Table 9 were incorrect. The contents in Table 7 and Table 9 were repetitive to some degree in that we had shown the association between adiponectin with metabolic syndrome and HW phenotype. Therefore, for this Correction, we analyzed the association between adiponectin and metabolic syndrome, and the association in pre- and postmenopausal subgroups in Table 7. In Table 9, we converted the numerical variable into categorical variable, which should provide better guide for clinical practice. In our view, this avoids the repetition. These new tables appear below as Tables 6, 7, 9. The authors apologize for these errors and any confusion that may have arisen due to them and hopes these additional tables sufficiently addresses them.

Table 6.

Association between HW phenotype and breast cancer by logistic regression.

All subjects(n = 595) Premenopausal(n = 383) Postmenopausal(n = 209) ER+/PR+(n = 293) ER+/PR–(n = 59) ER–/PR–(n = 148)
OR 95% CI P OR 95% CI P OR 95% CI P OR 95% CI P OR 95% CI P OR 95% CI P
Univariate model
WC+TG (normal = reference) 1.66 1.10–2.50 0.016 1.63 0.95–2.82 0.077 1.72 0.91–3.22 0.09 2.06 1.29–3.27 0.002 1.70 0.73–4.00 0.222 1.43 0.76–2.67 0.266
Multivariate modela
WC+TG (normal=reference) 1.56 1.02–2.39 0.039 1.49 0.85–2.63 0.167 1.60 0.82–3.12 0.170 1.95 1.21–3.13 0.006 1.71 0.72–4.08 0.225 1.21 0.63–2.33 0.571

WC, waist circumference; TG, triglycerides; ER, estrogen receptor; PR, progesterone receptor.

a

Adjusted for age, number of childbirths, age at menarche, breastfeeding, smoking, alcohol use, family history of breast cancer, and contraceptive drug use.

Table 7.

Association between total adiponectin, HMW adiponectin, HMW/total ratio, and metabolic syndrome.

All subjects Premenopausal Postmenopausal
With MetS Without MetS p With MetS Without MetS p With MetS Without MetS p
Total adiponectin 5.970 ± 3.789 2.807 ± 2.007 0.004 5.960 ± 3.830 6.637 ± 3.558 0.054 5.979 ± 3.762 6.909 ± 3.875 0.022
HMW adiponectin 2.408 ± 1.870 2.807 ± 2.007 0.004 2.371 ± 1.830 2.757 ± 1.958 0.037 2.445 ± 1.915 2.935 ± 2.116 0.024
HMW/total ratio 0.39 ± 0.14 0.41 ± 0.16 0.101 0.39 ± 0.14 0.40 ± 0.17 0.233 0.39 ± 0.15 0.42 ± 0.15 0.150

MetS, metabolic syndrome; HMW, high molecular weight.

Table 9.

The association among metabolic syndrome, breast cancer, and adiponectin.

Controls All cases ER+/PR+ ER+/PR– ER–/PR–
METABOLIC SYNDROME
YES
Total adiponectin 0.362 0.944 0.764 0.203
High 26 (22.2%) 27 (17.8%) 17 (21.8%) 3 (15.8%) 5 (12.8%)
Low 91 (77.8%) 125 (82.2%) 61 (78.2%) 16 (84.2%) 34 (87.2%)
HMW adiponectin 0.296 0.597 0.113 0.403
High 66 (56.4%) 76 (50.0%) 41 (52.6%) 7 (36.8%) 19 (48.7%)
Low 51 (43.6%) 76 (50.0%) 37 (47.4%) 12 (63.2%) 20 (51.3%)
HMW/total ratio 0.354 0.069 0.805 0.711
High 59 (50.4%) 68 (44.7%) 29 (37.2%) 9 (47.4%) 21 (53.8%)
Low 58 (49.6%) 84 (55.3%) 49 (62.8%) 10 (52.6%) 18 (46.2%)
No
Total adiponectin 0.097 0.121 0.339 0.118
High 106 (25.5%) 92 (20.8%) 43 (20.0%) 13 (32.5%) 20 (18.3%)
Low 309 (74.5%) 351 (79.2%) 172 (80.0%) 27 (67.5%) 89 (81.7%)
HMW adiponectin 0.507 0.970 0.588 0.244
High 287 (69.2%) 297 (67.0%) 149 (69.3%) 26 (65.0%) 69 (63.3%)
Low 128 (30.8%) 146 (33.0%) 66 (30.7%) 14 (35.0%) 40 (36.7%)
HMW/total ratio 0.359 0.229 0.873 0.062
High 213 (51.3%) 213 (48.2%) 99 (46.3%) 20 (50.0%) 45 (41.3%)
Low 202 (48.7%) 229 (51.8%) 115 (53.7%) 20 (50.0%) 64 (58.7%)
HW PHENOTYPE
YES
Total adiponectin 0.005 0.028 1.000 0.043
High 14 (35.9%) 9 (13.0%) 6 (14.6%) 2 (28.6%) 1 (6.7%)
Low 25 (64.1%) 60 (87.0%) 35 (85.4%) 5 (71.4%) 14 (93.3%)
HMW adiponectin 0.717 0.527 0.424 0.583
High 24 (61.5%) 40 (58.0%) 28 (68.3%) 3 (42.9%) 8 (53.3%)
Low 15 (38.5%) 29 (42.0%) 13 (31.7%) 4 (57.1%) 7 (46.7%)
HMW/total ratio 0.570 0.263 1.000 0.839
High 17 (43.6%) 34 (49.3%) 23 (56.1%) 3 (42.9%) 7 (46.7%)
Low 22 (56.4%) 35 (50.7%) 18 (43.9%) 4 (57.1%) 8 (53.3%)
NO
Total adiponectin 0.247 0.442 0.632 0.150
High 118 (23.9%) 110 (20.9%) 54 (21.4%) 14 (26.9%) 24 (18.0%)
Low 375 (76.1%) 416 (79.1%) 198 (78.6%) 38 (73.1%) 109 (82.0%)
HMW adiponectin 0.252 0.505 0.191 0.157
High 329 (66.7%) 333 (63.3%) 162 (64.3%) 30 (57.7%) 80 (60.2%)
Low 164 (33.3%) 193 (36.7%) 90 (35.7%) 22 (42.3%) 53 (39.8%)
HMW/total ratio 0.136 0.011 0.813 0.132
High 255 (51.7%) 247 (47.0%) 105 (41.8%) 26 (50.0%) 59 (44.4%)
Low 238 (48.3%) 278 (53.0%) 146 (58.2%) 26 (50.0%) 74 (55.6%)

ER, estrogen receptor; PR, progesterone receptor.

Cut-off value of high and low level for total adiponectin, HMW adiponectin, and HMW/total ratio is 8.768, 1.635, and 0.399, respectively.

In the original article, corresponding text of Table 6, Table 7, and Table 9 was corrected.

A correction has been made to Abstract, Results, Paragraph number 1:

In addition, total adiponectin levels among breast cancer patients were much lower than among controls (p = 0.005) only in the HW phenotype subgroup. Furthermore, the HW phenotype was associated with increased risk of estrogen receptor/progesterone receptor-positive (ER+/PR+) breast cancer, with a 95% (OR = 1.95, 95% CI:1.21–3.13) increase. However, there was no significant association between the HW phenotype and both ER+/PR– and ER–/PR– subtypes.

A correction has been made to Results, Cluster Mode of HW Phenotype Significantly Increases Breast Cancer Risk, Paragraph number 3:

HW phenotype was associated with ER+/PR+ breast cancer, with a 95% (OR = 1.95, 95% CI:1.21–3.13) increase in risk for women with a positive HW phenotype. However, there was no significant association between HW phenotype and both ER+/PR– and ER–/PR– subtypes.

A correction has been made to Results, Adiponectin Might Be the Mechanism Linking Metabolic Syndrome to Breast Cancer, Paragraph number 2:

total adiponectin levels among breast cancer patients were much lower than among the controls(p = 0.005) in the HW phenotype subgroup.

A correction has been made to Results, Adiponectin Might Be the Mechanism Linking Metabolic Syndrome to Breast Cancer, Paragraph number 3:

there was a significant difference of total adiponectin in ER+/PR+ (p = 0.028) and ER–/PR– (p = 0.043) breast cancer compared to the controls, who were much lower in the HW phenotype subgroup.

A correction has been made to Discussion, Paragraph number 6:

We revealed that HW phenotype was an independent risk factor for the ER+/PR+ subtype.

The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.


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