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. Author manuscript; available in PMC: 2022 Feb 1.
Published in final edited form as: Cancer Epidemiol Biomarkers Prev. 2021 May 14;30(8):1462–1471. doi: 10.1158/1055-9965.EPI-20-1803

Table 2.

Possible Mechanisms Underlying Reduced Risk of Estrogen-Related Cancers by Cigarette Smoking

Cigarette Smoke Constituent
Nicotine AhR agonists
Endometrial Cancer Aromatase inhibition? AhR/ER cross talk
Endometrioid Ovarian Cancer Anti-inflammatory effects?
Aromatase inhibition
ER/AhR cross talk
Clear Cell Ovarian Cancer Anti-inflammatory effects? ER/AhR cross talk?
Thyroid Cancer Anti-inflammatory effects?
Reduction of TSH levels?
ER/AhR cross talk?

? Entry an unlikely or uncertain contributor to an inverse association with cigarette smoking