CORRECTION article

Front. Endocrinol., 04 June 2020

Sec. Translational and Clinical Endocrinology

Volume 11 - 2020 | https://doi.org/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

  • YX

    Yujuan Xiang 1,2†

  • WZ

    Wenzhong Zhou 1,3†

  • XD

    Xuening Duan 4

  • ZF

    Zhimin Fan 5

  • SW

    Shu Wang 6

  • SL

    Shuchen Liu 1,3

  • LL

    Liyuan Liu 1,2

  • FW

    Fei Wang 1,2

  • LY

    Lixiang Yu 1,2

  • FZ

    Fei Zhou 1,2

  • SH

    Shuya Huang 1,2

  • LL

    Liang Li 1,2

  • QZ

    Qiang Zhang 1,2

  • QF

    Qinye Fu 1,2

  • ZM

    Zhongbing Ma 1,2

  • DG

    Dezong Gao 1,2

  • SC

    Shude Cui 7

  • CG

    Cuizhi Geng 8

  • XC

    Xuchen Cao 9

  • ZY

    Zhenlin Yang 10

  • XW

    Xiang Wang 11

  • HL

    Hong Liang 12

  • HJ

    Hongchuan Jiang 13

  • HW

    Haibo Wang 14

  • GL

    Guolou Li 15

  • QW

    Qitang Wang 16

  • JZ

    Jianguo Zhang 17

  • FJ

    Feng Jin 18

  • JT

    Jinhai Tang 19

  • FT

    Fuguo Tian 20

  • CY

    Chunmiao Ye 1,3

  • ZY

    Zhigang Yu 1,21*

  • 1. Department of Breast Surgery, The Second Hospital of Shandong University, Jinan, China

  • 2. Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China

  • 3. School of Medicine, Shandong University, Jinan, China

  • 4. Breast Disease Center, Peking University First Hospital, Beijing, China

  • 5. Department of Breast Surgery, The First Hospital of Jilin University, Changchun, China

  • 6. Breast Disease Center, Peking University People's Hospital, Beijing, China

  • 7. Department of Breast Surgery, Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China

  • 8. Breast Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China

  • 9. Department of Breast Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China

  • 10. Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Binzhou Medical University, Binzhou, China

  • 11. Department of Breast Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, China

  • 12. Department of General Surgery, Linyi People's Hospital, Linyi, China

  • 13. Department of General Surgery, Beijing Chaoyang Hospital, Beijing, China

  • 14. Breast Center, Qingdao University Affiliated Hospital, Qingdao, China

  • 15. Department of Breast and Thyroid Surgery, Weifang Traditional Chinese Hospital, Weifang, China

  • 16. Department of Breast Surgery, The Second Affiliated Hospital of Qingdao Medical College, Qingdao Central Hospital, Qingdao, China

  • 17. Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China

  • 18. Department of Breast Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China

  • 19. Department of General Surgery, Nanjing Medical University Affiliated Cancer Hospital Cancer Institute of Jiangsu Province, Nanjing, China

  • 20. Department of Breast Surgery, Shanxi Cancer Hospital, Taiyuan, China

  • 21. Suzhou Institute, Shandong University, Suzhou, China

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

All subjects(n=595)Premenopausal(n=383)Postmenopausal(n=209)ER+/PR+(n=293)ER+/PR–(n=59)ER–/PR–(n=148)
OR95% CIPOR95% CIPOR95% CIPOR95% CIPOR95% CIPOR95% CIP
Univariate model
WC+TG (normal = reference)1.661.10–2.500.0161.630.95–2.820.0771.720.91–3.220.092.061.29–3.270.0021.700.73–4.000.2221.430.76–2.670.266
Multivariate modela
WC+TG (normal=reference)1.561.02–2.390.0391.490.85–2.630.1671.600.82–3.120.1701.951.21–3.130.0061.710.72–4.080.2251.210.63–2.330.571

Association between HW phenotype and breast cancer by logistic regression.

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

All subjectsPremenopausalPostmenopausal
With MetSWithout MetSpWith MetSWithout MetSpWith MetSWithout MetSp
Total adiponectin5.970 ± 3.7892.807 ± 2.0070.0045.960 ± 3.8306.637 ± 3.5580.0545.979 ± 3.7626.909 ± 3.8750.022
HMW adiponectin2.408 ± 1.8702.807 ± 2.0070.0042.371 ± 1.8302.757 ± 1.9580.0372.445 ± 1.9152.935 ± 2.1160.024
HMW/total ratio0.39 ± 0.140.41 ± 0.160.1010.39 ± 0.140.40 ± 0.170.2330.39 ± 0.150.42 ± 0.150.150

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

MetS, metabolic syndrome; HMW, high molecular weight.

Table 9

ControlsAll casesER+/PR+ER+/PR–ER–/PR–
METABOLIC SYNDROME
YES
Total adiponectin0.3620.9440.7640.203
High26 (22.2%)27 (17.8%)17 (21.8%)3 (15.8%)5 (12.8%)
Low91 (77.8%)125 (82.2%)61 (78.2%)16 (84.2%)34 (87.2%)
HMW adiponectin0.2960.5970.1130.403
High66 (56.4%)76 (50.0%)41 (52.6%)7 (36.8%)19 (48.7%)
Low51 (43.6%)76 (50.0%)37 (47.4%)12 (63.2%)20 (51.3%)
HMW/total ratio0.3540.0690.8050.711
High59 (50.4%)68 (44.7%)29 (37.2%)9 (47.4%)21 (53.8%)
Low58 (49.6%)84 (55.3%)49 (62.8%)10 (52.6%)18 (46.2%)
No
Total adiponectin0.0970.1210.3390.118
High106 (25.5%)92 (20.8%)43 (20.0%)13 (32.5%)20 (18.3%)
Low309 (74.5%)351 (79.2%)172 (80.0%)27 (67.5%)89 (81.7%)
HMW adiponectin0.5070.9700.5880.244
High287 (69.2%)297 (67.0%)149 (69.3%)26 (65.0%)69 (63.3%)
Low128 (30.8%)146 (33.0%)66 (30.7%)14 (35.0%)40 (36.7%)
HMW/total ratio0.3590.2290.8730.062
High213 (51.3%)213 (48.2%)99 (46.3%)20 (50.0%)45 (41.3%)
Low202 (48.7%)229 (51.8%)115 (53.7%)20 (50.0%)64 (58.7%)
HW PHENOTYPE
YES
Total adiponectin0.0050.0281.0000.043
High14 (35.9%)9 (13.0%)6 (14.6%)2 (28.6%)1 (6.7%)
Low25 (64.1%)60 (87.0%)35 (85.4%)5 (71.4%)14 (93.3%)
HMW adiponectin0.7170.5270.4240.583
High24 (61.5%)40 (58.0%)28 (68.3%)3 (42.9%)8 (53.3%)
Low15 (38.5%)29 (42.0%)13 (31.7%)4 (57.1%)7 (46.7%)
HMW/total ratio0.5700.2631.0000.839
High17 (43.6%)34 (49.3%)23 (56.1%)3 (42.9%)7 (46.7%)
Low22 (56.4%)35 (50.7%)18 (43.9%)4 (57.1%)8 (53.3%)
NO
Total adiponectin0.2470.4420.6320.150
High118 (23.9%)110 (20.9%)54 (21.4%)14 (26.9%)24 (18.0%)
Low375 (76.1%)416 (79.1%)198 (78.6%)38 (73.1%)109 (82.0%)
HMW adiponectin0.2520.5050.1910.157
High329 (66.7%)333 (63.3%)162 (64.3%)30 (57.7%)80 (60.2%)
Low164 (33.3%)193 (36.7%)90 (35.7%)22 (42.3%)53 (39.8%)
HMW/total ratio0.1360.0110.8130.132
High255 (51.7%)247 (47.0%)105 (41.8%)26 (50.0%)59 (44.4%)
Low238 (48.3%)278 (53.0%)146 (58.2%)26 (50.0%)74 (55.6%)

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

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.

Summary

Keywords

breast cancer, metabolic syndrome, hypertriglyceridemic-waist phenotype, adiponectin, risk

Citation

Xiang Y, Zhou W, Duan X, Fan Z, Wang S, Liu S, Liu L, Wang F, Yu L, Zhou F, Huang S, Li L, Zhang Q, Fu Q, Ma Z, Gao D, Cui S, Geng C, Cao X, Yang Z, Wang X, Liang H, Jiang H, Wang H, Li G, Wang Q, Zhang J, Jin F, Tang J, Tian F, Ye C and Yu Z (2020) 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. Front. Endocrinol. 11:227. doi: 10.3389/fendo.2020.00227

Received

28 February 2020

Accepted

30 March 2020

Published

04 June 2020

Volume

11 - 2020

Edited and reviewed by

Eva Surmacz, Allysta Pharmaceuticals, Inc., United States

Updates

Copyright

*Correspondence: Zhigang Yu

This article was submitted to Translational Endocrinology, a section of the journal Frontiers in Endocrinology

†These authors have contributed equally to this work and share first authorship

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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