Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review

Abstract This narrative review explores the link between breast cancer and night shift work in nurses, focusing on genetic and epigenetic factors. Breast cancer disproportionately affects women globally, and night shift work is increasingly recognized as a potential risk factor. Nurses who work cons...

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Main Authors: Xia Li, Yingyu Hu, Fatemeh Aslanbeigi
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cancer Cell International
Subjects:
Online Access:https://doi.org/10.1186/s12935-025-03649-6
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author Xia Li
Yingyu Hu
Fatemeh Aslanbeigi
author_facet Xia Li
Yingyu Hu
Fatemeh Aslanbeigi
author_sort Xia Li
collection DOAJ
description Abstract This narrative review explores the link between breast cancer and night shift work in nurses, focusing on genetic and epigenetic factors. Breast cancer disproportionately affects women globally, and night shift work is increasingly recognized as a potential risk factor. Nurses who work consecutive overnight shifts face elevated risks due to disruptions in their circadian rhythms. Studies suggest that working six or more successive night shifts, particularly over five years or more, may increase breast cancer risk. This review hypothesizes that disruptions in the sleep-wake cycle, such as changes in melatonin production and telomere length, could contribute to breast cancer susceptibility. Currently, there is limited genetic evidence to support this hypothesis. However, it is plausible that genetic and epigenetic alterations, including changes in genes like ER and HER2, may heighten the risk for night shift nurses. These alterations may involve variations in telomere length, DNA methylation, and disruptions in critical breast cancer-related genes. We highlight various genetic and epigenetic changes that may influence this increased susceptibility. Further research is needed to explore the underlying mechanisms and contributing factors in this association.
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spelling doaj-art-8ef857bf72744ea8b1efedd44c82d35c2025-01-26T12:53:32ZengBMCCancer Cell International1475-28672025-01-0125111210.1186/s12935-025-03649-6Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative reviewXia Li0Yingyu Hu1Fatemeh Aslanbeigi2Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical CollegeShulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical CollegeSchool of Medicine, Kashan University of Medical SciencesAbstract This narrative review explores the link between breast cancer and night shift work in nurses, focusing on genetic and epigenetic factors. Breast cancer disproportionately affects women globally, and night shift work is increasingly recognized as a potential risk factor. Nurses who work consecutive overnight shifts face elevated risks due to disruptions in their circadian rhythms. Studies suggest that working six or more successive night shifts, particularly over five years or more, may increase breast cancer risk. This review hypothesizes that disruptions in the sleep-wake cycle, such as changes in melatonin production and telomere length, could contribute to breast cancer susceptibility. Currently, there is limited genetic evidence to support this hypothesis. However, it is plausible that genetic and epigenetic alterations, including changes in genes like ER and HER2, may heighten the risk for night shift nurses. These alterations may involve variations in telomere length, DNA methylation, and disruptions in critical breast cancer-related genes. We highlight various genetic and epigenetic changes that may influence this increased susceptibility. Further research is needed to explore the underlying mechanisms and contributing factors in this association.https://doi.org/10.1186/s12935-025-03649-6Breast cancerGeneticEpigeneticDNA methylationNurseNight shift
spellingShingle Xia Li
Yingyu Hu
Fatemeh Aslanbeigi
Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review
Cancer Cell International
Breast cancer
Genetic
Epigenetic
DNA methylation
Nurse
Night shift
title Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review
title_full Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review
title_fullStr Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review
title_full_unstemmed Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review
title_short Genetic and epigenetic alterations in night shift nurses with breast cancer: a narrative review
title_sort genetic and epigenetic alterations in night shift nurses with breast cancer a narrative review
topic Breast cancer
Genetic
Epigenetic
DNA methylation
Nurse
Night shift
url https://doi.org/10.1186/s12935-025-03649-6
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