We have examined the relationship between plasma lipids, lipoproteins,
and a family history of breast cancer. We measured the plasma lipids
and lipoproteins in unaffected female members of the nuclear family of
women with familial breast cancer and compared them with those of the
female members of the nuclear family of women with sporadic breast ca
ncer. A mean number of 3.3 relatives of mean age 35 years were studied
in 23 pairs of familial and sporadic breast cancer families. After ad
justment in multivariate analysis for variables that either differed b
etween high and low risk families, or were significantly associated wi
th plasma levels or lipoproteins, statistically significant difference
s were found in plasma levels of total cholesterol low density lipopro
tein cholesterol, and apoprotein B, all of which were lower in familia
l breast cancer than in sporadic breast cancer families. These data su
ggest that inherited factors associated with breast cancer risk may pl
ay a role in determining plasma lipid and lipoprotein levels and that
lipid regulatory genes should be considered in this context.