“Breast cancer (BC) is the most commonly diagnosed cancer among women in the US and worldwide .”
Breast cancer survivors are living longer than ever, thanks to research and medical advances, but new studies suggest that some treatments may come with a hidden cost: accelerated aging. A recent study, titled “Accelerated aging associated with cancer characteristics and treatments among breast cancer survivors,” published in Aging (Aging-US), reveals that breast cancer and its treatments may speed up biological aging, with effects lasting up to a decade post-diagnosis.
Breast Cancer and Aging
Breast cancer is one of the most common cancers among women worldwide. Medical advancements have dramatically improved survival rates, making it one of the most treatable forms of cancer. Yet, many survivors report lasting symptoms like fatigue, memory issues, and reduced vitality that resemble accelerated aging. This pattern has led scientists to investigate whether treatments for breast cancer might be contributing to biological age acceleration.
The Study: Measuring Long-Term Aging in Breast Cancer Patients
Researchers at Vanderbilt University conducted a decade-long study involving 1,264 breast cancer patients and 429 cancer-free women. The research team, led by first author Cong Wang and corresponding author Xiao-Ou Shu, used a tool called Phenotypic Age Acceleration (PAA), which estimates biological age using standard blood test data. Unlike chronological age, biological age reveals how “old” the body functions, offering a clearer picture of a person’s overall health and aging rate.
The Results: Long-Term Effects of Breast Cancer Treatments on Aging
At diagnosis, breast cancer patients already appeared nearly four years older biologically than their cancer-free counterparts. One year after treatment, they still seemed two years older. Even ten years later, signs of accelerated aging remained.
When it comes to treatments, not all had the same long-term impact on aging. Chemotherapy was linked to the most immediate spike in aging markers, with effects most noticeable in the first year. In contrast, endocrine therapy showed slower, long-term effects, becoming more apparent many years later. Surgery and radiation therapy were associated with lower levels of age acceleration over time, suggesting that localized treatments may carry fewer long-term aging effects than systemic therapies.
Tumor characteristics also influenced aging levels. Women diagnosed with advanced-stage cancer (Stage III or IV) or those with high-grade tumors experienced the most pronounced biological aging. These findings suggest that both the disease itself and the intensity of treatment contribute to how quickly a survivor may age.
The Breakthrough: Simple Blood Tests to Monitor Aging in Breast Cancer Survivors
This study provides valuable insight into how breast cancer and its treatments can impact survivors’ long-term health. One of its most important contributions is highlighting a simple, accessible way to track biological aging, the PAA test. This method is cost-effective, easy to use in regular medical care, and gives clinicians a powerful tool to identify high-risk patients and tailor long-term follow-up strategies.
The Impact: Rethinking Long-Term Breast Cancer Care
The paper offers valuable insights that could reshape how clinicians think about survivorship care. Breast cancer survivors already face increased risks for heart disease, osteoporosis, and cognitive decline. Accelerated aging may be a contributing factor. By identifying these effects early, healthcare providers can develop more personalized support strategies, potentially improving quality of life and long-term health outcomes.
Future Perspectives and Conclusion
The journey does not end with breast cancer remission. This study underscores that cancer and its treatments can leave lasting effects on the body’s aging process. Implementing appropriate strategies—whether medical, lifestyle-based, or a combination of both—may help survivors not only extend their lifespan but also increase their long-term health and quality of life.
Integrating biological age monitoring into routine follow-up care could enable healthcare providers to better understand each survivor’s health trajectory. For all the women navigating life after breast cancer, such information could translate into not just more years, but better years.
Click here to read the full research paper in Aging.
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Aging is indexed by PubMed/Medline (abbreviated as “Aging (Albany NY)”), PubMed Central, Web of Science: Science Citation Index Expanded (abbreviated as “Aging‐US” and listed in the Cell Biology and Geriatrics & Gerontology categories), Scopus (abbreviated as “Aging” and listed in the Cell Biology and Aging categories), Biological Abstracts, BIOSIS Previews, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science).
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