Thanks for the mammaries.

Did you see this article on breast cancer, To Revert Breast Cancer Cells, Give Them the Squeeze? You should read it because it’s important.

“We are showing that tissue organization is sensitive to mechanical inputs from the environment at the beginning stages of growth and development,” said principal investigator Daniel Fletcher, professor of bioengineering at Berkeley and faculty scientist at the Berkeley Lab. “An early signal, in the form of compression, appears to get these malignant cells back on the right track.”

Click (here) to watch a video of a TED talk that gives a general overview of some of the procedure used in the experiment.

I wasn’t going to post on this topic because of the time necessary to give a good enough explanation BUT I had just written about this for my next book, so I can justify the time to cut-and-paste:

“If you attended high school in the last 100 years you were probably presented with a cellular model that states, basically, that a cell’s nucleus contains all the information necessary for cellular replication, with the genetic code (DNA) determining the outcome of a cell’s behavior. Following the tenets of this model, the state of every tissue made up of cells, and every organ made up of tissues, and every system made up of these organs is dictated by your DNA.

After more study, however, it was observed that simply having a particular gene didn’t automatically create a fixed outcome. This means that you and your neighbor could both have the same gene on your DNA strand linked to breast cancer, for example, but only one of you has cancer. The fact that genes behave differently, despite the notion that genes contained a final blueprint for the way they act, led to a new field of study: epigenetics, a field of biology trying to deduce how a cell’s environment can affect the behavior of the cell itself.

By assessing the mechanics at this minute level, we can better understand that the body is shaped by the movement of both gross whole-body motion and the movement of individual parts. Every cell, much like the human body itself, contains a rigid network (similar in function to our bones) called a cytoskeleton. Findings in cellular biomechanics demonstrate that the deformation of the cell itself, the load placed on the cytoskeleton, affects each cell’s behavior.”

Just as a geneticist is fascinated with genes, a biomechanist will be fascinated by the mechanosensing cytoskeleton. Unfortunately, information on the cytoskeleton is not typically included in cellular imaging.

Evidence A: A drawing of a cell, done by Ms. Katy Ann Bowman, age 10. No cytoskeleton.

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Evidence B: A college-level Anatomy & Physiology book, 2000. No cytoskeleton.

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This will probably change in the future. Best quote ever, swiped from Ms. Altman from the Vital Gaitway: “I’d like an updated revision of my expensive biology [textbook] that illustrated organelles with smoke stacks and postal hats.”

The concept that a cytoskeletal load can change genetic expression (1,2) is not new — it’s only new to cancer research. For example, studies looking at the effect of exercise on the cytoskeleton within many tissue types show intra-cellular adaptations to the proteins that make up the cytoskeleton of a muscle cell, thus changing its shape and behavior.

Does this cancer article, showing that the compression of cells can alter cellular outcome, mean that we should all start squeezing our breasts? No, not necessarily, and here’s why: Every cell’s job is different, which means the “right” load to every cell is unique. This load is not only unique to each cell or cell type, it’s also unique to each person. To try to simulate this necessary load by man-handling (HAHAHAHA) your breasts isn’t really feasible — load is a very specific thing. For every load there are seven qualites that affect cellular outcome: magnitude, location, direction, duration, frequency, variability, and rate. Your squeezing is probably not refined enough (let alone not frequent enough) to generate the environment  the breast would be creating on its own, naturally.

I can totally see someone creating a CRUSH THE $#!T OUT OF CANCER bra or a new machine that hooks itself under your arms and gives you a 20-minute shaking. Which isn’t to say that these wouldn’t work, only that it’s unlikely. But let’s not focus on what the info doesn’t say, but what it does. The mechanoenvironment in which your breast cells live influences how they behave.

So what type of environment should they be living in? This is tough to say as there is no way to measure all the loads and all the individual outcomes. What is easier, perhaps, is the approach used in evolutionary medicine/biology — that is, our body behaves “best” when under the same loads as experienced while we were evolving.

The issue with affluent ailments such as breast cancer is that incidence correlates with modern behaviors. This is why evolutionary medicine/biology researchers are calling for a return to “more natural” behaviors. Medicines and surgeries cannot bridge the gap between the cellular experience of modern habits and ancestral habits.

What you can do is begin assessing the environment you are creating for your tissues and consider the difference between Nature’s loads and the loads you personally experience.

Natural loads created by the breast include:

  • Full-weight movement in various directions; hanging, swinging, sloshing over to the left and right when lying down as well as occasionally hitting yourself in the eye.
  • Full-weight accelerations while walking and moving through daily life.
  • Your breast weight itself, is it natural, as in compared to a size created by naturally-available types and amounts of food?
  • Breastfeeding.
  • Using your pectoralis and the muscles in the shoulder girdle — carrying loads in your arms, reaching to pick, repetitive foraging motions, etc.
  • Natural (non-anxiety) breathing, with rib and thoracic movements underneath breast tissue.

When you consider how we’ve altered the loads to our breasts via bras, heavy computer use, lack of arm movement in general, purses, stress-induced neck and shoulder tension, anxiety breathing, etc., it is easier to see how breast cells could potentially lose their bearings.

Loads to the cytoskeleton give a cell context by which it selects its behavior. Unfortunately, research like what I’ve referenced here very rarely transfers into therapy. Cytoskeleton loads can’t be induced externally because they are specific to the individual. Larger breasted women would naturally create larger loads and need larger loads to get the appropriate cellular adaptation and therefore function. Maybe this is one of the reasons that bra use and breast size have been indicated as risk factors for breast cancer, as has exercise habit.

Would I recommend taking off your bra? Probably not, especially if you’re large-breasted. In the same way I don’t recommend people take off their shoes and jump into negative or minimal footwear, I do not suggest you take off your bra and jump into, well, jumping I guess.

Here’s what I do suggest, not to “avoid cancer,” but to improve all functions of the breast:

If you’re not already, sleep without a bra. And, if you wear a super-stiff one, I suggest you switch to something with slightly less support for at least a portion of the day. Over time (the larger the breasts and the longer you’ve been wearing a bra, the more time) you can reduce the support to slowly introduce the load of the breast to the breast tissue.

Hook your fingers underneath the front of your armpit wall. What does it feel like? Flaccid? Start to move your arm around and see how the load to the tissue changes. Historically, you would be using your arms with much greater frequency and varying loads throughout the day and a lifetime.(Read more on your armpit hole here.)

Start using your arms more. If you’re already “exercising” your arms, think of all those variables I listed and try to evaluate how many different positions your shoulder takes on, the loads you carry, how often they are unique, etc. Arm swing while walking or running is good, but it’s just one range of motion. Imagine reaching and lifting your arms (the ribs would need to stay more or less in place to really load the breast tissue) and then doing all of movement with varying weight.

Take care of any adhesions that limit shoulder movement. If you have tissue that sticks to itself, even if you load a part, that load doesn’t transfer naturally to the stiffened area. Cells, in this case, are essentially deaf. They cannot “hear” loads beyond the border of the adhesion and then duplicate without the benefit of a compass. I just posted on foam rolling but am currently in love with Jill Miller’s therapy balls:

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Although yours might not have a million cute teething cuts in them.

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Make no mistake, in the end outcome is always the result of every variable. This is one of them.

P.S. Here’s a note from a ten-year old Katy, highlighting the importance of language. (This post is dedicated to Penelope Jackson.)

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21 thoughts on “Thanks for the mammaries.

  1. Thank you for the article Katy and I am looking forward to your new book. Oh and by the way Happy Mother’s Day. You know that may just be a good role for you to assume to all of your children you so lovingly guide through the many pitfalls of Life. Not so much a guru… but a Mother. So in that light once again I wish you a very Happy Mother’s Day! Whatever you are… and whoever you are… We Love You and We Appreciate You!

  2. Women seriously sleep in bras? And need you to tell them not to?
    Seriously I love your blog. I love how you point out the very small habits we can change.
    Like usually people are telling women to make these HUGE changes that overwhelm and paralyze us.
    I like small changes, like put your feet up when using the potty. Don’t lift your chin. Stretch your calves on a foam noodle. Don’t sleep in a bra. These are all things I can do.

    1. Hi! I sleep in a bra. I have for a long time, but especially since breastfeeding I have what one friend loving calls “tribal tits” and there’s a whole skin-on-skin thing that makes me crazy.

      They are really flexible minimal support bras. Not sure I can let them go . . . .

  3. As usual, a very thought provoking blog. I threw away my bra when I was fourteen as it really constricted my breathing. I am lucky being small breasted and a career as a dancer using more arms all over the place. I will re-emphasize “port de bra” in my next class as having more functions than just being pretty in pink. thanks

  4. Just wondering…was the cell drawing you did at 10 yrs. old part of a school assignment, or just part of ‘what Katy does for fun’. 10 year old Katy impresses me, almost as much as the ‘now’ Katy.
    And the vacuoles that look like hearts did not go unnoticed.
    I look forward to all your posts!

  5. Bethany, I didn’t mean to be trashing people who wear bras at night – I can’t wait to get the darn thing off, so it’s hard to imagine wanting to wear one! Some changes seem easier for me to make than others. I am trying to pick one habit a week to change, but I am not starting with the most difficult ones for me.
    I work with young kids with autism, and we are always breaking things down and expecting very small, incremental changes. When I look at what has been accomplished with “my” kids over 4 years, I’m astounded. So I don’t know why I expect myself to make huge lifestyle changes, especially in terms of exercise. I see it now, my body isn’t ready for the sorts of exercise that other people are suggesting, it is clearer that I have to build up daily movement habits more gradually.
    It’s one of the many reasons I love reading Katy’s blog, as she does point out the very small things as well as the connections to the big patterns, she points out great starting places. I can’t do them all, today…….

  6. loved ‘i think i am an extrovert’. good article, imho, probably a daily lymphatic massage( us gentlemen always start the day w/ a good scratching:) and arm swinging would be a good preventative, and yes, learn your own mechanoenvironment…..ta-ta

  7. Girlfriend, watching my mama go through 5 breast surgeries over the past 40 years, I am a bit “breast obsessed.” I BOW down to this BOWman essay on “the girls.” I’d like to add some more self-touch strategies including sliding your fingers behind your breast tissues and self-stimulating the ribs and intercostals form every vantage point. AND rolling your chest and breasts over a soft squishy inflatable ball while taking massively huge thoracic breaths is another wonderfully therapeutic way to load the breasts with your own body weight.

    More cytoskeleton talk PLEASE.

  8. it seems that acupuncture may be a (very old) therapeutic technique that understands how to stimulate cellular cytoskeleton. you know, in a way that’s fine-tuned and unique.

    thanks for the post!

  9. Bethany… I totally know what you mean … My sister and I call them national geographic boobs .. Lol …I guess that’s what I was wondering if there is anything that can help the whole skin thing happening after breast feeding .. It does suck. Ha ha … Anyway , that’s what I wondered because I know we have muscles underneath kind of but …it’s kind of like a dippy egg… A sock with a golf ball … 🙁 its not fair.
    But I have noticed that sleeping without a bra, so far … Seems better… But sloshing wont make me smack myself in the eye anytime soon … More like the belly button… Jk… But I feel you… I’m all about being healthy, but I still can’t help that baggy skin tribal boobs are a bummer for me esp when you add the whole squishy c section tummy to the equation … I can understand why so many women opt for surgery… I just can’t bring myself to do it though.

  10. On a lighter note … I have noticed after keeping my ribs down .. My boobs are no longer in separate hemispheres … Just further south 🙂 ha ha 😀

  11. Have you considered dry skin brushing to help with Nat geo breasts? I’ve never kept up with it but have heard some people say it works.

  12. What is interesting to me regarding the bra use is that it really hasn’t been studied. There I think was only 1 study done where they really looked at it, and it did show increased bra use was associated with breast CA, but that didn’t control for factors like obesity or increased breast size (more likely to wear a bra). But yet all the major breast cancer info sources will say things like “there is no evidence that bra use is associated with breast cancer” and they completely dismiss it. What they really should be saying is we have no idea if it is associated because it has never been studied (in a well designed study.)

    1. Yes. I think people forget that Evidence NOT existing is difference than Evidence collected and showing a hypothesis to be incorrect. I wonder if, in light of new cellular data, the direction of research will change?

  13. Another tribal boob gal here. Even before I started nursing munchkins four years ago my bra size included the word long. I may be one of the few people *hoping* for shrinkage in a couple years when the newest baby is ready to stop. In the mean time I have found braless sleep isn’t a problem. At home I have switched to a “house bra” with minimal support, daily massage (hubs is more than willing to take that duty) and increasing movement/decreasing restrictions. I had forgotten skin brushing. When I get enough time to shower daily again I will try to work that into my day too.

    And AMEN on calling BS on the whole “there is no evidence to support . . .” when there is no evidence at all because no one has bothered to study it it. Heaven forbid anyone say “we don’t know whether there is a correlation or not. It hasn’t been properly researched”

  14. That’s a fascinating peek into the way our bodies work. A bit boggling to think about applying…but hey, the body works better when you use it. That’s a principle worth applying 😉

    I do want to point out, more to commenters, that it is an absolute fallacy that breastfeeding causes sagging. A greater number of pregnancies, smoking, larger breasts, extreme weight loss, these are all associated with more sagging, but nursing is not. http://www.ncbi.nlm.nih.gov/pubmed/20354434

  15. Women whose diets had the highest glycemic load were 81% more likely to be diagnosed with ER /PR- breast cancer. Carbohydrate intake was related, less strongly, to risk of this cancer type as well.

  16. I cannot find the original study, but this gives a summary and I felt it oh-so-very right to post it here: http://www.medicalnewstoday.com/articles/259073.php

    As a personal anecdote, I saw ANOTHER study along these lines about 5 years ago when I was 19. It took about 6 months to phase out to never having to wear a bra again. I never had a bra that fit, and I was spilling out of a 36D something fierce when I stopped wearing them… I have smacked my face looking down at a shoelace while running in the past, but I promise it doesn’t really matter the size you start with — your boobs figure it out.

    However! I still had some ‘side boob’ going on until about a month ago. Know what I started doing then? HANGING! No more side boob on the right side and the clock is ticking on the left side-boob. Thank you, Katy! 😀

    I also wonder if this whole moving-the-chest-area-and-boob-health thing is at all related to a large amount of women having one breast larger (usually the left) and a large amount of the population being right handed?

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