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Cancer Monthly News and CancerWire
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Greetings!
In this edition of CancerWire we focus on
five new
studies:
* Cranberries aren't only good for preventing urinary
tract infections (UTIs). A recent study in Molecular
Nutrition and Food Research finds that these bright
red fruits may also have potent anticancer properties.
* A vitamin found in milk, eggs, and fish could play a
big role in preventing cancer. A new study in the
journal Nutrition and Cancer finds that people who
increase their intake of vitamin D might reduce their
risk of colorectal cancer by as much as 30 percent.
* A recent study in the Journal of Medicinal Food finds
that red yeast rice can significantly slow the growth of
prostate cancer cells.
* The spice turmeric is best known for giving Indian
curries and chutneys their distinctive flavor and yellow
tint. Yet this herb is almost as well-known for its many
health benefits, including its anti-inflammatory
properties, which may help combat cancer.
* When your mother urged you to eat your veggies all
those years ago, she probably couldn't tell you exactly
why they were so healthy-she just inherently knew
they were good for you. Today, researchers are finding
more and more evidence as to why vegetables need
to be a staple on every plate. One new study in the
Journal of Nutrition suggests that eating more
vegetables can dramatically cut a woman's risk of
getting endometrial cancer (cancer of the uterine
lining).
Disclaimer - Please Read: None of
the information in CancerWire is a
substitute for professional medical advice,
examination, diagnosis or treatment and you
should always seek the advice of your
physician or other qualified health
professional before starting any new
treatment or making any changes to an
existing treatment. No information contained
in Cancer Monthly or CancerWire including the
information below, should be used to
diagnose, treat, cure or prevent any disease
without the supervision of a medical
doctor.
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Cranberries Could Help Ward Off Cancer
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Cranberries aren't only good for preventing
urinary tract infections (UTIs). A recent
study in Molecular Nutrition and Food
Research finds that these bright red fruits
may also have potent anticancer properties.
Just like blueberries and apples, cranberries
are high in natural plant compounds called
flavonoids and phenolic acids. These
antioxidants protect cells against
inflammation, and help prevent damage caused
by harmful molecules known as free radicals,
which can trigger cells to turn cancerous.
Researchers at the University of
Massachusetts-Dartmouth found that extracts
of cranberry fruit inhibited the growth of
several different types of cancer cells in
the lab, including breast and colon cancers.
The researchers also reviewed the
cancer-fighting capabilities of some of the
individual antioxidants in cranberries,
including quercetin, anthocyanins, and
proanthocyanidins, and found that they all
had an effect on certain types of cancer
cells. Some of these effects included
preventing tumor cell growth, limiting the
processes that cause tumors to spread, and
triggering the natural process of cell death
(apoptosis). Several components in
cranberries, such as ursolic acid, also have
anti-inflammatory properties, blocking the
activity of COX, an enzyme that is involved
in inflammation and is produced in large
quantities in tumor tissues.
Most of the studies conducted so far have
been performed on cells in laboratories. In
the one animal study that was published, a
cranberry extract significantly slowed tumor
growth in mice compared to a control
treatment. "Those results were encouraging,
but more animal models are needed," says
Catherine C. Neto, PhD, associate professor
of Chemistry at the University of
Massachusetts-Dartmouth.
Future studies will help researchers better
understand how phytochemicals work together
to prevent cancer, and how well they can be
absorbed by the body's tissues
(bioavailability). "Once it is established
whether the compounds in cranberry are
bioavailable enough, and if they have a
significant effect on tumors in vivo [in the
body] in animal models, the next step would
be to plan human clinical trials," Dr. Neto says.
It is still too early to recommend
cranberries solely for cancer prevention, but
their other health benefits make them a
worthwhile addition to any diet. "The
UTI-protective benefits are established in
humans," Dr. Neto says. "So if individuals
consume cranberry juice or fruit for UTI
prevention as part of a healthy diet, there
could be an added benefit of potential
protection against cancers and other diseases."
It's not clear how much you'd need to eat to
get the most benefit, but most studies
suggest that eating whole cranberries is
preferable to drinking their juice. "It's a
more complex mixture of phytochemicals than
the juice," explains Dr. Neto. "Some of the
tumor-inhibiting compounds are only present
in whole-fruit products, so I think those
would have a greater benefit."
Source:
Neto CC, Amoroso JW, Liberty AM. Anticancer
activities of cranberry phytochemicals: An
update. Mol Nutr Food Res. 2008.52.
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Colorectal Cancer and Vitamin D
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A vitamin found in milk, eggs, and fish could play a big
role in preventing cancer. A new study in the journal
Nutrition and Cancer finds that people who increase
their intake of vitamin D might reduce their risk of
colorectal cancer by as much as 30 percent.
"Vitamin D may be an important factor in colon cancer
prevention, and is a potentially modifiable [risk] factor,"
says lead study author Loren Lipworth, ScD, senior
epidemiologist at the International Epidemiology
Institute in Rockville, Maryland.
Lipworth and her colleagues conducted a large-scale
study in six areas of Italy. They collected health and
diet information via face-to-face interviews with 1,953
patients who had colon or rectal cancer, and
compared them to 4,154 non-cancer patients from the
same hospital.
The more vitamin D patients got through diet, the
lower their risk of colon cancer, the researchers
discovered. People with the highest dietary vitamin D
intake (more than 4.29 micrograms a day) had a 30
percent lower risk of colon cancer than people with the
lowest intake. The benefit was more pronounced
among women than men.
Vitamin D didn't appear to have any significant effect
on lowering rectal cancer risk. The reason for this
remains unknown.
The specific location of the colon cancer seemed to
affect how well vitamin D reduced risk. Although about
two-thirds of colorectal cancers are in the transverse
and descending colon, this study found that vitamin D
had more of a protective effect on cancers located in
the ascending colon.
The evidence seems to suggest that vitamin D may
lower colon cancer risk, although Lipworth cautions
that several large studies, including randomized trials,
have not found the same association. Also, in the
past, many other single nutrients failed to live up to
their cancer-preventing potential.
Still, vitamin D is worth incorporating into your diet for
its many other known health benefits, including bone
strength. Eggs, cheese, fish, and fortified dairy
products are all good dietary sources. Vitamin D is
also produced in sun-exposed skin (but limit your time
outside or put on sunscreen after about 20 minutes to
reduce your skin cancer risk). Experts say that getting
1,000 IU a day of vitamin D may help reduce colon
cancer risk, although no "optimal" dose has been
established.
Despite the increasing evidence that vitamin D might
help prevent certain types of cancer, more than half of
Americans still aren't getting enough of the nutrient.
Boosting our collective vitamin D intake might
ultimately help prevent 250,000 colorectal cancer
cases worldwide each year, the study authors say. If
you are interested in taking vitamin D speak to your
licensed healthcare practitioner.
Source:
Lipworth L, Bender TJ, Rossi M, Bosetti C, Negri E,
Talamini R, et al. Dietary vitamin D intake and cancers
of the colon and rectum: A case-control study in Italy.
Nutrition and Cancer. 2009;60:70-75.
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Red Yeast Rice Slows Prostate Cancer Growth
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A recent study in the Journal of Medicinal Food finds
that red yeast rice can significantly slow the growth of
prostate cancer cells.
Rice that has been fermented with the red yeast,
Monascus purpureus, contains compounds called
monacolins, one of which - monacolin K - has the
same chemical structure as the cholesterol-lowering
drug, lovastatin (Mevacor). In fact, studies have shown
that Chinese red yeast rice lowers cholesterol as well
as lovastatin.
Because cholesterol is needed to produce the sex
hormones that fuel the growth of certain cancers,
researchers have been investigating whether statins,
and similarly, red yeast rice might be effective cancer
treatments. One study published last year found that
red yeast rice triggered the death of colon cancer
cells. The same team of researchers wanted to learn
whether red yeast rice might have a similar effect on
prostate cancer cells, and particularly on prostate
cancer cells that are not dependent on male
hormones to grow (androgen-independent prostate
cancers).
The early stages of prostate cancer are typically
androgen dependent-meaning that they need male
hormones to grow. These early cancers are usually
first treated with a type of hormone therapy that
attempts to reduce or remove androgens. "However,
after successful treatment, the emergence of
androgen-independent prostate cancer is common,"
says lead study author Mee Young Hong, PhD, an
assistant professor at the School of Exercise and
Nutritional Sciences at San Diego State
University. "These androgen-independent prostate
tumors are more difficult to treat, and they lead
progressively to metastasis [cancer spread] and
death."
Dr. Hong and her colleagues compared the drug
lovastatin to red yeast rice on both androgen-
dependent and androgen-independent prostate
cancer cells. The lovastatin decreased prostate
cancer cell growth by 20 percent in the androgen-
dependent cancer cells, and by 15 percent in the
androgen-independent cells. The same dose of red
yeast rice inhibited androgen-dependent prostate
cancer cells by 47 percent, and androgen-
independent cells by 62 percent. When treatment was
extended for another day, red yeast rice inhibited
prostate cancer cell growth even more - by 77 percent
and 65 percent, respectively.
Even a form of red yeast rice that did not contain
monacolin K reduced prostate cancer growth,
suggesting that red yeast rice contains other
components that are active against cancer cells.
Among these components are red pigments, which
are thought to have anti-cancer effects.
The authors say that by affecting cholesterol, red yeast
rice can reduce androgen production in prostate
cancer cells. This may not only halt cancer cell growth,
but also help prevent early, androgen-dependent
prostate cancers from progressing to the more
advanced and harder-to-treat androgen-independent
cancers. "Our current study proves that red yeast rice
is protective against androgen-independent, as well
as androgen-dependent prostate cancers," Dr. Hong
says. "Therefore, the use of red yeast rice would be a
novel approach to treat advanced androgen-
independent prostate cancer in order to reduce overall
prostate cancer mortality."
Right now this therapy is still experimental. Animal
studies, and ultimately human trials need to be
conducted before red yeast rice can be recommended
as a cancer treatment.
In 1998, the U.S. Food and Drug Administration (FDA)
pulled red yeast rice supplements from the market
because they contain an ingredient that is identical to
an approved drug (statin), and because they can
cause side effects similar to those of statins (muscle
weakness and liver damage). You can still buy red
yeast rice supplements in your local health food store;
however, these supplements are produced using a
different strain of yeast or fermentation process than
those used in this study. Before using any dietary
supplement, talk to your doctor to make sure that it is
safe and appropriate.
Source:
Hong MY, Seeram NP, Zhang Y, Heber D. Chinese red
yeast rice versus lovastatin effects on prostate cancer
cells with and without androgen receptor
overexpression. Journal of Medicinal Food.
2008;11:657-666.
Other Sources:
Hong, Mee Young, et al. Anticancer effects of Chinese
red yeast rice versus monacolin K alone on colon
cancer cells. Journal of Nutritional Biochemistry.
2008:19:448-458
Graaf MR, et al. The risk of cancer in users of statins.
Journal of Clinical Oncology, 2004. 22;2388-2394.
Red Yeast Rice and Cholesterol.
http://www.medicinenet.com/red_yeast_rice_and_chol
esterol/article.htm
More Cancer Monthly News Stories
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Pancreatic Cancer, Tumeric and Omega-3
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The spice turmeric is best known for giving Indian
curries and chutneys their distinctive flavor and yellow
tint. Yet this herb is almost as well-known for its many
health benefits, including its anti-inflammatory
properties, which may help combat cancer. A recent
study in the journal Nutrition and Cancer finds that
curcumin-a compound in turmeric-halts the growth
of pancreatic cancer, particularly when combined with
omega-3 fatty acids.
Pancreatic cancer is one of the deadliest of all
cancers. Only about three percent of patients survive
five years after being diagnosed. "One major
challenge is the lack of appropriate technologies for
early diagnosis, and most pancreatic cancer patients
will be diagnosed at a very late stage," explains
Chinthalapally V. Rao, PhD, professor in Medical
Oncology and Director of the Cancer
Chemoprevention Program at the University of
Oklahoma Cancer Institute.
Currently chemotherapy with gemcitabine is the main
treatment for pancreatic cancer, but doctors are
anxious to find new therapies that will improve survival
and reduce side effects. "Our aim is to develop
alternative strategies to prevent and treat high-risk
pancreatic cancer patients using non-toxic, naturally
occurring agents," Dr. Rao says.
Because inflammation plays a key role in pancreatic
cancer development, scientists have recently focused
on anti-inflammatory medications such as
nonsteroidal anti-inflammatory drugs (NSAIDs). Yet
these drugs can pose serious heart risks, and
researchers have been on the hunt for treatments with
a better safety profile.
Curcumin has been shown to inhibit enzymes linked
to inflammation. Omega-3 fatty acids, found in cold-
water fish such as salmon and sardines, also have
anti-inflammatory properties. Past studies have found
that both curcumin and omega-3s can help prevent
cancer. Dr. Rao and his colleagues wanted to find out
whether combining the two substances might have a
cumulative effect, enhancing the cancer-fighting
abilities of both substances.
First, the researchers tested out the effects of
curcumin and the omega-3 docosahexaenoic acid
(DHA) on pancreatic cancer cells in the laboratory.
Both DHA and curcumin inhibited pancreatic cell
growth and triggered the process of programmed cell
death (apoptosis). When the two substances were
combined, the effect was far more pronounced,
increasing cancer cell death four- to eightfold.
Then, the researchers fed mice with pancreatic cancer
tumors fish oil and curcumin separately, and together.
The fatty acids reduced the tumor growth by 25
percent, and the curcumin by 43 percent. But when the
two were combined, they reduced tumor growth by
more than 70 percent. Both the fish oil and curcumin
also reduced the activity of inflammation factors that
are known to decrease survival in pancreatic cancer
patients.
The researchers didn't note any side effects from the
treatment. "In fact, curcumin is one of the safest
agents ever tested in cancer prevention," Dr. Rao says.
Human clinical trials are in the works. Until the results
are available, patients being treated for pancreatic
cancer can discuss the benefits of this therapy with
their doctor. Both fish oil and curcumin are available in
supplement form, and are used to prevent a variety of
diseases. Before using any supplement you should
speak to your licensed healthcare practitioner.
Source:
Swamy MV, Citineni B, Patlolla JMR, Mohammed A,
Zhang Y, Rao CV. Prevention and treatment of
pancreatic cancer by curcumin in combination with
omega-3 fatty acids. Nutrition and Cancer. 2008;60:81-
89.
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Endometrial Cancer and Diet
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When your mother urged you to eat your veggies all
those years ago, she probably couldn't tell you exactly
why they were so healthy-she just inherently knew
they were good for you. Today, researchers are finding
more and more evidence as to why vegetables need
to be a staple on every plate. One new study in the
Journal of Nutrition suggests that eating more
vegetables can dramatically cut a woman's risk of
getting endometrial cancer (cancer of the uterine
lining).
Researchers in Buffalo, New York compared health
and diet histories among two groups-541 women
who had endometrial cancer, and a matched number
of women who had no history of cancer. The results
were striking: Women with the highest amount of
vegetables in their diets had a 50 percent lower risk of
endometrial cancer than those with the lowest
vegetable intake.
"With endometrial cancer there are several reasons
why diet may be important," explains lead author
Susan E. McCann, PhD, RD, Associate Professor of
Oncology in the Department of Cancer Prevention and
Control at Roswell Park Cancer Institute. "One of the
main reasons is obesity. Obesity is a very strong risk
factor for endometrial cancer, and it's related to diet."
Women who are overweight tend to have higher levels
of estrogen, a hormone that has been implicated in
endometrial cancer development. A vegetable-based
diet that is high in fiber and low in fat may actually help
lower estrogen levels. Also, vegetables are high in
natural compounds called phytochemicals, which
have been shown to help prevent cells from turning
cancerous.
The researchers didn't see much of an individual risk
reduction from cruciferous vegetables such as
broccoli and cauliflower, which are thought to defend
the body against cancer. However, that finding may
have been due to the low overall consumption of
cruciferous vegetables among the study participants,
Dr. McCann says.
Diets highest in individual nutrients, such as fiber,
vitamin E, beta-carotene, lutein and folate were linked
to a lower endometrial cancer incidence-not
surprising, considering that vegetables are naturally
high in these nutrients. More surprising was that high
vitamin D intake was actually associated with an
increased risk of endometrial cancer. However, Dr.
McCann says this might have been a chance finding
and shouldn't be cause for concern, especially given
the nutrient's many other health benefits.
Although individual nutrients like vitamin E appeared
to reduce cancer incidence in the study, Dr. McCann
says you won't get the same benefit from taking
vitamins or supplements. "Any one food has
substances in it that we don't know about, and you're
consuming these substances as a package," she
says. "It's really better to eat the whole food than to
take any one vitamin or nutrient, because you just
can't combine them the way nature does."
Even getting plenty of fruits and vegetables in your diet
won't guarantee a cancer-free life, but this and other
studies point to a real benefit from eating a plant-
heavy diet. "A diet high in fruits and vegetables can
decrease your chances of getting chronic disease,
including endometrial cancer," Dr. McCann says. "A
plant-based diet is also good for weight control,
cardiovascular disease, and diabetes. It's healthy for
a lot of reasons."
Source:
Yeh M, Moysich KB, Jayaprakash V, Rodabaugh KJ,
Graham S, Brasure JR, McCann SE. Higher intakes of
vegetables and vegetable-related nutrients are
associated with lower endometrial cancer risks. The
Journal of Nutrition. December 11, 2008 [Epub ahead
of print].
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