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ABSTRACT: Protective vegetal micronutriments and microcomponents
for breast cancer
Author:Mariette Gerber
This review is a summary of three reference books and of the
final report of a European concerted action. The data have been
updated by an analysis of recent publications, according to the
same methodological criteria as those used in the reference
books: sample size, quality of questionnaire and statistical
methods. Mechanistic hypothesis are considered for each
microcompounds, the effect of which is situated along the natural
history of cancer. Few studies have considered folates effect on
breast cancer, and they observed an interaction with the risk
related to alcohol consumption, which is decreased with a high
intake of folates. Many studies considered the effect of vitamin
C and E, and carotenoids, but results are inconsistent.
Conflicting results were also observed in studies on fibre and
breast cancer. However, although only half of the studies showed
a protective effect, the strength of the biological mechanisms
give support to the hypothesis of a protection provided by fibre.
The situation is comparable with phyto-estrogens: epidemiological
studies are scarce and few of them show significant protection,
but several plausible biological mechanisms are proposed, either
related to the negative modulation of estrogen receptor by
phyto-estrogen, or to the inhibition of proliferation by action
on various enzymes.
At the present time, caution in the
interpretation of the results and in the use of plant microcompounds
in prevention or therapy is strongly recommended.
Bulletin du Cancer. Vol. 88, Issue 10, October 2001: 943-53
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