Nutrition and cancer prevention: A multidisciplinary perspective on human trials

被引:34
作者
Forman, MR [1 ]
Hursting, SD
Umar, A
Barrett, JC
机构
[1] NCI, Ctr Canc Res, Basic Res Lab, Bethesda, MD 20892 USA
[2] NCI, Canc Res Ctr, Lab Biosyst & Canc, Rockville, MD 20852 USA
[3] NCI, Div Canc Prevent, Bethesda, MD 20892 USA
关键词
diet; carcinogenesis; molecular targets; epidemiology; carotenoids; retinoids;
D O I
10.1146/annurev.nutr.24.012003.132315
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
More than one million Americans were expected to be diagnosed with cancer in 2003 (7a). Compelling experimental, epidemiological, and clinical evidence indicates that many cancers are preventable, especially because diet and nutrition are key factors in the modulation of cancer risk. The road to nutritional intervention in cancer prevention has led to successful trials as well as trials that did not reach their intended endpoints. This chapter reviews four case studies of trials, with two ending in success and two ending in null findings or adverse effects. The goal is to identify lessons learned from all four case studies and from the investigations of the complexities inherent to nutritional intervention trials. Additional insights are presented by the research addressing potential mechanisms underlying the endpoints of human trials. Future progress in nutrition and cancer prevention will require expertise from multidisciplinary teams to develop new knowledge about specific nutrients and dietary modifications within a framework of interaction between animal and human research.
引用
收藏
页码:223 / 254
页数:32
相关论文
共 107 条
[1]  
ALAM B S, 1987, Nutrition and Cancer, V9, P93
[2]   alpha-tocopherol and beta-carotene supplements and lung cancer incidence in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study: Effects of base-line characteristics and study compliance [J].
Albanes, D ;
Heinonen, OP ;
Taylor, PR ;
Virtamo, J ;
Edwards, BK ;
Rautalahti, M ;
Hartman, AM ;
Palmgren, J ;
Freedman, LS ;
Haapakoski, J ;
Barrett, MJ ;
Pietinen, P ;
Malila, N ;
Tala, E ;
Liippo, K ;
Salomaa, ER ;
Tangrea, JA ;
Teppo, L ;
Askin, FB ;
Taskinen, E ;
Erozan, Y ;
Greenwald, P ;
Huttunen, JK .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1996, 88 (21) :1560-1570
[3]   Effects of supplemental beta-carotene, cigarette smoking, and alcohol consumption on serum carotenoids in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study [J].
Albanes, D ;
Virtamo, J ;
Taylor, PR ;
Rautalahti, M ;
Pietinen, P ;
Heinonen, OP .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1997, 66 (02) :366-372
[4]   Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas [J].
Alberts, DS ;
Martínez, ME ;
Roe, DJ ;
Guillén-Rodríguez, JM ;
Marshall, JR ;
van Leeuwen, JB ;
Reid, ME ;
Ritenbaugh, C ;
Vargas, PA ;
Bhattacharyya, AB ;
Earnest, DL ;
Sampliner, RE ;
Parish, D ;
Koonce, K ;
Fales, L .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (16) :1156-1162
[5]  
Alberts DS, 1999, CANCER RES, V59, P4743
[6]  
Alpha-Tocopherol Beta Carotene Cancer Prevention Study Group, 1994, N Engl J Med, V330, P1029, DOI 10.1056/NEJM199404143301501
[7]  
Anderson G, 1998, CONTROL CLIN TRIALS, V19, P61
[8]  
[Anonymous], 1989, Diet and health: implications for reducing chronic disease risk
[9]  
[Anonymous], 2003, CANC FACTS FIG
[10]  
[Anonymous], NUTR EPIDEMIOLOGY