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A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Folate and B12 in prostate cancer
1School of Social & Community Medicine, University of Bristol, Bristol, United Kingdom. simon.collin@bristol.ac.uk
Advances in Clinical Chemistry
|June 4, 2013
Summary
Elevated vitamin B12 and folate levels may be linked to increased prostate cancer risk, though findings are complex. Further research is needed to understand the causal relationship and implications for public health, especially concerning mandatory fortification.
Area of Science:
- Oncology
- Nutritional Science
- Genetics
Background:
- Mechanisms linking folate and B12 metabolism to cancer, such as hypomethylation and DNA uracil misincorporation, are observed in prostate tumors.
- Epidemiological studies on prostate cancer risk related to folate and B12 intake, blood levels, and gene variants have yielded conflicting results.
Purpose of the Study:
- To investigate the association between circulating levels of folate, vitamin B12, homocysteine, and genetic variants in folate-pathway genes with prostate cancer risk.
- To synthesize existing evidence through meta-analysis to clarify the role of these factors in prostate cancer development.
Main Methods:
- Meta-analysis of published epidemiological studies examining circulating B12, folate, and homocysteine concentrations in relation to prostate cancer risk.
- Meta-analysis of studies investigating the association between common folate-pathway gene polymorphisms (e.g., MTR, SHMT1, MTHFR) and prostate cancer risk.
Main Results:
- Circulating vitamin B12 (OR=1.10) and folate (OR=1.18) were positively associated with increased prostate cancer risk.
- MTR 2756A>G (OR=1.06) and SHMT1 1420C>T (OR=1.11) polymorphisms showed a positive association with prostate cancer risk.
- No significant association was found between homocysteine levels or other tested polymorphisms (including MTHFR 677C>T) and prostate cancer risk.
Conclusions:
- While reverse causality might explain the B12 association, further research is crucial to rule out a causal role, especially given mandatory B12 fortification.
- A potential positive association between circulating folate and prostate cancer risk warrants further investigation due to public health implications of folic acid fortification.
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