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5.1
DRUGS THAT ARE HIGHLY RECOMMENDED
(for inclusion in your supplementation anti-aging program) |
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The B Vitamins are very important for the well functioning of the human
body. There are 5 major types of them. Vitamin B1 (thiamine) is
needed for the release of energy from carbohydrates, it aids the
nervous system and helps maintain normal levels of stomach acidity
and appetite; it can be derived from pork, catfish, soybeans and
cow peas. Vitamin B2 (Riboflavin) is needed for the conversion
of proteins, carbohydrates and fats into energy; it maintains healthy
skin and eyes. It can be derived from liver, mackerel, catfish,
yogurt and yeast. Vitamin B3 is needed also for the proper release
of energy from food, for maintaining normal mental health and health
of skin, mouth and digestive tract. Vitamin B6 (pyridoxine) is
needed for the metabolism of proteins; it helps to maintain fluid
balance and is required for healthy red blood cells. It can be
derived from seaweed, liver, meat and fish. In the end, Vitamin
B12 is needed for the production of red blood cells and maintenance
of protective sheath around nerves. It can be derived from oysters,
salmon, mackerel, herring and seaweed.
Below you find a list of scientific abstracts on Vitamin B from pubmed.
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Graduate School of Biosphere Science, Hiroshima University,
Higashi-Hiroshima 739-8528, Japan.
Epidemiological studies have reported an inverse association
between vitamin B(6) intake and colon cancer risk. Our
recent study has been conducted to examine the effect of
dietary vitamin B(6) on colon tumorigenesis in mice. Mice
were fed diets containing 1, 7, 14 or 36 mg/kg pyridoxine
for 22 weeks, and given a weekly injection of azoxymethane
(AOM) for the initial 10 weeks. Compared with the 1 mg/kg
pyridoxine diet, 7, 14 and 35 mg/kg pyridoxine diets significantly
suppressed the incidence and number of colon tumors, colon
cell proliferation and expressions of c-myc and c-fos proteins.
Supplemental vitamin B(6) lowered the levels of colonic
8-hydroxyguanosine (8-OHdG), 4-hydroxy-2-nonenal (4-HNE,
oxidative stress markers) and inducible nitric oxide (NO)
synthase protein. In an ex vivo serum-free matrix culture
model using rat aortic ring, supplemental pyridoxine and
pyridoxal 5'-phosphate (PLP) had antiangiogenic effect.
The results suggest that dietary vitamin B(6) suppresses
colon tumorigenesis by reducing cell proliferation, oxidative
stress, NO production and angiogenesis.
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Faculty of Health and Welfare Science, Okayama Prefectual
University, Okayama, Japan.
This review describes current research on the preventive
effect of dietary vitamin B(6) against colon tumorigenesis
and its possible mechanisms. Studies in cell culture have
demonstrated that high levels of vitamin B(6) suppress
growth of some cancer cells. From these studies it has
been considered that supraphysiological doses of vitamin
B(6) suppress tumor growth and metastasis. However, recent
rodent study has indicated that azoxymethane-induced colon
tumorigenesis in mice is suppressed by moderate doses of
dietary vitamin B(6.) Epidemiological studies also support
an inverse relationship between vitamin B(6) intake and
colon cancer risk. Potential mechanisms underlying the
preventive effect of dietary vitamin B(6) have been suggested
to include the suppression of cell proliferation, oxidative
stress, nitric oxide (NO) synthesis, and angiogenesis.
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Animal Nutrition and Nutritional Science Unit, Technical
University of Munich-Weihenstephan, 85350 Freising, Germany.
The present study was conducted
to investigate the precaecal digestibility of vitamin
B6 from selected food sources
including eggs, bananas, white cabbage, corn, milk powder,
fish, barley, soybeans, brown rice, wheat bran, brewer's
yeast, rye and soybean meal. These foods were chosen for
their relevance in human and animal nutrition and prepared
as they are usually eaten by humans. As confirmed by further
investigations the precaecal digestibility is a valuable
measure for determining the availability of native B-vitamins.
Therefore, pigs were fitted with an end-to-end ileo-rectal
anastomosis for digesta passing straight from ileum to
rectum, thus avoiding endogenous vitamin synthesis by the
colon. Three weeks after surgery the digestibility experiments
were carried out during which the animals were fed various
experimental diets for a period of 12 days and digesta
were collected quantitatively twice a day during the final
5 days of this period. The concentration of vitamin B6
in foods and chyme was determined by high pressure liquid
chromatography. Precaecal digestibility of vitamin B6 from
all tested food sources ranged from 51 to 91% in the following
order: cabbage diet > banana diet > fish diet > milk
powder diet > brewer's yeast diet > soybeans diet > soybean
meal diet > egg diet/corn diet > barley diet > wheat
bran diet > rye diet. Only boiled brown rice had a very
low vitamin B6 availability of 16%. The digestibility of
vitamin B6 from plant products (excluding the rice) was
on average 10% lower when compared with animal products
(71 versus 79%).
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the Department of Pathology at Case Western Reserve University,
Cleveland, OH 44106, USA.
Diabetes accelerates the aging process and leads to complications
that include blindness, renal failure, nerve damage,
stroke, and cardiovascular disease. It has been hypothesized
that
high plasma glucose concentrations are responsible
for increased mitochondrial free radical production
and
subsequent inactivation
of glyceraldehyde phosphate dehydrogenase (GAPDH) in
vascular endothelial cells and other cells implicated
in these complications.
As a result of the decreased ability of GAPDH to process
upstream metabolites, three pathways of metabolic damage
are activated, which include the advanced glycation
end-product formation pathway, the protein kinase C
pathway, and
the hexosamine pathway. All three pathways have been
implicated
in abnormal cell signaling in diabetes. A group of
German and U.S. scientists has now found that treating
diabetic
rats with high doses of benfotiamine, a lipid-soluble
form of vitamin B1, can prevent diabetic retinopathy
and all three
forms of metabolic damage by stimulating transketolase
activity and thus diverting excess metabolites toward
the pentose
pathway. Although vitamin B1 is available over the
counter, the researchers at this time do not advocate
self-treatment
without further clinical data.
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Medizinische Fakultat der Universitat des Saarlandes.
Disregarding pain resulting from vitamin deficiency, an
analgesic effect seems to be exerted only by vitamin B1
(thiamine), vitamin B6 (pyridoxines), and vitamin B12 (cobalamine),
particularly when the three are given in combination. The
analgesic effect is attributed to an increased availability
and/or effectiveness of noradrenaline and 5-hydroxytryptamine
acting as inhibitory transmitters in the nociceptive system.In
animal experiments, high doses of these vitamins administered
alone or in combination inhibited nociceptive behavior
and depressed the nociceptive activity evoked in single
neurons of the dorsal horn of the spinal cord and in the
thalamus. Moreover, they were found to enhance the antinociceptive
effect of non-opioid analgesic agents on withdrawal reflexes.Clinical
data fail in most cases to meet current standards of evaluation
(randomization, double-blindness). Still, it appears that
high doses of the vitamins B1, B6, and B12 administered
separately or in combination can alleviate acute pain and
potentiate the analgesia caused by non-opioid analgesics
such as the NSAIDs and metamizol (dipyrone). Therapeutic
effects are observed in neuropathic pain and pain of musculoskeletal
origin. Vitamin B6 is effective in the carpal tunnel syndrome
which, however, is attributed at least in some cases to
vitamin B6 deficiency. It is also worth noting that the
B vitamins are shown to enhance the beneficial effect of
diclofenac in acute low-back pain so that ither the duration
of treatment or the daily dose of diclofenac may be reduced.
The use of high doses of vitamin B6 may be limited by a
neurotoxic effect. The effectiveness of B vitamins in depressing
chronic pain has not been established. It would be interesting
to know if the B vitamins are of use as adjuvants in the
treatment of tumor pain.
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Department of Surgery, Veterans Affairs Medical Center, George
Washington and Georgetown University Medical Centers, Washington,
DC, USA.
Accelerated proliferation of arterial smooth muscle cells
(ASMC) plays an important role in the development of atherosclerosis,
which preferentially affects the infragenicular vasculature
in patients with diabetes mellitus. High insulin and glucose
levels, which are present in patients with type II diabetes,
have an additive effect in infragenicular ASMC proliferation
in vitro. Thiamine is a coenzyme important in intracellular
glucose metabolism. The objective of this study is to determine
the effect of thiamine on human infragenicular ASMC proliferation
induced by high glucose and insulin levels in vitro. Human
infragenicular ASMC isolated from diabetic patients undergoing
lower extremity amputation were used. Cells were cultured
at 37 degrees C in 5% CO(2). Cells were identified as ASMC
by immunohistochemical analysis. Cells from passages 3-5
were exposed to glucose concentrations of 0.1 and 0.2%
with and without insulin concentrations of 100 ng/mL and
1000 ng/mL, in the presence or absence of 200 microM of
thiamine. Standard hemocytometry and (3)H-thymidine incorporation
quantified cell proliferation after incubation for 6 days
and 24 hr, respectively. The data suggest that thiamine
inhibits human infragenicular ASMC proliferation induced
by high glucose and insulin. Vitamin B1 intake may prove
important in delaying the atherosclerotic complications
of diabetes.
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Departamento de Biologia Molecular y Biotecnologia, Instituto
de Investigaciones Biomedicas (IIBM), Universidad Nacional
Autonoma de Mexico (UNAM), Mexico City, Mexico.
Biotin, a water-soluble vitamin, is used as cofactor of
enzymes involved in carboxylation reactions. In humans,
there are five biotin-dependent carboxylases: propionyl-CoA
carboxylase; methylcrotonyl-CoA carboxylase; pyruvate carboxylase,
and two forms of acetyl-CoA carboxylase. These enzymes
catalyze key reactions in gluconeogenesis, fatty acid metabolism,
and amino acid catabolism; thus, biotin plays an essential
role in maintaining metabolic homeostasis. In recent years,
biotin has been associated with several diseases in humans.
Some are related to enzyme deficiencies involved in biotin
metabolism. However, not all biotin-responsive disorders
can be explained based on the classical role of the vitamin
in cell metabolism. Several groups have suggested that
biotin may be involved in regulating transcription or protein
expression of different proteins. Biotinylation of histones
and triggering of transduction signaling cascades have
been suggested as underlying mechanisms behind these non-classical
biotin-deficiency manifestation in humans.
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Commonwealth Scientific and Industrial Research Organisation,
Health Sciences and Nutrition, Kintore Avenue, Adelaide,
5000 Australia.
Based on research demonstrating associations between
folate, B-12 and B-6 vitamins and cognition and mood,
we investigated the effects of short-term supplementation
in 211 healthy younger, middle-aged and older women who
took either 750 microg of folate, 15 microg of vitamin
B-12, 75 mg of vitamin B-6 or a placebo daily for 35
d. In addition, we examined associations between dietary
intake of these vitamins and cognition and mood. Usual
dietary intake status was estimated using a retrospective,
self-report, quantified food frequency questionnaire.
Participants completed alternate forms of standardized
tests of cognitive processing resources, memory, executive
function, verbal ability and self-report mood measures
before and after supplementation. Supplementation had
a significant positive effect on some measures of memory
performance only, and no effect on mood. Dietary intake
status was associated with speed of processing, recall
and recognition and verbal ability.
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Department of Nutrition and Food Management, Oregon State
University, Corvallis 97331, USA.
PURPOSE: In two separate but identical
studies, the effect of vitamin B-6 supplementation
was examined on
plasma energy substrates, catecholamines, and 13 amino
acid concentrations during exercise. METHODS: Eleven
trained men performed two separate exhaustive exercise
tests at 71.0+/-4.6% VO2max during two separate 9-d controlled
diet periods. Exercise test 1 (T1C) occurred following
a control diet, and test 2 (T2B6) occurred following
a vitamin B-6 supplemented diet (20 mg PN.d(-1)). Blood
was drawn pre, during (60 min), post, and post-60 min
of exercise, and plasma was analyzed for glucose, lactate,
glycerol, free fatty acids (FFA), catecholamines (N =
5), and amino acids (N = 5). RESULTS: Mean FFA concentrations
changed over time in both tests (P < 0.001) and were
lower in T2B6 compared to T1C at pre (P = 0.03), during
(P = 0.05), and post-60 min (P = 0.04) of exercise. Mean
lactate, glycerol, and catecholamine concentrations only
changed over time (P < 0.0001). The only significant
changes in amino acid concentrations were for lower tyrosine
(P = 0.007) and methionine (P = 0.03) concentrations
in T2B6 relative to TIC at post-60 min of exercise and
postexercise, respectively. No differences were observed
in exercise times to exhaustion between TIC (108+32.6
min) and T2B6 (109+51.2 min). CONCLUSIONS: These results
indicate that vitamin B-6 supplementation can alter plasma
FFA and amino acid concentrations during exhaustive endurance
exercise without affecting endurance.
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Department of Psychology, Vrije Universiteit, Amsterdam,
The Netherlands.
This study evaluates the effects of vitamin B-6 supplementation
(20 mg pyridoxine HCL daily for 3 months) on mood and
performance in 38 self-supporting healthy men, aged between
70-79 years. Effects were compared with 38 controls who
received placebo and were matched for age, plasma pyridoxal-5'-phosphate
(PLP) concentration and intelligence score. Before and
after drug intervention vitamin B-6 status was determined,
and mood and performance were measured by means of a
computerized testing system. In addition, the phasic
pupil response was measured in order to assess mental
effort. Positive effects of vitamin B-6 supplementation
were only found with respect to memory, especially concerning
long-term memory. In view of the finding that mental
performance improvement and delta PLP values were most
strongly correlated within an intermediate range of delta
PLP, it is suggested that cognitive effects are primarily
associated with a certain range of vitamin B-6 status
increment. The general conclusion is that vitamin B-6
supplementation improves storage of information modestly
but significantly.
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Afd. Geriatrie, Slotervaartziekenhuis, Amsterdam.
Low serum vitamin B12 levels and vitamin B12 deficiencies
are frequently found in the elderly. The full syndrome
of a vitamin B12 deficiency is rather simple to diagnose.
The large applicability of the vitamin B12 assay also
gives rise to many probably incomplete features. Low/low-normal
vitamin B12 levels in screening procedures raise uncertainty
whether this finding represents deficiency and should
be followed by supplementation. In this paper the occurrence
of low serum levels of vitamin B12 are discussed. To
assess the clinical relevance of low/low-normal outcomes
supplementary diagnostic procedures will be needed. Within
this scope we illustrate the d.o.s.-test and the MMA-assay.
Especially the latter will probably provide more answers
to the treatment question. Systematic research is needed
to clarify this issue. Meanwhile supplementation of all
low and low-normal outcomes of the B12-assay seems the
best answer.
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Department of Internal Medicine I, Marienhospital, University
of Bochum, Germany.
BACKGROUND: In the elderly, deficiencies of folate,
cobalamin (vitamin B(12)) and pyridoxal phosphate (vitamin
B(6)) are common. The metabolites homocysteine, methylmalonic
acid, 2-methylcitric acid and cystathionine have been
reported to be sensitive markers of these vitamin deficiencies.
OBJECTIVE: The long-term (269 days) effect of an intramuscular
vitamin supplement containing 1 mg vitamin B(12), 1.1
mg folate, and 5 mg vitamin B(6) on serum concentrations
of homocysteine (tHcy), methylmalonic acid (MMA), 2-methylcitric
acid (2-MCA), and cystathionine (Cysta) was studied in
49 elderly subjects with normal levels of vitamin B(12).
METHODS: Vitamin supplement was administered 8 times
over a 21-day period, metabolite concentrations were
measured until day 269 (e.g. 248 days after the end of
vitamin supplementation). RESULTS: From day 0 to 21,
the serum levels of the 3 vitamins increased significantly,
after cessation of supplementation the levels returned
to baseline within the follow-up period. The MMA, 2-MCA
and tHcy levels decreased during the treatment period
significantly and did not reach baseline values within
the 248-day period. Cysta levels did not differ significantly
from baseline, either during or after treatment. CONCLUSION:
MMA and 2-MCA levels rather reflect the availability
of vitamins, especially cobalamin, than the actual serum
levels. Since deficiencies of folate, cobalamin and pyridoxal
phosphate in the elderly may cause hyerhomocysteinemia
and hence may have unfavorable effects on mental performance,
determination of MMA and 2-MCA levels in elderly patients
with mental disturbances may be a cost-effective measure
to improve or maintain mental performance.
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Rice is the staple food in many countries of Asia. Recent
nutrition surveys in eight states, conducted by the National
Nutrition Monitoring Bureau of India, show that though
the average energy intake is adequate, more than 50%
of the households surveyed consumed less than the Recommended
Dietary Allowance (RDA) of energy. These households generally
had per capita incomes of less than Rupees 2/- (US+ 0.25)
per day. The average intake of vitamin A was only 42%
of the RDA and that of riboflavin, 70% of the RDA. The
average intake of other nutrients such as thiamin, niacin,
ascorbic acid, iron and calcium was adequate, although
thiamin deficiency was present in populations where rice
was the main cereal, but not in populations where rice
was the main cereal, but not in populations that consumed
mixed cereal or cereal-millet diets. The magnitude of
the riboflavin deficiency (after correction or energy)
was also more marked in the former. Vitamin A intake
was not related to the type of cereal, but had some relationship
to the quantity of vegetables consumed. Nutrition surveys
from Japan also reveal deficiencies in intake of energy,
vitamin A, thiamin and riboflavin. The Japanese diet
tends to be deficient by 20% in vitamin A and riboflavin,
but not thiamin. Thus, vitamin A, riboflavin and energy
(in that order) are the major nutritional constraints
in rice-eating populations. Clear-cut correlations between
the magnitude of dietary deficiency and the prevalence
of signs and symptoms of vitamin deficiency were not
apparent in the comparisons between populations, suggesting
that as well as dietary deficiency other environmental
factors play a role in the development of clinical deficiency.
Attempts to correlate clinical deficiency with the magnitude
of biochemical deficiency have also failed. Recent studies
aimed at examining the effects of food supplements (rural
Gambian women) or vitamin supplements (rural Indian boys)
on vitamin status suggest that in some communities, vitamin
intakes close to the RDA fail to saturate the tissues,
as judged by biochemical tests. In the Indian boys, there
was a marked rise in urinary excretion of riboflavin
during winter when the incidence of respiratory infections
was high. Metabolic losses of vitamins due to infections
may preclude tissue saturation despite adequate dietary
intake. Administration for 1 year of B-vitamins at levels
close to the RDA failed to reduce the prevalence of clinical
deficiency signs, but did produce some improvement in
hand steadiness - a psychomotor test.
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Department of Medicine, Albert Einstein College of Medicine/Montefiore
Medical Center, Bronx, NY, USA.
OBJECTIVE: An elevated homocysteine level in the blood
has been identified as an independent risk factor for
vascular disease, including coronary atherosclerosis
and venoembolic disease. A deficiency of vitamins B (
6 ), B ( 12 ), or folate in the blood can cause increased
blood levels of homocysteine. We set out to determine
whether there was a relationship between blood levels
of folate and B ( 12 ) and the subsequent development
of cardiovascular disease and mortality in old old ambulatory
men and women. DESIGN: Four hundred forty subjects (mean
age, 79 years; 64% female) were followed in the Bronx
Longitudinal Aging Study, a prospective study of 10 years
duration, designed to assess risk factors for cardiovascular
and cerebrovascular diseases and dementia in an ambulatory
old old cohort. METHODS: Serum levels of vitamin B (
12 ) and folate were measured and related to the incidence
of total all-cause mortality, stroke, myocardial infarction,
coronary heart disease, and cardiovascular disease. RESULTS:
No statistical gender- or age-related differences were
found in the mean levels of folate or B ( 12 ). The concentration
of folate in the blood was not related to the incidence
of mortality, myocardial infarction, stroke, or overall
cardiovascular disease. However, by logistical regression
and Cox proportional-hazards regression analyses, there
was an increased incidence of mortality and coronary
heart disease in those subjects having increased vitamin
B ( 12 ) levels in the blood. Each 100-pg increase in
B ( 12 ) was associated with a 10% increase in mortality
and coronary heart disease incidence. CONCLUSION: These
results suggest that in elderly subjects, vitamin B (
12 ) supplementation should not be routinely provided
unless there are clear indications for doing so (a deficiency
state), and then only to replace enough B ( 12 ) to correct
the deficiency. A suggested treatment paradigm is provided
for managing vitamin deficiency states and hyperhomocysteinemia
in elderly subjects.
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Jean Mayer US Department of Agriculture Human Nutrition
Research Center on Aging at Tufts University, Boston, MA,
USA.
We investigated the relations between plasma concentrations
of homocysteine and vitamins B-12 and B-6 and folate,
and scores from a battery of cognitive tests for 70 male
subjects, aged 54-81 y, in the Normative Aging Study.
Lower concentrations of vitamin B-12 (P=0.04) and folate
(P=0.003) and higher concentrations of homocysteine (P=0.0009
) were associated with poorer spatial copying skills.
Plasma homocysteine was a stronger predictor of spatial
copying performance than either vitamin B-12 or folate.
The association of homocysteine with spatial copying
performance was not explained by clinical diagnoses of
vascular disease. Higher concentrations of vitamin B-6
were related to better performance on two measures of
memory (P=0.03 and P=0.05). The results suggest that
vitamins (and homocysteine) may have differential effects
on cognitive abilities. Individual vitamins and homocysteine
should be explored further as determinants of patterns
of cognitive impairment.
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Centre for Human Nutrition, The University of Sheffield,
United Kingdom.
Riboflavin is unique among the water-soluble vitamins
in that milk and dairy products make the greatest contribution
to its intake in Western diets. Meat and fish are also
good sources of riboflavin, and certain fruit and vegetables,
especially dark-green vegetables, contain reasonably
high concentrations. Biochemical signs of depletion arise
within only a few days of dietary deprivation. Poor riboflavin
status in Western countries seems to be of most concern
for the elderly and adolescents, despite the diversity
of riboflavin-rich foods available. However, discrepancies
between dietary intake data and biochemical data suggest
either that requirements are higher than hitherto thought
or that biochemical thresholds for deficiency are inappropriate.
This article reviews current evidence that diets low
in riboflavin present specific health risks. There is
reasonably good evidence that poor riboflavin status
interferes with iron handling and contributes to the
etiology of anemia when iron intakes are low. Various
mechanisms for this have been proposed, including effects
on the gastrointestinal tract that might compromise the
handling of other nutrients. Riboflavin deficiency has
been implicated as a risk factor for cancer, although
this has not been satisfactorily established in humans.
Current interest is focused on the role that riboflavin
plays in determining circulating concentrations of homocysteine,
a risk factor for cardiovascular disease. Other mechanisms
have been proposed for a protective role of riboflavin
in ischemia reperfusion injury; this requires further
study. Riboflavin deficiency may exert some of its effects
by reducing the metabolism of other B vitamins, notably
folate and vitamin B-6.
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Etiology Program, Cancer Research Center of Hawaii, University
of Hawaii, Honolulu 96813, USA.
OBJECTIVE: This population-based case-control study
was designed to investigate the interrelationships between
polymorphisms in the methylenetetrahydrofolate (MTHFR
C677T and A1298C) gene and other genes (MTR A2756G; MTRR
A66G and CBS 844ins68), intake of B-vitamins and colorectal
cancer risk (CRC). METHODS: We interviewed 727 CRC cases
of Japanese, Caucasian, or Native Hawaiian origin and
727 controls matched on sex, age, and ethnicity. RESULTS:
Compared to the homozygous wild-type genotype, the odds
ratios for subjects with one or two MTHFR 677T variant
alleles were 0.8 (0.6-1.1) and 0.7 (0.5-1.1), respectively
(p for gene-dosage effect: 0.04). The TT genotype was
associated with a 50-60% decrease in CRC risk among subjects
with high intake of folate or vitamin B6, compared to
those with the CC genotype and low levels of intake.
The MTHFR 1298C and CBS8 44ins68 variant alleles were
also found to be weakly protective against CRC and to
act jointly with the 677T allele. CONCLUSIONS: This study
provides additional evidence for a decreased CRC risk
for subjects with the MTHFR 677T allele, particularly
at high levels of folate and vitamin B6 intake. Our data
also suggest that the relationships between CRC and the
MTHFR A1298C and CBS 844ins68 polymorphisms warrant further
study.
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