Glucosinolates (GLS) are secondary plant metabolites occurring in cruciferous vegetables. Their biologically active break-down products show cancer preventive properties in animal and cell studies. So far, epidemiologic studies, using consumption of cruciferous vegetables as proxy for GLS intake, yielded inconsistent results. Here, we evaluated the association between dietary intake of GLS in comparison with consumption data of GLS-containing foods and the risk of prostate cancer. The study population comprised 11,405 male participants of the prospective EPIC-Heidelberg cohort study. During a mean follow-up time of 9.4 years, 328 incident cases of prostate cancer occurred. At recruitment, habitual food consumption was assessed by a validated food frequency questionnaire, and intake of individual GLS was estimated by means of a newly compiled database on food content of GLS. Adjusted hazard ratios (HR) for prostate cancer were calculated using the Cox proportional hazard model. Median daily intake of total GLS was 7.9 mg/day (interquartile range 5.1-11.9 mg/day). The risk of prostate cancer decreased significantly over quartiles of total GLS intake (multivariate HR [4th vs. 1st quartile] 0.68, 95% CI 0.48-0.97, p trend 0.03). Associations with GLS-containing food intake were weaker. Among GLS subgroups, aliphatic GLS showed the strongest inverse association with cancer risk. Analyses stratified by tumor stage and grade gave hint to inverse associations for localized and low-grade cancers. This study shows an inverse association between dietary intake of GLS and the risk of prostate cancer. Because this is the first prospective study using individual GLS intake data, confirmation in other studies is warranted. '
UICCKey words: glucosinolates; cruciferous vegetables; prostate cancer; EPIC-Heidelberg; dietary intake Glucosinolates (GLS) are plant metabolites occurring predominantly in cruciferous vegetables.1 According to the chemical structure of their side chain 3 main groups can be distinguished: aliphatic (with alkyl or alkenyl group), aromatic (with benzyl group) and heterocyclic (with indolyl group) GLS. On cell rupture, GLS are cleaved by the plant enzyme myrosinase, and depending on the structure and reaction conditions, various biologically active components can be formed.2 Isothiocyanates-derived from aliphatic and aromatic GLS (at neutral pH)-and indoles-derived from indolyl-GLS-are currently the break-down products of most scientific interest because of their cancer preventive properties observed in cell and animal studies. Different mechanisms of anticarcinogenic activity are proposed for these break-down products such as the induction of antioxidant and detoxification genes. Furthermore, the inhibition of proinflammatory reactions, cytochrome P450 enzyme activity and histone deacetylase are under discussion as well as the activation of cell cycle arrest and apoptosis. 4 In prostate cancer cells lines it was shown, that sulforaphane, the hydrolysis product of glucoraphanine as the major aliphatic GLS ...