“…Animal and human studies have shown that manipulation of diet and other lifestyle exposures result in adaptive changes in the colon crypt epithelium and in TGF-α expression specifically (17, 21, 22, 24, 25). Our preliminary findings suggest that TGF-α levels may vary according to modifiable dietary risk factors (intake of sucrose, low-fat dairy, fruits, and vegetables), and although, in this small sample, few differences were statistically significant, many are consistent with current hypotheses about diet, growth, and colorectal cancer (7, 14, 17, 20, 24, 25, 35, 44–48). Furthermore, associations between TGF-α expression and risk for adenoma were strengthened following adjustment for risk factors, suggesting that a person with elevated TGF-α levels could further increase or decrease their probability of being a case (that is, risk for incident sporadic colorectal adenoma) based on their history of risk behaviors, such as use of NSAIDs or total energy intake.…”