2010
DOI: 10.3748/wjg.v16.i8.921
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Folate and fiber in the prevention of colorectal cancer: Between shadows and the light

Abstract: Colorectal cancer (CRC) is one of the most common malignancies and causes of cancer deaths throughout the world. Endoscopy has its functional and financial limitations; therefore, chemoprevention might be crucial in reducing the incidence of CRC. Although a number of studies have demonstrated the potential chemopreventive effects of folate (or folic acid), many challenges still remain. The relationship between folate intake and CRC risk is a complex association that might depend on many factors including gende… Show more

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Cited by 22 publications
(19 citation statements)
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“…It is possible that the reduced enzymatic activity of the MTHFR 677TT genotype may be advantageous in terms of DNA synthesis and DNA repair due to the increased availability of 5,10-methylenetetrahydrofolate in the presence of high folate levels, whereas reduced enzymatic activity may be disadvantageous in terms of the methylation reaction because lower levels of 5-methylenetetrahydrofolate may result in DNA hypomethylation due to reduced methionine synthesis in the presence of low folate levels (31). However, it still remains to be determined whether or not these genetic-nutrient intake interactions play as a causative or a preventive factor for the development of colorectal cancer (32,33).…”
Section: Discussionmentioning
confidence: 99%
“…It is possible that the reduced enzymatic activity of the MTHFR 677TT genotype may be advantageous in terms of DNA synthesis and DNA repair due to the increased availability of 5,10-methylenetetrahydrofolate in the presence of high folate levels, whereas reduced enzymatic activity may be disadvantageous in terms of the methylation reaction because lower levels of 5-methylenetetrahydrofolate may result in DNA hypomethylation due to reduced methionine synthesis in the presence of low folate levels (31). However, it still remains to be determined whether or not these genetic-nutrient intake interactions play as a causative or a preventive factor for the development of colorectal cancer (32,33).…”
Section: Discussionmentioning
confidence: 99%
“…Thirdly, most of the case -control studies reviewed in the present paper selected controls from among patients or participants of health checkups or screening, which might have resulted in various extents of selection bias among studies. Fourthly, few case -control studies have controlled for factors including intakes of dietary fiber, folate and vegetables, which have been favorably associated with colorectal cancer risk (22,23). Failure to account for these factors may result in a spurious association between physical activity and the risk of colorectal cancer.…”
Section: Main Features and Commentsmentioning
confidence: 99%
“…Sodium butyrate (NaBu) is a short-chain fatty acid (SCFA), which can influence a variety of physiological functions. The antineoplastic activity of SCFAs such as butyrates in colorectal carcinogenesis is produced as a consequence of a high fiber diet (5). Butyrate, as one main end-product of intestinal microbial fermentation, demonstrates the protective role of dietary fiber in the maintenance of colonic homeostasis (6).…”
Section: Introductionmentioning
confidence: 99%