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Beneficial and adverse effects of chemopreventive agents.

Abstract
The beneficial and adverse effects of some chemopreventive agents, such as Vitamins A, C, E, beta-carotene, indole-3-carbinol, capsaicin, garlic, and aloe are reviewed. Two large randomized trials with a lung cancer endpoint, the Alpha-Tocopherol, Beta-Carotene (ATBC) Prevention Study and the Beta-Carotene and Retinol Efficacy Trial (CARET), suggested that antioxidants might be harmful in smokers. However, the results of the Linxian study and of the ATBC or the CARET studies were significantly different in this respect, and therefore, the relationship between antioxidant and carcinogenesis remains open to debate. Indole-3-carbinol has cancer promoting activities in the colon, thyroid, pancreas, and liver, whereas capsaicin alters the metabolism of chemical carcinogens and may promote carcinogenesis at high doses. Organosulfur compounds and selenium from garlic have no or a little enhancing effect on cancer promotion stage. Information upon chemopreventive mechanisms that inhibit carcinogenesis is imperfect, although the causes and natures of certain human cancers are known. Therefore, definitive preventive guidelines should be carefully offered for various types of tumors, which properly consider ethnic variations, and the efficacies and the safety of chemopreventive agents.
AuthorsByung Mu Lee, Kwang-Kyun Park
JournalMutation research (Mutat Res) 2003 Feb-Mar Vol. 523-524 Pg. 265-78 ISSN: 0027-5107 [Print] Netherlands
PMID12628524 (Publication Type: Journal Article, Review)
CopyrightCopyright 2002 Elsevier Science B.V.
Chemical References
  • Anticarcinogenic Agents
  • Antioxidants
  • Irritants
  • Vitamins
  • Capsaicin
Topics
  • Animals
  • Anticarcinogenic Agents (adverse effects, therapeutic use)
  • Antioxidants (adverse effects, therapeutic use)
  • Capsaicin (adverse effects, therapeutic use)
  • Clinical Trials as Topic
  • DNA Damage
  • Diet
  • Humans
  • Irritants (adverse effects, therapeutic use)
  • Vegetables
  • Vitamins (adverse effects, therapeutic use)

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