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Medicinal Plants Classification Biosynthesis and ... - Index of

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30<br />

Rosa Martha Perez Gutierrez, Adriana Maria Neira Gonzalez et al.<br />

were consistent with the findings <strong>of</strong> previous studies that have reported a positive association<br />

between β-carotene intake <strong>and</strong> risk <strong>of</strong> some neoplasms in smokers (Omenn et al., 1996;<br />

Albanes et al., 1996) <strong>and</strong> with those that observed an interaction between β-carotene intake<br />

<strong>and</strong> smoking on the risk <strong>of</strong> some cancers or precancerous lesions (Baron et al., 2003) .<br />

Indeed, long-term follow-up <strong>of</strong> the β-carotene <strong>and</strong> retinol efficacy trial suggests a stronger<br />

association between β-carotene intake <strong>and</strong> risk <strong>of</strong> tobacco-related cancer in women than in<br />

men (Goodman et al., 2004), which, added to a higher supplement use (Knudsen et al., 2002),<br />

may therefore represent a problem in view <strong>of</strong> the increasing exposure <strong>of</strong> women to tobacco.<br />

In another study, it was observed that increased lung cancer risk was associated with low<br />

vegetable <strong>and</strong> fruit intake in current <strong>and</strong> recent cigarette smokers <strong>and</strong> in pipe <strong>and</strong>/or cigar<br />

users. Risk was not elevated in cigarette smokers who had quit more than 5 years earlier or in<br />

never smokers. The effects <strong>of</strong> β-carotene intake <strong>and</strong> <strong>of</strong> �-carotene intake on lung cancer risk<br />

were similarly modified by smoking history. Thus, as before, the importance <strong>of</strong> diet was<br />

explored in current (464 case patients <strong>and</strong> 177 control subjects) <strong>and</strong> recent (59 case patients<br />

<strong>and</strong> 31 control subjects) smokers. Current <strong>and</strong> recent smokers in the lowest quartile <strong>of</strong> �carotene<br />

intake had a smoking-adjusted risk more than twice that <strong>of</strong> smokers in the highest<br />

quartile <strong>of</strong> intake, whereas the corresponding risks associated with intakes <strong>of</strong> β-carotene <strong>and</strong><br />

<strong>of</strong> lutein/zeaxanthin were increased only about 60% (Ziegler et al., 1996a).<br />

It is also reported that in a group <strong>of</strong> 258 lung cancer cases <strong>and</strong> 515 controls,<br />

serum/plasma concentrations were significantly lower among cases than controls for<br />

cryptoxanthin, β-carotene, <strong>and</strong> lutein/zeaxanthin. Modest nonsignificant case-control<br />

differences in a protective direction were noted for �-carotene <strong>and</strong> ascorbic acid. There were<br />

only trivial differences for lycopene, �-tocopherol, selenium, <strong>and</strong> peroxyl radical absorption<br />

capacity. Findings are reported for males <strong>and</strong> females <strong>and</strong> for persons who had never smoked<br />

cigarettes, former smokers, <strong>and</strong> current smokers at baseline. These results <strong>and</strong> those from<br />

previous studies suggest that β-carotene is a marker for some protective factor(s) against lung<br />

cancer; that cryptoxanthin, �-carotene, <strong>and</strong> ascorbic acid need to be investigated further as<br />

potentially protective factors or associates <strong>of</strong> a protective factor; <strong>and</strong> that lycopene, �tocopherol,<br />

selenium, <strong>and</strong> peroxyl radical absorption capacity are unlikely to be associated<br />

with lung cancer risk. Until specific preventive factors are identified, the best protection<br />

against lung cancer is still the avoidance <strong>of</strong> airborne carcinogens, especially tobacco smoke;<br />

second hest is the consumption <strong>of</strong> a diet rich in fruits <strong>and</strong> vegetables (Comstock et al., 2008).<br />

In 1957, 3,102 men (aged 40-55 years) were r<strong>and</strong>omly selected for the Western Electric<br />

Study. The effects <strong>of</strong> β-carotene <strong>and</strong> retinol intake on lung cancer risk during 19 years no<br />

showed significant differences in mean intake other nutrients. Also this study showed no<br />

association between the level <strong>of</strong> serum cholesterol <strong>and</strong> the intake <strong>of</strong> retinol <strong>and</strong> β-carotene<br />

(Shekelle et al., 1981).<br />

Discussion<br />

In recent decades the presence <strong>of</strong> carotenoids in our food supply <strong>and</strong> their role in human<br />

health have been <strong>of</strong> unprecedented interest. Some carotenoids are vitamin A precursors <strong>and</strong><br />

about a dozen carotenoids are found in human plasma, depending on diets rich in fruits <strong>and</strong>

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