Chemopreventive agents: selenium.

Selenomethionine (Semet) is the major seleno-compound in cereal grains and enriched yeast whereas Se-methylselenocysteine (SeMCYS) is the major seleno-compound in Se-accumulator plants and some plants of economic importance such as garlic and broccoli exposed to excess Se. Animals can metabolize both Semet and SeMCYS. Epidemiological studies have indicated an inverse relationship between Se intake and the incidence of certain cancers. Blood or plasma levels of Se are usually lower in patients with cancer than those without this disorder, but inconsistent results have been found with toenail-Se values and the incidence of cancer. There have been eight trials with human subjects conducted on the influence of Se on cancer incidence or biomarkers, and except for one, all have shown a positive benefit of Se on cancer reduction or biomarkers of this disorder. This is consistent with about 100 small-animal studies where Se has been shown to reduce the incidence of tumours in most of these trials. Se-enriched yeast is the major form of Se used in trials with human subjects. In the mammary-tumour model, SeMCYS has been shown to be the most effective seleno-compound identified so far in reduction of tumours. Several mechanisms have been proposed on the mechanism whereby Se reduces tumours. Even though SeMCYS was shown to be the most effective seleno-compound in the reduction of mammary tumours, it may not be the most effective seleno-compound for reduction of colon tumours.

/pdf/selenium-and-its-relationship-to-cancer-an-update-34e4t5ugbv.pdf

Selenium and its relationship to cancer: an update.

The Nutritional Prevention of Cancer Trial was a randomized, clinical trial designed to evaluate the efficacy of selenium as selenized yeast (200 microg daily) in preventing the recurrence of nonmelanoma skin cancer among 1312 residents of the Eastern United States. Original secondary analyses through December 31, 1993 showed striking inverse associations between treatment and the incidence of total [hazard ratio (HR) = 0.61, 95% confidence interval (CI) = 0.46-0.82], lung, prostate, and colorectal cancer and total cancer mortality. This report presents results through February 1, 1996, the end of blinded treatment. Effect modification by baseline characteristics is also evaluated. The effects of treatment overall and within subgroups of baseline age, gender, smoking status, and plasma selenium were examined using incidence rate ratios and Cox proportional hazards models. Selenium supplementation reduced total (HR = 0.75, 95% CI = 0.58-0.97) and prostate (HR = 0.48, 95% CI = 0.28-0.80) cancer incidence but was not significantly associated with lung (HR = 0.74, 95% CI = 0.44-1.24) and colorectal (HR = 0.46, 95% CI = 0.21-1.02) cancer incidence. The effects of treatment on other site-specific cancers are also described. The protective effect of selenium was confined to males (HR = 0.67, 95% CI = 0.50-0.89) and was most pronounced in former smokers. Participants with baseline plasma selenium concentrations in the lowest two tertiles (<121.6 ng/ml) experienced reductions in total cancer incidence, whereas those in the highest tertile showed an elevated incidence (HR = 1.20, 95% CI = 0.77-1.86). The Nutritional Prevention of Cancer trial continues to show a protective effect of selenium on cancer incidence, although not all site-specific cancers exhibited a reduction in incidence. This treatment effect was restricted to males and to those with lower baseline plasma selenium concentrations.

/pdf/baseline-characteristics-and-the-effect-of-selenium-uiio3fq7z8.pdf

Baseline characteristics and the effect of selenium supplementation on cancer incidence in a randomized clinical trial: a summary report of the Nutritional Prevention of Cancer Trial.

Meat as a component of a healthy diet - are there any risks or benefits if meat is avoided in the diet?

There is uncertainty and limited recognition of the relationship between socioeconomic inequalities and oral cancer. We aimed to quantitatively assess the association between socioeconomic status (SES) and oral cancer incidence risk. A systematic review of case-control studies obtained published and unpublished estimates of the SES risk related to oral cancer. Studies were included which reported odds ratios (ORs) and corresponding 95% CIs of oral cancer with respect to SES, or if the estimates could be calculated or obtained. Meta-analyses were performed on subgroups: SES measure, age, sex, global region, development level, time-period and lifestyle factor adjustments; while sensitivity analyses were conducted based on study methodological issues. Forty-one studies provided 15,344 cases and 33,852 controls which met our inclusion criteria. Compared with individuals who were in high SES strata, the pooled ORs for the risk of developing oral cancer were 1.85 (95%CI 1.60, 2.15; n = 37 studies) for those with low educational attainment; 1.84 (1.47, 2.31; n = 14) for those with low occupational social class; and 2.41 (1.59, 3.65; n = 5) for those with low income. Subgroup analyses showed that low SES was significantly associated with increased oral cancer risk in high and lower income-countries, across the world, and remained when adjusting for potential behavioural confounders. Inequalities persist but are perhaps reducing over recent decades. Oral cancer risk associated with low SES is significant and comparable to lifestyle risk factors. Our results provide evidence to steer health policy which focus on lifestyles factors toward an integrated approach incorporating measures designed to tackle the root causes of disadvantage.

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijc.23430

Socioeconomic inequalities and oral cancer risk: A systematic review and meta‐analysis of case‐control studies

A population-based case-control study was conducted in western Washington state to investigate possible dietary risk factors for laryngeal, esophageal, and oral cancers. Using results from a food frequency questionnaire, past dietary intakes of iron, zinc, and calcium were estimated for 661 cases and 466 controls. Clippings were also taken from the nails of both halluces to determine concentrations of iron, zinc, calcium, chromium, and cobalt in 507 of the cases and 434 of the controls. After adjustment for smoking, alcohol, and dietary beta-carotene and vitamin C intake, individuals who reported dietary intakes of iron and zinc in the upper quartile were less likely to develop cancers of the larynx and esophagus than were individuals with intakes in the lowest quartile [odds ratios (OR), 0.5 for iron and 0.1 for zinc]. However, there were no significant differences in zinc concentrations in nail tissue between subjects with these types of cancer and controls. Esophageal cancer cases had higher nail concentrations of iron and calcium than did controls (OR, 2.9 for high versus low quartiles of iron; OR, 2.6 for high versus low quartiles of calcium). Individuals who developed esophageal or oral cancer were more likely to have elevated cobalt concentrations in their nail tissue than were individuals without cancer (OR, 9.0 and 1.9 respectively, for high versus low quartiles). The results of this study suggest that there may be differences in mineral intake or metabolism between individuals who develop some carcinomas of the upper aerodigestive tract and those who do not.

/pdf/a-case-control-study-of-element-levels-and-cancer-of-the-3idw6z012c.pdf

A case-control study of element levels and cancer of the upper aerodigestive tract.

A case-control study of oral cancer was conducted in western Washington state between 1983 and 1987. Cases (n = 379) were identified through a population-based registry, and controls (n = 514) were selected by telephone using random digit dialing. Subjects participated in a personal interview, completed a food-frequency questionnaire, and submitted clippings from the nails of each great toe for the determination of selenium and zinc concentrations. The odds ratio (OR) for low selenium levels in nail tissue (lowest 25% of the distribution compared to the upper 75%) was 1.4 (95% confidence interval (Cl) 1.0–2.2). Likewise, the odds ratio for low zinc levels in nails was 1.6 (95% Cl 1.0–2.3), but for low dietary zinc was 1.0 (95% Cl 0.7–1.7). Men with oral cancer had lower nail selenium levels than did the controls (OR = 1.9), but women with oral cancer did not (OR = 0.6). Individuals 20 to 39 years of age with oral cancer, in particular, were more likely to have lower selenium levels in nail tissue than controls (OR = 16.4). There was a significant interaction between selenium and ascorbic acid levels which could not be explained by cigarette use. Subjects at greatest risk had low levels of both nutrients (OR = 3.8 for smokers and OR = 5.7 for non-smokers). However, since the elements were deposited in the nail matrix close to the date of diagnosis, the differences in the element concentrations between cases and controls may have been a result of the disease. Further etiologic studies of selenium, vitamin intake and oral carcinoma are warranted.

A case-control study of oral cancer and pre-diagnostic concentrations of selenium and zinc in nail tissue.

Differences in the dissolved chemistry of lakes devastated by the 18 May 1980 eruption of Mount St. Helens are attributable to location relative to the lateral blast trajectory of the eruption and to the emplacement of mineral deposits. Elemental enrichment ratios of pre- and posteruption measurements for Spirit Lake and comparisons of the chemical concentrations and elemental ratios for lakes inside and outside the blast zone reflect the influences of the dissolution of magmatic and lithic deposits. The pH changes were minor because of buffering by carbonic acid and reactions involving mineral alteration, dissolved organics, and biological processes.

http://science.sciencemag.org/content/sci/216/4542/175.full.pdf

Chemical changes of lakes within the mount st. Helens blast zone.

Mathematical equations governing the ratio of210Bi/210Pb and210Po/210Pb activities are used to explain the ingrowth of210Bi and210Po in environmental samples during post collection. Procedures are described for radiochemical separation of210Pb,210Bi, and210Po in a state of radioactive disequilibrium and quantification by alpha- and beta-counting. Also, the special case is considered where210Bi is in equilibrium with210Pb, but both are in disequilibrium with210Po. In this case, the activities of both210Pb and210Po are computed by measuring210Po activity twice, using alpha-counting.

Measurement of lead-210, bismuth-210, and polonium-210 in environmental samples

It is demonstrated that silica gel columns will quantitatively adsorb free Cu2+ and Pb2+ ions at pH > 8. These are eluted with 0.1 M HNO3 but not with methanol. Negatively charged EDTA chelates are not adsorbed. Neutral APDC chelates are partially adsorbed on silica columns, but are quantitatively adsorbed on C18-bonded columns, and are eluted with methanol. The metal ions are partially adsorbed on C18-bonded columns, due to residual silanol groups. A microcolumn (1 mm i.d., 5 cm length) manifold system is described for automatic delivery of eluant (0.12 ml) to a heated atomic absorption graphite atomizer, using either methanol or 0.1 M HNO3 in methanol eluant, allowing speciation and measurement of parts per billion of metals. These studies demonstrate that by using a mixed column or sequential columns of silica gel and C18-bonded silica, cationic and neutral metal species could be adsorbed, followed by sequential elution and measurement using methanol and then 0.1 M HNO. Negatively charged spec...

Ahmad E. Nevissi

Papers

A case-control study of element levels and cancer of the upper aerodigestive tract.

A case-control study of oral cancer and pre-diagnostic concentrations of selenium and zinc in nail tissue.

Chemical changes of lakes within the mount st. Helens blast zone.

Measurement of lead-210, bismuth-210, and polonium-210 in environmental samples

Speciation of parts per billion of metal ions using silica and C18-bonded silica columns and graphite furnace atomic absorption spectrometry