Environment would appear
to contribute substantially to prostate
cancer etiology only when considered in
its broadest sense as there is little evidence
that environmental "chemical"
exposures no matter what the source play
an important role in prostate cancer development.
However, in a broader sense, there is growing
evidence that multiple components of diet
may alter risk (including high fat, low
fiber, low selenium, low vitamin D, high
calcium, low lycopene, low vitamin E, low
"phytoestrogens"). Our emphasis
in the past two years however, has been
on possible genetic pathways pertaining
especially to androgen and vitamin D metabolism.
We have published a series of papers showing
how specific polymorphic markers in several
genes in these pathways relate to prostate
cancer risk and how these might help explain
one of the primary features of prostate
cancer epidemiology, the racial-ethnic variation
in risk. As noted above, we summarized our
work in this area with a detailed Perspectives
in Cancer Research article in the journal
Cancer Research. We are in the process now
of further defining the role of diet (focused
around the hypotheses of greatest current
interest, as listed above), and the risk
modifying effects of specific dietary factors
on the genetic markers of risk. |