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Vitamins may interfere with cancer chemotherapy

WASHINGTON, Dec 15 (Reuters Health) -- While antioxidants such as vitamins A and E can be helpful in healthy people, these vitamins may not be good for cancer patients on chemotherapy. They appear to reduce the effectiveness of cancer therapy by counteracting the way cancer drugs work, according to a report presented Monday at the annual meeting of the American Society for Cell Biology.

In particular, vitamins A and E may negatively impact cancer chemotherapy, said Dr. Rudolph Salganik from the University of North Carolina, Chapel Hill. "Almost all anticancer drugs kill cancer cells by way of apoptosis," he said, "and antioxidants like vitamin A and vitamin E dramatically reduce apoptosis in cancer cells."

Apoptosis is a natural cell suicide program, which causes cells to self-destruct after they have sustained significant damage to their DNA. He described experiments in genetically engineered mice that develop brain tumors. A diet free of vitamins A and E increased the proportion of apoptotic brain cancer cells from 3% with a normal diet to 19%.

"Cancer patients, especially those receiving chemotherapy or radiation therapy, might do better on an antioxidant-free diet," Salganik concluded. The finding may explain the results of previous studies that found higher rates of lung cancer in smokers who ate diets high in antioxidants, the researchers suggest.

To further test their findings, Salganik and his team now plan to conduct studies in humans.


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