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十字花科蔬菜及其含有的硫代葡萄糖苷和异硫氰酸酯、谷胱甘肽转移酶多态性与乳腺癌风险的摄入:中国的病例对照研究。

Intake of total cruciferous vegetable and its contents of glucosinolates and isothiocyanates, glutathione -transferases polymorphisms and breast cancer risk: a case-control study in China.

机构信息

Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou510080, People's Republic of China.

Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou510080, People's Republic of China.

出版信息

Br J Nutr. 2020 Sep 28;124(6):548-557. doi: 10.1017/S0007114520001348. Epub 2020 Apr 20.

Abstract

Cruciferous vegetables contain high levels of glucosinolates (GSL) and isothiocyanates (ITC). ITC are known to induce glutathione S-transferases (GST) and thus exert their anticarcinogenic effects. This study explored the combined effects of cruciferous vegetable, GSL and ITC intake and GST polymorphisms on breast cancer risk. A total of 737 breast cancer cases and 756 controls were recruited into this case-control study. OR and 95 % CI were assessed by multivariable logistic regression. Higher cruciferous vegetable, GSL and ITC intakes were inversely associated with breast cancer risk, with adjusted OR of 0·48 (95 % CI 0·35, 0·65), 0·54 (95 % CI 0·40, 0·74) and 0·62 (95 % CI 0·45, 0·84), respectively. Compared with women carrying the GSTP1 rs1695 wild AA genotype and high cruciferous vegetable, GSL or ITC intake, carriers of the AA genotype with low cruciferous vegetable, GSL and ITC intake had greater risk of breast cancer, with adjusted OR of 1·43 (95 % CI 1·01, 1·87), 1·34 (95 % CI 1·02, 1·75) and 1·37 (95 % CI 1·05, 1·80), respectively. Persons with the GSTM1-null genotype and lower intake of cruciferous vegetables, GSL and ITC had higher risk of breast cancer than those with the GSTM1-present genotype and higher intake, with OR of 1·42 (95 % CI 1·04, 1·95), 1·43 (95 % CI 1·05, 1·96) and 1·45 (95 % CI 1·06, 1·98), respectively. Among women possessing the GSTT1-present genotype, low intake of cruciferous vegetables, GSL or ITC was associated with higher risk of breast cancer. But these interactions were non-significant. This study indicated that there were no significant interactions between cruciferous vegetable, GSL or ITC intake and GST polymorphisms on breast cancer risk.

摘要

十字花科蔬菜含有高水平的硫代葡萄糖苷(GSL)和异硫氰酸盐(ITC)。已知 ITC 可诱导谷胱甘肽 S-转移酶(GST),从而发挥其抗癌作用。本研究探讨了十字花科蔬菜、GSL 和 ITC 摄入以及 GST 多态性联合对乳腺癌风险的影响。这项病例对照研究共纳入了 737 例乳腺癌病例和 756 例对照。采用多变量 logistic 回归评估 OR 和 95%CI。较高的十字花科蔬菜、GSL 和 ITC 摄入量与乳腺癌风险呈负相关,调整后的 OR 分别为 0.48(95%CI 0.35,0.65)、0.54(95%CI 0.40,0.74)和 0.62(95%CI 0.45,0.84)。与携带 GSTP1 rs1695 野生 AA 基因型且摄入大量十字花科蔬菜、GSL 或 ITC 的女性相比,携带 AA 基因型且摄入低水平十字花科蔬菜、GSL 和 ITC 的女性患乳腺癌的风险更高,调整后的 OR 分别为 1.43(95%CI 1.01,1.87)、1.34(95%CI 1.02,1.75)和 1.37(95%CI 1.05,1.80)。与携带 GSTM1 基因型且摄入大量十字花科蔬菜、GSL 和 ITC 的女性相比,携带 GSTM1 缺失基因型且摄入低水平十字花科蔬菜、GSL 和 ITC 的女性患乳腺癌的风险更高,OR 分别为 1.42(95%CI 1.04,1.95)、1.43(95%CI 1.05,1.96)和 1.45(95%CI 1.06,1.98)。在携带 GSTT1 基因型的女性中,低水平摄入十字花科蔬菜、GSL 或 ITC 与乳腺癌风险增加相关,但这些交互作用无统计学意义。本研究表明,十字花科蔬菜、GSL 或 ITC 摄入与 GST 多态性对乳腺癌风险之间不存在显著的交互作用。

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