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PCa Commentary

Lycopene And Prostate Cancer Prevention - A Less Optimistic Report (July 2007)

If you are loading up on lycopene as a hedge against prostate cancer, it better be largely because you really like tomatoes. The lycopene stock is highly volatile, with a recent sell-off due to a large study conducted by the Fred Hutchinson Cancer Research Center, "Serum Lycopene, Other Carotinoids, and Prostate Cancer Risk: a Nested Case-Control Study in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial", Cancer Epidemiol Biomarkers Prev, May 2007. The short conclusion: "...these results suggest that lycopene or tomato-based regimens will not be effective for prevention of prostate cancer." This finding was in contrast to the earlier boost for lycopene from the 2003 meta-analysis which found a 10% - 20% reduction in prostate cancer risk from a high tomato and lycopene intake, "weighted strongly by findings from the large Health Professionals Follow-up Study". The Health Professionals studies found high lycopene levels associated with less aggressive prostate cancer, and less prostate cancer in men 65 years or older and in men with a family history of prostate cancer. The hope for a protective benefit from lycopene, the most potent antioxidant carotenoid, 80% derived from tomato products, was that it would combat the free radical oxidative stress to the prostate that results from androgen exposure over time.

In the Hutchinson's prospective study 692 prostate cancer patients were compared with 844 matched controls and found that "No association was observed between serum lycopene and total prostate cancer [odds ratio, 1.14] for the highest versus the lowest quintile," and no association with   aggressive prostate cancer. The eight-year study followed participants who "were selected from those who were assigned to annual standardized screening for prostate cancer." Conclusion: no support for lycopene in prostate cancer prevention.

So, Lycopene ... Is it a hold or a sell?

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(c) 2007 Seattle Prostate Institute -  All rights reserved.