Abstract

A diet rich in fruits and vegetables, and a grape-derived compound, resveratrol, have been linked to a reduced incidence of colon cancer. In vitro and in vivo, resveratrol suppresses Wnt signaling, a pathway constitutively activated in over 85 % of colon cancers.Thirty participants were placed on a low resveratrol diet and subsequently allocated to one of three groups ingesting 1/3-to-1 lb (0.15–0.45 kg) of grapes per day for 2 weeks. Dietary information was collected via 24-h recall. Colon biopsies for biomarker analysis were obtained pre- and post-grape and evaluated for the expression of Wnt pathway target genes and for markers of proliferation by RT-PCR and immunohistochemistry.Participants lost an average of 2 · 6 lb (1.2 kg, p = 0 · 0018) during the period of grape ingestion. The expression of CyclinD1 (p < 0 · 01), AXIN2, CD133 (p = 0 · 02) and Ki67 (p = 0 · 002) were all reduced after grape ingestion. Individuals over 50 years of age and those with high dietary arginine consumption had increased basal expression of CyclinD1, AXIN2, cMYC and CD133 (p value range 0 · 04 to <0 · 001) that, following grape ingestion, were reduced to levels seen in younger participants.The reduction in Wnt signaling and mucosal proliferation seen following short-term ingestion of 1/3–1 lb (0.15–0.45 kg) of grapes per day may reduce the risk of mutational events that can facilitate colon carcinogenesis. The potential benefit is most marked for high-risk older individuals and individuals whose diet is high in arginine intake. Dietary grape supplementation may play a role in colon cancer prevention for high-risk individuals.

Highlights

  • Studies suggest strongly that a diet rich in fruits and vegetables leads to a lower risk of colorectal cancer (CRC) [1, 2]

  • Resveratrolrich freeze-dried grape powder has been utilized in a pilot study in normal human volunteers and was found to down-regulate the expression of Wnt pathway target genes CyclinD1 and AXIN2 in colonic mucosa [15]

  • Results related to dietary changes were not statistically different across the three cohorts and data were combined for presentation in this report

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Summary

Introduction

Studies suggest strongly that a diet rich in fruits and vegetables leads to a lower risk of colorectal cancer (CRC) [1, 2]. Resveratrol, even at low concentrations, blocks Wnt signaling in colon cancer cells in vitro [14]. This pathway is activated in over 85 % of CRC making it an attractive target for a colon cancer prevention agent. Low bioavailability of individual compounds such as resveratrol often results in systemic concentrations too low to be clinically active [16]. It is important in consideration of dietary approaches to cancer prevention to consider the aggregate activity of all of the bioactive components in a particular foodstuff [17] and not just single purified compounds

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