You have accessJournal of UrologyProstate Cancer: Basic Research1 Apr 20111455 EFFECT OF POMEGRANATE AND DIET ON PROSTATE CANCER TUMOR GROWTH AND SURVIVAL Chenwei Wu, Elizabeth M. Masko, Susan H. Poulton, Tammy S. Ho, Alexis R. Gaines, and Stephen J. Freedland Chenwei WuChenwei Wu Durham, NC More articles by this author , Elizabeth M. MaskoElizabeth M. Masko Durham, NC More articles by this author , Susan H. PoultonSusan H. Poulton Durham, NC More articles by this author , Tammy S. HoTammy S. Ho Durham, NC More articles by this author , Alexis R. GainesAlexis R. Gaines Durham, NC More articles by this author , and Stephen J. FreedlandStephen J. Freedland Durham, NC More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1368AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Pomegranate extract (POM) has been shown to slow prostate cancer (PC) growth in xenograft models. However, mice in these studies ate standard mouse chow, which is very low-fat (∼12% kcals) and not representative of the typical diet for men with PC. Whether POM slows PC growth when taken with a Western diet is unknown. As our group showed diet to separately affect PC xenograft growth, with a no-carbohydrate ketogenic diet (NCKD) being protective vs. a Western diet, we tested the effects of POM on PC growth and survival in mice fed a Western or NCK diet. METHODS 120 male athymic nude mice (age 6-8 weeks) were fed an ad lib Western diet and injected subcutaneously with 1x106 LAPC-4 cells. Two weeks later, mice were randomized to remain on Western diet alone or switched to Western diet + POM, NCKD alone, or NCKD + POM treatments (n=30 per arm). Western diet mice were fed ad lib and NCKD mice via a modified pair-feeding protocol. POM arms received gavage with 0.8 mg POMx extract (PomWonderful) Monday-Friday and control mice received PBS (0.2 mL all arms). Mice were sacrificed when tumors exceeded 1,000 mm3. Tumor volumes were compared between arms using Kruskal-Wallis. Survival between arms was tested using Cox proportional hazards. RESULTS The study is currently on-going and results are preliminary for day 53 post-injection. To date, significant differences in tumor volume have been noted across the study arms (p=0.007) with NCKD + POM mice having significantly smaller tumors than mice fed base Western diet (p=0.03). In mice fed NCKD, the addition of POM resulted in a trend toward smaller tumors (p=0.07). In contrast, in mice on Western diet, the addition of POM resulted in a trend toward larger tumors (p=0.13). Diet type alone did not affect tumor volume (p=1.00). Preliminary survival data suggest that treatment group impacted survival (p=0.055). Specifically, survival for the NCKD + POM arm was better than either Western + POM or NCKD alone arms (all p≤0.045). CONCLUSIONS In a xenograft mouse model, the combination of POM and NCKD slows PC tumor growth relative to a Western diet and improves survival vs. either POM or NCKD treatments alone. Interestingly, our data show that POM delays tumor growth in mice fed NCKD but may actually accelerate tumor growth in mice fed a Western diet. Prior pomegranate studies reporting delayed tumor growth used very low-fat diets, which we have also shown to slow tumor growth vs. a Western diet, while our findings suggest that dietary background may profoundly influence the effect of POM on PC growth and survival. This is especially important given that men with PC are more likely to consume a Western diet. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e583 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chenwei Wu Durham, NC More articles by this author Elizabeth M. Masko Durham, NC More articles by this author Susan H. Poulton Durham, NC More articles by this author Tammy S. Ho Durham, NC More articles by this author Alexis R. Gaines Durham, NC More articles by this author Stephen J. Freedland Durham, NC More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...