A Phase II Randomized Trial of Lycopene-Rich Tomato Extract Among Men with High-Grade Prostatic Intraepithelial Neoplasia.

A diverse body of evidence suggests that lycopene might inhibit prostate cancer development. We conducted a 6-mo repeat biopsy randomized trial among men with high-grade prostatic intraepithelial neoplasia (HGPIN). Here we report results for serum lycopene, prostate specific antigen (PSA) and insuli...

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Publicado en:Nutrition & Cancer Vol. 67; no. 7; pp. 1104 - 1113
Autores principales: Gann, Peter H., Deaton, Ryan J., Rueter, Erika Enk, van Breemen, Richard B., Nonn, Larisa, Macias, Virgilia, Han, Misop, Ananthanarayanan, Viju
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/01635581.2015.1075560
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        atl: A Phase II Randomized Trial of Lycopene-Rich Tomato Extract Among Men with High-Grade Prostatic Intraepithelial Neoplasia.
      aug:
        au:
          Gann, Peter H.
          Deaton, Ryan J.
          Rueter, Erika Enk
          van Breemen, Richard B.
          Nonn, Larisa
          Macias, Virgilia
          Han, Misop
          Ananthanarayanan, Viju
        affil: Department of Pathology, University of Illinois at Chicago, Chicago, Illinois, USA
      sug:
        subj:
          Lycopene
          Plant Extracts
          Prostatic Neoplasms Physiopathology
          Randomized Controlled Trials
          Human
          Tomatoes Therapeutic Use
          Male
          Prostatic Neoplasms Classification
          Prostate Anatomy and Histology
          Prostatic Neoplasms Prevention and Control
          Proteins
          Patient Selection
          Specimen Handling
          Diagnosis, Laboratory
          Immunohistochemistry
          Data Analysis
          Biopsy
          Blood Chemical Analysis
          Race Factors
          Ethnic Groups
          Growth Substances
          Prostatic Neoplasms Therapy
          Funding Source
          Male
      ab: A diverse body of evidence suggests that lycopene might inhibit prostate cancer development. We conducted a 6-mo repeat biopsy randomized trial among men with high-grade prostatic intraepithelial neoplasia (HGPIN). Here we report results for serum lycopene, prostate specific antigen (PSA) and insulin-like growth factor (IGF) proteins, histopathological review, and tissue markers for proliferation [minichromosome maintenance protein 2 (MCM-2)] and cell cycle inhibition (p27). Participants consumed placebo or tomato extract capsules containing 30 mg/day lycopene. Pre- and posttreatment biopsies were immunostained and digitally scored. Serum lycopene was determined by LC-MS-MS. In secondary analyses, pathologists blindly reviewed each biopsy to score histological features. Fifty-eight men completed the trial. Serum lycopene increased 0.55 μmol/L with treatment and declined 0.29 μmol/L with placebo. We observed no meaningful differences in PSA, IGF-1, or IGF binding protein 3 concentrations between groups, nor any differences in expression of MCM-2 or p27 in epithelial nuclei. Prevalences of cancer, HGPIN, atrophy, or inflammation posttreatment were similar; however, more extensive atrophy and less extensive HGPIN was more common in the lycopene group. Despite large differences in serum lycopene following intervention, no treatment effects were apparent on either the serum or benign tissue endpoints. Larger studies are warranted to determine whether changes observed in extent of HGPIN and focal atrophy can be replicated.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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