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Alcohol and cancer: genetic and nutritional aspects

Published online by Cambridge University Press:  07 March 2007

Gudrun Pöschl ,
Felix Stickel ,
Xiang D. Wang  and
Helmut K. Seitz
Gudrun Pöschl
Affiliation:
Laboratory of Alcohol Research, Liver Disease and Nutrition and Department of Medicine, Salem Medical Center, Zeppelinstraße 11-33, 69121 Heidelberg, Germany
Felix Stickel
Affiliation:
Department of Medicine I, University of Erlangen – Nürnberg, Erlangen, Germany
Xiang D. Wang
Affiliation:
USDA Human Nutrition Research Center on Aging at Tufts University, 711 Washington St, Boston, MA 02111, USA
Helmut K. Seitz*
Affiliation:
Laboratory of Alcohol Research, Liver Disease and Nutrition and Department of Medicine, Salem Medical Center, Zeppelinstraße 11-33, 69121 Heidelberg, Germany
*
*Corresponding author: Professor Helmut K. Seitz, fax + 49 6221 483494, email helmut_karl.seitz@urz.uni-heidelberg.de
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Abstract

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Chronic alcohol consumption is a major risk factor for cancer of upper aero-digestive tract (oro-pharynx, hypopharynx, larynx and oesophagus), the liver, the colo-rectum and the breast. Evidence has accumulated that acetaldehyde is predominantly responsible for alcohol-associated carcinogenesis. Acetaldehyde is carcinogenic and mutagenic, binds to DNA and protein, destroys the folate molecule and results in secondary cellular hyper-regeneration. Acetaldehyde is produced by mucosal and cellular alcohol dehydrogenase, cytochrome P450 2E1 and through bacterial oxidation. Its generation and/or its metabolism is modulated as a result of polymorphisms or mutations of the genes responsible for these enzymes. Acetaldehyde can also be produced by oral bacteria. Smoking, which changes the oral bacterial flora, also increases salivary acetaldehyde. Cigarette smoke and some alcoholic beverages, such as Calvados, contain acetaldehyde. In addition, chronic alcohol consumption induces cytochrome P450 2E1 enxyme activity in mucosal cells, resulting in an increased generation of reactive oxygen species and in an increased activation of various dietary and environmental carcinogens. Deficiencies of riboflavin, Zn, folate and possibly retinoic acid may further enhance alcohol-associated carcinogenesis. Finally, methyl deficiency as a result of multiple alcohol-induced changes leads to DNA hypomethylation. A depletion of lipotropes, including methionine, choline, betaine and S-adenosylmethionine, as well as folate, results in the hypomethylation of oncogenes and may lead to DNA strand breaks, all of which are associated with increased carcinogenesis.

Keywords

Chronic alcohol consumptionCancerAcetaldehydeCytochrome P450 2E1Alcohol–nutrient interactions
Type
Meeting Report
Information
Proceedings of the Nutrition Society , Volume 63 , Issue 1 , February 2004 , pp. 65 - 71
Copyright
Copyright © The Nutrition Society 2004

References

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