Prostatic Fatty Acids and Cancer Recurrence after Radical Prostatectomy for Early-Stage Prostate Cancer

Objective: Results from some observational studies suggest that diet and energy balance influence the clinical course of early-stage prostate cancer. To evaluate possible mechanisms, we prospectively examined the relation between prostatic concentrations of fatty acids at diagnosis and cancer recurr...

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Veröffentlicht in:Cancer causes & control 2007-03, Vol.18 (2), p.211-218
Hauptverfasser: Freeman, Vincent L., Flanigan, Robert C., Meydani, Mohsen
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creator Freeman, Vincent L.
Flanigan, Robert C.
Meydani, Mohsen
description Objective: Results from some observational studies suggest that diet and energy balance influence the clinical course of early-stage prostate cancer. To evaluate possible mechanisms, we prospectively examined the relation between prostatic concentrations of fatty acids at diagnosis and cancer recurrence following primary therapy. Methods: Fatty acids were measured by capillary gas chromatography in fresh, non-cancerous prostate tissue collected from 184 men undergoing radical prostatectomy for clinically localized prostate cancer. Their association with risk of biochemical disease recurrence (a rising serum prostate-specific antigen following a disease-free [
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To evaluate possible mechanisms, we prospectively examined the relation between prostatic concentrations of fatty acids at diagnosis and cancer recurrence following primary therapy. Methods: Fatty acids were measured by capillary gas chromatography in fresh, non-cancerous prostate tissue collected from 184 men undergoing radical prostatectomy for clinically localized prostate cancer. Their association with risk of biochemical disease recurrence (a rising serum prostate-specific antigen following a disease-free [&lt;0.1 ng/ml] interval ≥6 months) was analyzed using Cox proportional hazards models incorporating patient age, body mass index, tumor characteristics at diagnosis, and ethnicity. Results: During an average follow-up of 48.7 months (median = 47), 14 patients experienced biochemical recurrence. Percent total polyunsaturated fatty acid and the ratio of oleic-to-stearic acid associated with risk (multivariable hazards ratio [HR] = 0.51, 95% confidence interval [CI] = 0.29 to 0.90, p = 0.021 and HR = 1.68, 95% CI = 1.21 to 2.33, p = 0.002, respectively, per 1 standard deviation increase). Conclusions: The results of this study are preliminary, but they suggest that pre-diagnostic prostatic concentrations of fatty acids associate with risk of biochemical recurrence following radical prostatectomy for clinically localized prostate cancer.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-006-0095-6</identifier><identifier>PMID: 17216324</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Netherlands: Springer</publisher><subject>African Americans ; Aged ; Antigens ; Biochemistry ; Body Mass Index ; Chromatography ; Cohort Studies ; Diet ; Disease-Free Survival ; European Continental Ancestry Group ; Fatty acids ; Fatty Acids - analysis ; Humans ; Illinois - epidemiology ; Male ; Medical prognosis ; Middle Aged ; Monounsaturated fatty acids ; Neoplasm Recurrence, Local - chemistry ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Staging ; Nutrition research ; Obesity ; Pathology ; Patients ; Prognosis ; Proportional Hazards Models ; Prostate ; Prostate - chemistry ; Prostate cancer ; Prostate-Specific Antigen - blood ; Prostatectomy ; Prostatic Neoplasms - chemistry ; Prostatic Neoplasms - epidemiology ; Prostatic Neoplasms - pathology ; Prostatic Neoplasms - surgery ; Risk ; Surgery ; Tumors ; Unsaturated fatty acids</subject><ispartof>Cancer causes &amp; control, 2007-03, Vol.18 (2), p.211-218</ispartof><rights>Copyright 2007 Springer Science+Business Media B.V.</rights><rights>Springer Science+Business Media B.V. 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-3e55a10115dfce241100e292864efb7dcf88907ac1b11a0e0efe489f4282f0923</citedby><cites>FETCH-LOGICAL-c414t-3e55a10115dfce241100e292864efb7dcf88907ac1b11a0e0efe489f4282f0923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29736614$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29736614$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17216324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Freeman, Vincent L.</creatorcontrib><creatorcontrib>Flanigan, Robert C.</creatorcontrib><creatorcontrib>Meydani, Mohsen</creatorcontrib><title>Prostatic Fatty Acids and Cancer Recurrence after Radical Prostatectomy for Early-Stage Prostate Cancer</title><title>Cancer causes &amp; control</title><addtitle>Cancer Causes Control</addtitle><description>Objective: Results from some observational studies suggest that diet and energy balance influence the clinical course of early-stage prostate cancer. To evaluate possible mechanisms, we prospectively examined the relation between prostatic concentrations of fatty acids at diagnosis and cancer recurrence following primary therapy. Methods: Fatty acids were measured by capillary gas chromatography in fresh, non-cancerous prostate tissue collected from 184 men undergoing radical prostatectomy for clinically localized prostate cancer. Their association with risk of biochemical disease recurrence (a rising serum prostate-specific antigen following a disease-free [&lt;0.1 ng/ml] interval ≥6 months) was analyzed using Cox proportional hazards models incorporating patient age, body mass index, tumor characteristics at diagnosis, and ethnicity. Results: During an average follow-up of 48.7 months (median = 47), 14 patients experienced biochemical recurrence. Percent total polyunsaturated fatty acid and the ratio of oleic-to-stearic acid associated with risk (multivariable hazards ratio [HR] = 0.51, 95% confidence interval [CI] = 0.29 to 0.90, p = 0.021 and HR = 1.68, 95% CI = 1.21 to 2.33, p = 0.002, respectively, per 1 standard deviation increase). 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To evaluate possible mechanisms, we prospectively examined the relation between prostatic concentrations of fatty acids at diagnosis and cancer recurrence following primary therapy. Methods: Fatty acids were measured by capillary gas chromatography in fresh, non-cancerous prostate tissue collected from 184 men undergoing radical prostatectomy for clinically localized prostate cancer. Their association with risk of biochemical disease recurrence (a rising serum prostate-specific antigen following a disease-free [&lt;0.1 ng/ml] interval ≥6 months) was analyzed using Cox proportional hazards models incorporating patient age, body mass index, tumor characteristics at diagnosis, and ethnicity. Results: During an average follow-up of 48.7 months (median = 47), 14 patients experienced biochemical recurrence. Percent total polyunsaturated fatty acid and the ratio of oleic-to-stearic acid associated with risk (multivariable hazards ratio [HR] = 0.51, 95% confidence interval [CI] = 0.29 to 0.90, p = 0.021 and HR = 1.68, 95% CI = 1.21 to 2.33, p = 0.002, respectively, per 1 standard deviation increase). Conclusions: The results of this study are preliminary, but they suggest that pre-diagnostic prostatic concentrations of fatty acids associate with risk of biochemical recurrence following radical prostatectomy for clinically localized prostate cancer.</abstract><cop>Netherlands</cop><pub>Springer</pub><pmid>17216324</pmid><doi>10.1007/s10552-006-0095-6</doi><tpages>8</tpages></addata></record>
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subjects African Americans
Aged
Antigens
Biochemistry
Body Mass Index
Chromatography
Cohort Studies
Diet
Disease-Free Survival
European Continental Ancestry Group
Fatty acids
Fatty Acids - analysis
Humans
Illinois - epidemiology
Male
Medical prognosis
Middle Aged
Monounsaturated fatty acids
Neoplasm Recurrence, Local - chemistry
Neoplasm Recurrence, Local - epidemiology
Neoplasm Staging
Nutrition research
Obesity
Pathology
Patients
Prognosis
Proportional Hazards Models
Prostate
Prostate - chemistry
Prostate cancer
Prostate-Specific Antigen - blood
Prostatectomy
Prostatic Neoplasms - chemistry
Prostatic Neoplasms - epidemiology
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Risk
Surgery
Tumors
Unsaturated fatty acids
title Prostatic Fatty Acids and Cancer Recurrence after Radical Prostatectomy for Early-Stage Prostate Cancer
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