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British Journal of Cancer logoLink to British Journal of Cancer
. 1986 May;53(5):653–659. doi: 10.1038/bjc.1986.109

Cancer of the cervix uteri and vitamin A.

R W Harris, D Forman, R Doll, M P Vessey, N J Wald
PMCID: PMC2001384  PMID: 3718822

Abstract

The concentrations of retinol and beta carotene were measured in serum samples taken from 113 women with cervical cancer, 32 with invasive and 81 with pre-invasive disease, and compared with those from 226 age-matched control women. There was little difference in serum retinol levels between women with cancer of the cervix, at any stage, and the control women, after adjusting for potential confounding factors. Serum beta carotene concentrations were likewise similar in women with invasive disease and the controls. However mean beta carotene levels were significantly reduced in women with pre-invasive disease compared to the controls (221.3 cf. 291.6 micrograms l-1, P less than 0.05). This reduction was more evident amongst women with a diagnosis of carcinoma-in-situ (mean 213.1 micrograms l-1 than amongst those with severe dysplasia (mean 228.7 micrograms l-1. There is a negative trend between beta carotene and risk of pre-invasive disease which is of borderline significance. These data have also been used to investigate the effects of smoking and oral contraceptive usage on the serum levels of retinol and beta carotene. Both habits tend to increase retinol and decrease beta carotene concentrations.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bernstein A., Harris B. The relationship of dietary and serum vitamin A to the occurrence of cervical intraepithelial neoplasia in sexually active women. Am J Obstet Gynecol. 1984 Feb 1;148(3):309–312. doi: 10.1016/s0002-9378(84)80074-5. [DOI] [PubMed] [Google Scholar]
  2. Bjelke E. Dietary vitamin A and human lung cancer. Int J Cancer. 1975 Apr 15;15(4):561–565. doi: 10.1002/ijc.2910150405. [DOI] [PubMed] [Google Scholar]
  3. Bollag W. Retinoids and cancer. Cancer Chemother Pharmacol. 1979;3(4):207–215. doi: 10.1007/BF00254733. [DOI] [PubMed] [Google Scholar]
  4. Gal I., Parkinson C., Craft I. Effects of oral contraceptives on human plasma vitamin-A levels. Br Med J. 1971 May 22;2(5759):436–438. doi: 10.1136/bmj.2.5759.436. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Greenberg E. R., Vessey M., McPherson K., Yeates D. Cigarette smoking and cancer of the uterine cervix. Br J Cancer. 1985 Jan;51(1):139–141. doi: 10.1038/bjc.1985.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Haines A. P., Thompson S. G., Basu T. K., Hunt R. Cancer, retinol binding protein, zinc and copper. Lancet. 1982 Jan 2;1(8262):52–53. doi: 10.1016/s0140-6736(82)92601-0. [DOI] [PubMed] [Google Scholar]
  7. Harris R. W., Brinton L. A., Cowdell R. H., Skegg D. C., Smith P. G., Vessey M. P., Doll R. Characteristics of women with dysplasia or carcinoma in situ of the cervix uteri. Br J Cancer. 1980 Sep;42(3):359–369. doi: 10.1038/bjc.1980.246. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Johnson L. D. The histopathological approach to early cervical neoplasia. Obstet Gynecol Surv. 1969 Jul;24(7 Pt 2):735–767. doi: 10.1097/00006254-196907001-00008. [DOI] [PubMed] [Google Scholar]
  9. Kark J. D., Smith A. H., Switzer B. R., Hames C. G. Serum vitamin A (retinol) and cancer incidence in Evans County, Georgia. J Natl Cancer Inst. 1981 Jan;66(1):7–16. [PubMed] [Google Scholar]
  10. Kvåle G., Bjelke E., Gart J. J. Dietary habits and lung cancer risk. Int J Cancer. 1983 Apr 15;31(4):397–405. doi: 10.1002/ijc.2910310402. [DOI] [PubMed] [Google Scholar]
  11. La Vecchia C., Franceschi S., Decarli A., Gentile A., Fasoli M., Pampallona S., Tognoni G. Dietary vitamin A and the risk of invasive cervical cancer. Int J Cancer. 1984 Sep 15;34(3):319–322. doi: 10.1002/ijc.2910340306. [DOI] [PubMed] [Google Scholar]
  12. Marshall J. R., Graham S., Byers T., Swanson M., Brasure J. Diet and smoking in the epidemiology of cancer of the cervix. J Natl Cancer Inst. 1983 May;70(5):847–851. [PubMed] [Google Scholar]
  13. Mathews-Roth M. M., Stampfer M. J. Some factors affecting determination of carotenoids in serum. Clin Chem. 1984 Mar;30(3):459–461. [PubMed] [Google Scholar]
  14. Mettlin C., Graham S. Dietary risk factors in human bladder cancer. Am J Epidemiol. 1979 Sep;110(3):255–263. doi: 10.1093/oxfordjournals.aje.a112810. [DOI] [PubMed] [Google Scholar]
  15. Mettlin C., Graham S., Swanson M. Vitamin A and lung cancer. J Natl Cancer Inst. 1979 Jun;62(6):1435–1438. [PubMed] [Google Scholar]
  16. Nomura A. M., Stemmermann G. N., Heilbrun L. K., Salkeld R. M., Vuilleumier J. P. Serum vitamin levels and the risk of cancer of specific sites in men of Japanese ancestry in Hawaii. Cancer Res. 1985 May;45(5):2369–2372. [PubMed] [Google Scholar]
  17. Orr J. W., Jr, Wilson K., Bodiford C., Cornwell A., Soong S. J., Honea K. L., Hatch K. D., Shingleton H. M. Nutritional status of patients with untreated cervical cancer. II. Vitamin assessment. Am J Obstet Gynecol. 1985 Mar 1;151(5):632–635. doi: 10.1016/0002-9378(85)90153-x. [DOI] [PubMed] [Google Scholar]
  18. Peleg I., Heyden S., Knowles M., Hames C. G. Serum retinol and risk of subsequent cancer: extension of the Evans County, Georgia, study. J Natl Cancer Inst. 1984 Dec;73(6):1455–1458. [PubMed] [Google Scholar]
  19. Peritz E., Ramcharan S., Frank J., Brown W. L., Huang S., Ray R. The incidence of cervical cancer and duration of oral contraceptive use. Am J Epidemiol. 1977 Dec;106(6):462–469. doi: 10.1093/oxfordjournals.aje.a112492. [DOI] [PubMed] [Google Scholar]
  20. Peto R., Doll R., Buckley J. D., Sporn M. B. Can dietary beta-carotene materially reduce human cancer rates? Nature. 1981 Mar 19;290(5803):201–208. doi: 10.1038/290201a0. [DOI] [PubMed] [Google Scholar]
  21. RAPHAEL S. I., WATERMAN G. W. Cancer of the uterine cervix; a study of 432 cases seen at the Rhode Island Hospital, 1933-1943. N Engl J Med. 1951 Aug 23;245(8):281–287. doi: 10.1056/NEJM195108232450802. [DOI] [PubMed] [Google Scholar]
  22. Romney S. L., Palan P. R., Duttagupta C., Wassertheil-Smoller S., Wylie J., Miller G., Slagle N. S., Lucido D. Retinoids and the prevention of cervical dysplasias. Am J Obstet Gynecol. 1981 Dec 15;141(8):890–894. doi: 10.1016/s0002-9378(16)32680-1. [DOI] [PubMed] [Google Scholar]
  23. Salonen J. T., Salonen R., Lappeteläinen R., Mäenpä P. H., Alfthan G., Puska P. Risk of cancer in relation to serum concentrations of selenium and vitamins A and E: matched case-control analysis of prospective data. Br Med J (Clin Res Ed) 1985 Feb 9;290(6466):417–420. doi: 10.1136/bmj.290.6466.417. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Shekelle R. B., Lepper M., Liu S., Maliza C., Raynor W. J., Jr, Rossof A. H., Paul O., Shryock A. M., Stamler J. Dietary vitamin A and risk of cancer in the Western Electric study. Lancet. 1981 Nov 28;2(8257):1185–1190. doi: 10.1016/s0140-6736(81)91435-5. [DOI] [PubMed] [Google Scholar]
  25. Singer A. Further evidence for high risk male and female groups in the development of cervical carcinoma. Obstet Gynecol Surv. 1979 Nov;34(11):867–868. [PubMed] [Google Scholar]
  26. Smith J. L., Goldsmith G. A., Lawrence J. D. Effects of oral contraceptive steroids on vitamin and lipid levels in serum. Am J Clin Nutr. 1975 Apr;28(4):371–376. doi: 10.1093/ajcn/28.4.371. [DOI] [PubMed] [Google Scholar]
  27. Stähelin H. B., Buess E., Rösel F., Widmer L. K., Brubacher G. Vitamin A, cardiovascular risk factors, and mortality. Lancet. 1982 Feb 13;1(8268):394–395. doi: 10.1016/s0140-6736(82)91419-2. [DOI] [PubMed] [Google Scholar]
  28. Vuilleumier J. P., Keller H. E., Gysel D., Hunziker F. Clinical chemical methods for the routine assessment of the vitamin status in human populations. Part I: The fat-soluble vitamins A and E, and beta-carotene. Int J Vitam Nutr Res. 1983;53(3):265–272. [PubMed] [Google Scholar]
  29. Wald N. J., Boreham J., Hayward J. L., Bulbrook R. D. Plasma retinol, beta-carotene and vitamin E levels in relation to the future risk of breast cancer. Br J Cancer. 1984 Mar;49(3):321–324. doi: 10.1038/bjc.1984.50. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Wald N., Idle M., Boreham J., Bailey A. Low serum-vitamin-A and subsequent risk of cancer. Preliminary results of a prospective study. Lancet. 1980 Oct 18;2(8199):813–815. doi: 10.1016/s0140-6736(80)90169-5. [DOI] [PubMed] [Google Scholar]
  31. Willett W. C., Polk B. F., Underwood B. A., Hames C. G. Hypertension detection and follow-up program study of serum retinol, retinol-binding protein, total carotenoids, and cancer risk: a summary. J Natl Cancer Inst. 1984 Dec;73(6):1459–1462. [PubMed] [Google Scholar]
  32. Willett W. C., Polk B. F., Underwood B. A., Stampfer M. J., Pressel S., Rosner B., Taylor J. O., Schneider K., Hames C. G. Relation of serum vitamins A and E and carotenoids to the risk of cancer. N Engl J Med. 1984 Feb 16;310(7):430–434. doi: 10.1056/NEJM198402163100705. [DOI] [PubMed] [Google Scholar]
  33. Witter F. R., Blake D. A., Baumgardner R., Mellits E. D., Niebyl J. R. Folate, carotene, and smoking. Am J Obstet Gynecol. 1982 Dec 1;144(7):857–857. doi: 10.1016/0002-9378(82)90369-6. [DOI] [PubMed] [Google Scholar]
  34. Yeung D. L., Chan P. L. Effects of a progestogen and a sequential type oral contraceptive on plasma vitamin A, vitamin E, cholesterol and triglycerides. Am J Clin Nutr. 1975 Jul;28(7):686–691. doi: 10.1093/ajcn/28.7.686. [DOI] [PubMed] [Google Scholar]
  35. Yeung D. L. Effects of oral contraceptives on vitamin A metabolism in the human and the rat. Am J Clin Nutr. 1974 Feb;27(2):125–129. doi: 10.1093/ajcn/27.2.125. [DOI] [PubMed] [Google Scholar]
  36. Yeung D. L. Relationships between cigarette smoking, oral contraceptives, and plasma vitamins A, E, C, and plasma triglycerides and cholesterol. Am J Clin Nutr. 1976 Nov;29(11):1216–1221. doi: 10.1093/ajcn/29.11.1216. [DOI] [PubMed] [Google Scholar]

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