Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1999 Dec;81(7):1238–1242. doi: 10.1038/sj.bjc.6690835

Prostate cancer risk and consumption of fish oils: a dietary biomarker-based case–control study

A E Norrish 1, C M Skeaff 2, G L B Arribas 2, S J Sharpe 3, R T Jackson 1
PMCID: PMC2374335  PMID: 10584888

Abstract

Experimental studies suggest that the risk of prostate cancer is reduced with the intake of long-chain n-3 polyunsaturated fatty acids derived from marine foods, such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). However, few human studies have been conducted due to difficulties in assessing the dietary intake of these fatty acids. The authors examined the relationship between prostate cancer risk and EPA and DHA in erythrocyte biomarkers in a population-based case–control study in Auckland, New Zealand during 1996–1997 involving 317 prostate cancer cases and 480 age-matched community controls. Reduced prostate cancer risk was associated with high erythrocyte phosphatidylcholine levels of EPA (multivariate relative risk = 0.59; 95% confidence interval 0.37–0.95, upper vs lowest quartile) and DHA (multivariate relative risk = 0.62; 95% confidence interval 0.39–0.98, upper vs lowest quartile). These analyses support evidence from in vitro experiments for a reduced risk of prostate cancer associated with dietary fish oils, possibly acting via inhibition of arachidonic acid-derived eicosanoid biosynthesis. © 1999 Cancer Research Campaign

Keywords: prostatic neoplasms, diet, biomarker, eicosapentaenoic acid, docosahexaenoic acid

Full Text

The Full Text of this article is available as a PDF (53.1 KB).

Selected References

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

  1. Agren J. J., Hänninen O. O. Effect of moderate freshwater fish diet on erythrocyte ghost phospholipid fatty acids. Ann Med. 1991 Aug;23(3):261–263. doi: 10.3109/07853899109148057. [DOI] [PubMed] [Google Scholar]
  2. BLIGH E. G., DYER W. J. A rapid method of total lipid extraction and purification. Can J Biochem Physiol. 1959 Aug;37(8):911–917. doi: 10.1139/o59-099. [DOI] [PubMed] [Google Scholar]
  3. Baró L., Hermoso J. C., Núez M. C., Jiménez-Rios J. A., Gil A. Abnormalities in plasma and red blood cell fatty acid profiles of patients with colorectal cancer. Br J Cancer. 1998 Jun;77(11):1978–1983. doi: 10.1038/bjc.1998.328. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Brown A. J., Pang E., Roberts D. C. Persistent changes in the fatty acid composition of erythrocyte membranes after moderate intake of n-3 polyunsaturated fatty acids: study design implications. Am J Clin Nutr. 1991 Oct;54(4):668–673. doi: 10.1093/ajcn/54.4.668. [DOI] [PubMed] [Google Scholar]
  5. Chaudry A. A., Wahle K. W., McClinton S., Moffat L. E. Arachidonic acid metabolism in benign and malignant prostatic tissue in vitro: effects of fatty acids and cyclooxygenase inhibitors. Int J Cancer. 1994 Apr 15;57(2):176–180. doi: 10.1002/ijc.2910570208. [DOI] [PubMed] [Google Scholar]
  6. Earnest D. L., Hixson L. J., Alberts D. S. Piroxicam and other cyclooxygenase inhibitors: potential for cancer chemoprevention. J Cell Biochem Suppl. 1992;16I:156–166. doi: 10.1002/jcb.240501330. [DOI] [PubMed] [Google Scholar]
  7. Ewings P., Bowie C. A case-control study of cancer of the prostate in Somerset and east Devon. Br J Cancer. 1996 Aug;74(4):661–666. doi: 10.1038/bjc.1996.418. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gann P. H., Hennekens C. H., Sacks F. M., Grodstein F., Giovannucci E. L., Stampfer M. J. Prospective study of plasma fatty acids and risk of prostate cancer. J Natl Cancer Inst. 1994 Feb 16;86(4):281–286. doi: 10.1093/jnci/86.4.281. [DOI] [PubMed] [Google Scholar]
  9. Giovannucci E., Rimm E. B., Colditz G. A., Stampfer M. J., Ascherio A., Chute C. G., Chute C. C., Willett W. C. A prospective study of dietary fat and risk of prostate cancer. J Natl Cancer Inst. 1993 Oct 6;85(19):1571–1579. doi: 10.1093/jnci/85.19.1571. [DOI] [PubMed] [Google Scholar]
  10. Glatz J. F., Soffers A. E., Katan M. B. Fatty acid composition of serum cholesteryl esters and erythrocyte membranes as indicators of linoleic acid intake in man. Am J Clin Nutr. 1989 Feb;49(2):269–276. doi: 10.1093/ajcn/49.2.269. [DOI] [PubMed] [Google Scholar]
  11. Godley P. A., Campbell M. K., Gallagher P., Martinson F. E., Mohler J. L., Sandler R. S. Biomarkers of essential fatty acid consumption and risk of prostatic carcinoma. Cancer Epidemiol Biomarkers Prev. 1996 Nov;5(11):889–895. [PubMed] [Google Scholar]
  12. Godley P. A., Campbell M. K., Miller C., Gallagher P., Martinson F. E., Mohler J. L., Sandler R. S. Correlation between biomarkers of omega-3 fatty acid consumption and questionnaire data in African American and Caucasian United States males with and without prostatic carcinoma. Cancer Epidemiol Biomarkers Prev. 1996 Feb;5(2):115–119. [PubMed] [Google Scholar]
  13. Harvei S., Bjerve K. S., Tretli S., Jellum E., Robsahm T. E., Vatten L. Prediagnostic level of fatty acids in serum phospholipids: omega-3 and omega-6 fatty acids and the risk of prostate cancer. Int J Cancer. 1997 May 16;71(4):545–551. doi: 10.1002/(sici)1097-0215(19970516)71:4<545::aid-ijc7>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
  14. Holub B. J., Skeaff C. M. Nutritional regulation of cellular phosphatidylinositol. Methods Enzymol. 1987;141:234–244. doi: 10.1016/0076-6879(87)41071-9. [DOI] [PubMed] [Google Scholar]
  15. Kolonel L. N. Nutrition and prostate cancer. Cancer Causes Control. 1996 Jan;7(1):83–44. doi: 10.1007/BF00115640. [DOI] [PubMed] [Google Scholar]
  16. Lupulescu A. Prostaglandins, their inhibitors and cancer. Prostaglandins Leukot Essent Fatty Acids. 1996 Feb;54(2):83–94. doi: 10.1016/s0952-3278(96)90064-2. [DOI] [PubMed] [Google Scholar]
  17. Mantzioris E., James M. J., Gibson R. A., Cleland L. G. Dietary substitution with an alpha-linolenic acid-rich vegetable oil increases eicosapentaenoic acid concentrations in tissues. Am J Clin Nutr. 1994 Jun;59(6):1304–1309. doi: 10.1093/ajcn/59.6.1304. [DOI] [PubMed] [Google Scholar]
  18. Mishina T., Watanabe H., Araki H., Nakao M. Epidemiological study of prostatic cancer by matched-pair analysis. Prostate. 1985;6(4):423–436. doi: 10.1002/pros.2990060411. [DOI] [PubMed] [Google Scholar]
  19. Nomura A. M., Kolonel L. N. Prostate cancer: a current perspective. Epidemiol Rev. 1991;13:200–227. doi: 10.1093/oxfordjournals.epirev.a036069. [DOI] [PubMed] [Google Scholar]
  20. Norrish A. E., Jackson R. T., McRae C. U. Non-steroidal anti-inflammatory drugs and prostate cancer progression. Int J Cancer. 1998 Aug 12;77(4):511–515. doi: 10.1002/(sici)1097-0215(19980812)77:4<511::aid-ijc6>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
  21. Pandalai P. K., Pilat M. J., Yamazaki K., Naik H., Pienta K. J. The effects of omega-3 and omega-6 fatty acids on in vitro prostate cancer growth. Anticancer Res. 1996 Mar-Apr;16(2):815–820. [PubMed] [Google Scholar]
  22. Rose D. P., Connolly J. M. Effects of fatty acids and eicosanoid synthesis inhibitors on the growth of two human prostate cancer cell lines. Prostate. 1991;18(3):243–254. doi: 10.1002/pros.2990180306. [DOI] [PubMed] [Google Scholar]
  23. Rose D. P. Effects of dietary fatty acids on breast and prostate cancers: evidence from in vitro experiments and animal studies. Am J Clin Nutr. 1997 Dec;66(6 Suppl):1513S–1522S. doi: 10.1093/ajcn/66.6.1513S. [DOI] [PubMed] [Google Scholar]
  24. Sanders T. A., Roshanai F. The influence of different types of omega 3 polyunsaturated fatty acids on blood lipids and platelet function in healthy volunteers. Clin Sci (Lond) 1983 Jan;64(1):91–99. doi: 10.1042/cs0640091. [DOI] [PubMed] [Google Scholar]
  25. Vajreswari A., Narayanareddy K. Effect of dietary fats on erythrocyte membrane lipid composition and membrane-bound enzyme activities. Metabolism. 1992 Apr;41(4):352–358. doi: 10.1016/0026-0495(92)90067-k. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES