Effects of vitamin/mineral supplementation on the proliferation of esophageal squamous epithelium in Linxian, China Journal Article


Authors: Rao, M.; Liu, F. S.; Dawsey, S. M.; Yang, K.; Lipkin, M.; Li, J. Y.; Taylor, P. R.; Li, B.; Blot, W. J.; Wang, G. Q.; Lewin, K. J.; Yu, Y.; Yang, C. S.
Article Title: Effects of vitamin/mineral supplementation on the proliferation of esophageal squamous epithelium in Linxian, China
Abstract: Abnormalities of epithelial proliferation have been proposed as an early step in gastrointestinal carcinogenesis. To determine whether micronutrient supplementation may reduce squamous epithelial proliferation in the esophagus, we evaluated proliferation in subjects participating in a randomized nutrition Intervention trial in Linxian, China, where esophageal cancer rates are among the highest in the world. After 30 months of intervention involving daily supplementation with multiple vitamins and minerals, an endoscopic survey was performed and squamous biopsies from 512 subjects were labeled with tritiated thymidine and autoradiographed. Analysis showed no treatment effect on the overall amount of squamous epithelial proliferation measured by the total labeling index. However, a measure of the vertical distribution of labeled cells showed lower values with supplementation: a 14% reduction in all subjects (P = 0.29), and a 29% reduction in nonsmokers (P = 0.03). These results suggest a potential modest benefit for short-term intervention with multiple vitamins and minerals on squamous epithelial cell proliferation of the esophagus in this high-risk population. © 1994, American Association for Cancer Research. All rights reserved.
Keywords: adult; aged; major clinical study; cancer risk; prospective studies; cell proliferation; linear models; risk factors; smoking; diet supplementation; biopsy; hyperplasia; epithelium; double-blind method; esophagus carcinoma; esophagus; primary prevention; autoradiography; esophageal neoplasms; thymidine; china; tritium; trace elements; precancerous conditions; middle age; vitamin intake; mitotic index; vitamins; esophagoscopy; intervention studies; human; male; female; priority journal; article; support, u.s. gov't, p.h.s.; mineral intake
Journal Title: Cancer Epidemiology Biomarkers and Prevention
Volume: 3
Issue: 3
ISSN: 1055-9965
Publisher: American Association for Cancer Research  
Date Published: 1994-04-01
Start Page: 277
End Page: 279
Language: English
PROVIDER: scopus
PUBMED: 8019379
DOI/URL:
Notes: Export Date: 14 January 2019 -- Article -- Source: Scopus
Citation Impact
MSK Authors
  1. Martin   Lipkin
    116 Lipkin
  2. Kan Yang
    24 Yang