Monday, October 29, 2007

Riboflavin boosts folate's colorectal cancer protection

Simultaneous supplementation of the two B-vitamins increased the response to low-dose folate in the double-blind randomized placebo-controlled intervention study (the FAB2 Study) involving 98 healthy people and 106 patients with colorectal polyps.

The study, published in the journal Cancer Epidemiology, Biomarkers & Prevention, adds to the controversial subject of folate and colorectal cancer, with some studies reporting that the B-vitamin may in fact increase the risk of the disease. On the other hand, other studies have reported protective benefits from folate for colorectal cancer. The new study focussed on measuring increases in certain markers as a result of different supplementation regimes.

Supplementation with folic acid alone produced significant, dose-dependent increases in 5-methyltetrahydrofolate (MTHF), the reduced form of folate, in the mucosal layer of the colon. MTHF levels also increased in red blood cells and plasma. Simultaneous supplementation with riboflavin enhanced the response to low-dose folate in people with polyps.

The data adds to an ever-growing body of science linking B-vitamin intake to reduced risk of certain cancers, including vitamin B6 and colorectal cancer (J. Nutr., Vol. 137, pp. 1808-1814), folate and breast cancer (Am. J. Clin. Nutr., Vol. 86, pp. 434-443), and folate, B6 and B12 and pancreatic cancer (Cancer Research, Vol. 67, Issue 11).

Bonnie - as far as I am concerned, there is no controversy with folic acid. The Riboflavin factor has been around for a while. This study reaffirms the idea that B-vitamins complement each other and should be only be separated in specific instances when working with a health professional.

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