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Thu, 26 Jun 2003 10:57:31 -0500

HSI - Jenny Thompson

P53, Where Are You?

 

P53, Where Are You?

 

Health Sciences Institute e-Alert

 

June 26, 2003

 

**************************************************************

 

Dear Reader,

 

Don't tell those purple pill people, but it's selenium time

again.

 

This has almost become an e-Alert tradition: every two or

three months I find a new study that reminds us just how

important it is to get adequate amounts of selenium in our

diets.

 

In previous e-Alerts I told you how selenium helps fight

autoimmune disorders, increase insulin efficiency, and curb

the mutation of viruses. More importantly, selenium has been

shown to reduce both the risk and mortality for prostate,

liver and colorectal cancers.

 

Now another cancer can be added to that list: esophageal

cancer - a disease closely associated with chronic heartburn

and acid reflux.

 

-----------------------------

The selenium millennium

-----------------------------

 

When acid reflux causes digestive acids in the stomach to be

regurgitated into the esophagus, damage to the lower

esophagus often results in an abnormal healing process that

causes the wrong type of cells to grow in the damaged area.

This condition is known as Barrett's esophagus. Painful acid

reflux and heartburn symptoms may recede, but the new cell

growth substantially increases the risk of esophageal cancer.

 

Knowing that elevated selenium levels may reduce the risk of

other cancers, researchers at the Fred Hutchinson Cancer

Research Center collaborated with a team at the University of

Washington School of Medicine to study the relationship of

selenium blood levels in Barrett's patients. The Seattle

Barrett's Esophagus Program provided 399 subjects for the

test - all diagnosed with Barrett's. In addition to the

analysis of blood samples and medical history, esophageal

tissue specimens were collected and examined for DNA content.

 

Results showed a clear association between high selenium

levels and a reduced risk that those with Barrett's would

develop esophageal cancer. More specifically, elevated

selenium in the blood was associated with a significantly

better chance that an important tumor-suppressing gene called

p53 would be activated. (Just last year an Indiana University

School of Medicine study showed striking evidence that

selenium intake triggers activity of the p53 gene.)

 

These results are particularly significant because therapies

have not yet been developed that would protect Barrett's

patients from esophageal cancer - a fast-growing cancer that

is frequently fatal.

 

-----------------------------

No fear of effective doses

-----------------------------

 

All commentary about selenium inevitably comes with a warning

about overdoing selenium intake, and the commentary I found

for this study was no exception. In a Fred Hutchinson Cancer

Research Center press release, the authors of the study warn

that " megadosing " with selenium supplements is not

recommended. And we would agree with that, but I would add

this note: a toxic dose of selenium is hard to come by.

 

The U.S. RDA for selenium if 55 mcg, and the average diet

probably falls short of that amount. I say " probably " because

the selenium content of fruits and vegetables depends on the

selenium content of the soil they're grown in. In the U.S.,

selenium is most highly concentrated in the soil of six

western states: North and South Dakota, Utah, Colorado,

Montana and Wyoming. Anyone who lives in these states and

eats large amounts of fruits and vegetables daily might be at

slight risk of getting too much selenium, but only if they're

also taking a high dosage selenium supplement as well.

 

Dr. Martin L. Smith, the author of the Indiana University

study on the tumor-suppressing p53 gene, noted that in order

to reap the cancer preventive qualities of selenium, daily

intake should be around 200 mcg. This is well over the RDA,

of course, but you would have to get more than 2,500 mcg of

selenium per day for an extended period to receive a toxic

amount, so the chances of getting a dangerous dose are

extremely slim.

 

Besides fruit and vegetables, bread, fish, and meat all

contain selenium. The real selenium powerhouse, however, is

the Brazil nut, weighing in at 840 mcg of selenium per ounce.

 

-----------------------------

Not a minute too early

-----------------------------

 

The authors of the Fred Hutchinson research state that it's

too early to recommend selenium supplements for Barrett's

patients, but I disagree. Supplements in moderate doses will

not do any harm in the average person and the list of

selenium's benefits is long and impressive. So Barrett's

patients, as well as anyone with chronic heartburn or acid

reflux, would almost certainly be giving themselves an

important preventive benefit with a daily selenium

supplement.

 

For further prevention of Barrett's esophagus, those who are

experiencing gastro-esophageal problems should talk to their

doctors. For chronic cases, however, you want to avoid any

over-the-counter antacids or prescription medications, which

neutralize stomach acids. Those acids are there for a reason -

we need them to digest food!

 

Anyone searching for a safe, effective, and inexpensive way

to treat acid reflux and heartburn need look no further than

the e-Alert " Fire Down Below " (12/23/02), in which HSI

Panelist Allan Spreen, M.D., outlined a simple regimen that

uses readily available acidophilus and digestive enzymes. Dr.

Spreen's protocol, when combined with a daily selenium

supplement, makes for an effective plan that just might

prevent the chain of events that leads to esophageal cancer.

 

**************************************************************

...and another thing

 

I'm sure you probably heard the reports this week about the

newest setback for the combined hormone replacement therapy

(HRT) of estrogen-progestin. The Women's Health Initiative

study was stopped short one year ago when it became clear

that estrogen-progestin increased the risk of breast cancer,

heart attack, and strokes. But research using the data from

that study goes on, and the latest findings are nothing less

than a disaster.

 

Examining records of more than 16,000 women, researchers

concluded that combined HRT tends to make breast cancer

tumors more aggressive and harder to detect, reducing the

chances for successful treatment.

 

If this were an ocean liner, the lifeboats would already be a

mile away from the ship.

 

A spokesman for Wyeth Pharmaceuticals (the makers of Prempro,

the brand name for estrogen-progestin) told the Associated

Press that hormone therapy remains " an appropriate therapy

when used at the lowest possible dose for the shortest

possible time. "

 

Is that an absolute gem of drug company double-speak? That's

about as close as you can get to saying, " Stop using it. "

Which may be the best advice for the 3 million U.S. women who

still are.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

**************************************************************

Sources:

" Serum Selenium Levels in Relation to Markers of Neoplastic

Progression Among Persons With Barrett's Esophagus " Journal

of the National Cancer Institute, Vol. 95, No. 10, 750-757,

5/21/03, jncicancerspectrum.oupjournals.org

" Selenium May Inhibit Progression Toward Barrett's-Related

Esophageal Cancer " Fred Huctchinson Cancer Research Center,

press release, 5/20/03, eurekalert.org

" What is Barrett's Esophagus? " Johns Hopkins Pathology,

pathology2.jhu.edu

" HRT Linked to Aggressive Tumors " Associated Press, 6/24/03,

msnbc.com

 

Copyright ©1997-2003 by www.hsibaltimore.com, L.L.C.

The e-Alert may not be posted on commercial sites without

written permission.

 

**************************************************************

Before you hit reply to send us a question or request, please

click here http://www.hsibaltimore.com/ealert/questions.html

 

**************************************************************

**************************************************************

If you'd like to participate in the HSI Forum, search past

e-Alerts and products or you're an HSI member and would like

to search past articles, visit http://www.hsibaltimore.com

 

**************************************************************

To learn more about HSI, call (203) 699-4416 or visit

http://www.agora-inc.com/reports/HSI/WHSIC313/home.cfm.

 

**************************************************************

 

 

 

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