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Sunlight (Vitamin D) and Prostate Cancer

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In the largest such study to date, a research team from three cancer

centers measured sunlight exposure in men and found that increased

exposure to sunlight may decrease the risk of prostate cancer.

 

Reporting in the June 15 issue of Cancer Research, the researchers,

led by Esther John, Ph.D., of the Northern California Cancer Center,

and including Sue Ingles, Ph.D., of the Keck School of Medicine of

the University of Southern California, and Gary G. Schwartz, Ph.D.,

of the Comprehensive Cancer Center of Wake Forest University, found

that men with high sun exposure had half the risk of prostate cancer

than did men with low sun exposure.

 

They said in men with certain gene variants, risk was reduced even

further, to as much as 65 percent.

 

" We believe that sunlight helps to reduce the risk of prostate cancer

because the body manufactures the active form of vitamin D from

exposure to sunlight, " John said.

 

Previous research by Schwartz and his colleagues had shown that the

prostate uses vitamin D to promote the normal growth of prostate

cells and to inhibit the invasiveness and spread of prostate cancer

cells to other parts of the body.

 

" The genes involved are those that determine the type of vitamin D

receptors a person has, " said Schwartz. " These receptors, which

function with vitamin D like a lock and key, vary in their ability to

bind vitamin D and thus to influence cell behavior. "

 

The researchers stressed that sunlight is not the only source of

vitamin D, and that men should not try to reduce their risk of

prostate cancer by sunbathing because that increases the risk of sun-

induced skin cancer, especially melanoma.

 

" If future studies continue to show reductions in prostate cancer

risk associated with sun exposure, increasing vitamin D intake from

diet and supplements may be the safest solution to achieve adequate

levels of vitamin D, " they said.

 

The researchers compared 450 non-Hispanic white patients in the San

Francisco Bay area who had advanced prostate cancer with a matched

control group of 455 men who did not have prostate cancer. They

defined advanced prostate cancer as cancer that had penetrated

through the prostate capsule either to the same region of the body or

spread to distant sites.

 

The scientists measured sun exposure by comparing pigmentation of

underarm skin, which is usually not exposed to sunlight, with

forehead pigmentation, which is, using a portable reflectometer.

Because it is hard for the sun to reach the underarm area, there was

no difference in the underarm measurement between the prostate cancer

cases and the control group. But when the forehead color was compared

to the underarm color, the control group had significantly darker

pigmentation than the cancer patients.

 

" Increasing darkness was associated with a trend of decreasing risk

of prostate cancer, " they said. The scientists also obtained a sun

exposure history from each participant so they could track outdoor

activity.

 

" Reduced risk of advanced prostate cancer was associated with high

sun exposure determined by reflectometry and high occupational

outdoor activity, " they said. " Further studies in large populations,

including non-whites, are warranted to confirm the combined effects

of sun exposure and genotype and define the exposure period that is

important in influencing prostate cancer risk. "

 

David Van Den Berg, Ph.D., of the University of Southern California

also participated in the study. The work was supported by the Cancer

Research Fund of the California Department of Health Services.

 

Media Contacts at Wake Forest University Baptist Medical Center:

Robert Conn, rconn, Shannon Koontz, shkoontz,

or Karen Richardson, krchrdsn, at 336-716-4587.

 

Media Contacts at the Northern California Cancer Center: Courtney

Bennett, cbennett, or Matt Sperling, msperling, at

510-608-5000.

 

About Wake Forest University Baptist Medical Center: Wake Forest

Baptist is an academic health system comprised of North Carolina

Baptist Hospital and Wake Forest University Health Sciences, which

operates the university's School of Medicine. U.S. News & World

Report ranked Wake Forest University School of Medicine 23rd in

primary care, 40th in research and 12th in geriatrics training among

the nation's medical schools. It ranks 32nd in research funding by

the National Institutes of Health. More than 100 medical school

faculty are listed in Best Doctors in America.

 

About the Northern California Cancer Center: The Northern California

Cancer Center (NCCC) is dedicated to preventing cancer through

population-based research and community education. An independent

organization, NCCC is an established, nationally recognized leader in

understanding who gets cancer and why, and how to improve the quality

of life for individuals living with cancer. In addition to its

research and education programs, NCCC operates the nine-county

Greater Bay Area Cancer Registry, the statewide Cancer Information

Service Partnership Program, and Cancer Detection Programs: Every

Woman Counts (1-800-511-2300). For more information, visit

http://www.nccc.org

 

Contact: Robert Conn

rconn

336-716-4587

Wake Forest University Baptist Medical Center

http://www.wfubmc.edu

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