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Effect of a personalized intensive dietary intervention on base excision repair (BER) in colorectal cancer patients: Results from a randomized controlled trial.

Free radical biology & medicine
June 1, 2024
Anne Lene Nordengen et al. (13 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a 6-month personalized intensive dietary intervention emphasizing a prudent diet could enhance DNA repair activity (specifically base excision repair) in post-surgery colorectal cancer patients.

Results Summary

The study found no significant change in BER activity in the intervention group compared to the control group, indicating that the dietary intervention did not affect DNA repair in these patients. A substantial range in inter- and intra-individual BER levels was observed.

Population

Post-surgery colorectal cancer patients (stage I-III), enrolled 2-9 months after surgery.

Effective Dosage

Not specified

Duration

6 months

Interactions

None mentioned

Extracted Claims (1)
InterventionDirectionEndpointPopulationDosageImpactClaim #
personalized intensive dietary intervention emphasizing a prudent diet with specific plant-based foods
no change
base excision repair (BER) activity
post-surgery CRC patients (stage I-III)
no significant change
did not change significantly
#1
Abstract

DNA repair is essential to maintain genomic integrity and may affect colorectal cancer (CRC) patients' risk of secondary cancers, treatment efficiency, and susceptibility to various comorbidities. Bioactive compounds identified in plant foods have the potential to modulate DNA repair mechanisms, but there is limited evidence of how dietary factors may affect DNA repair activity in CRC patients in remission after surgery. The aim of this study was to investigate the effect of a 6-month personalized intensive dietary intervention on DNA repair activity in post-surgery CRC patients (stage I-III). The present study included patients from the randomized controlled trial CRC-NORDIET, enrolled 2-9 months after surgery. The intervention group received an intensive dietary intervention emphasizing a prudent diet with specific plant-based foods suggested to dampen inflammation and oxidative stress, while the control group received only standard care advice. The comet-based in vitro repair assay was applied to assess DNA repair activity, specifically base excision repair (BER), in peripheral blood mononuclear cells (PBMCs). Statistical analyses were conducted using gamma generalized linear mixed models (Gamma GLMM). A total of 138 CRC patients were included, 72 from the intervention group and 66 from the control group. The BER activity in the intervention group did not change significantly compared to the control group. Our findings revealed a substantial range in both inter- and intra-individual levels of BER. In conclusion, the results do not support an effect of dietary intervention on BER activity in post-surgery CRC patients during a 6-month intervention period.

Medical Subject Headings (MeSH)
HumansColorectal NeoplasmsFemaleMaleMiddle AgedDNA RepairAgedOxidative StressLeukocytes, MononuclearPrecision MedicineDNA DamageExcision Repair
Study Links
Quality Scores
SafetyNot Assessed
Efficacy20/10
Quality85/10
Research Impact Scores
APT Score0.05
Weight Score2.53
Normalized Score0.45
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