Evidence map›Paper›PMID 23566060›Full record

Trial reportJournal of medicinal food2013

Flaxseed-derived enterolactone is inversely associated with tumor cell proliferation in men with localized prostate cancer.

Maria Azrad, Robin T Vollmer, John Madden, Mark Dewhirst, Thomas J Polascik, Denise C Snyder, Mack T Ruffin, Judd W Moul, Dean E Brenner, Wendy Demark-Wahnefried

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal of medicinal food, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00049309 (Prostate Cancer), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00049309 phase2completednot on this map

Prostate Cancer: Impact Of Fat And Flaxseed - Modified Diets

TypeinterventionalSponsorDuke UniversityRan2003 to 2006Enrolled161ConditionsProstate CancerArmsdietary intervention, flaxseed
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Inhibitory effect of polyphenols (phenolic acids, lignans, and stilbenes) on cancer by regulating signal transduction pathways: a review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  10. Article
  11. Review
  12. Review
  13. Observational
  14. Review
  15. Review
  16. Molecular Mechanisms and Bioavailability of Polyphenols in Prostate Cancer.International journal of molecular sciences · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Maria AzradDepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA. maria123@uab.edu
Robin T Vollmer
John Madden
Mark Dewhirst
Thomas J Polascik
Denise C Snyder
Mack T Ruffin
Judd W Moul
Dean E Brenner
Wendy Demark-Wahnefried
Duke Medical Center · USUniversity of Alabama at Birmingham · USDuke University · USDurham VA Medical Center · USUniversity of Michigan–Ann Arbor · USVeterans Health Administration · US

Funding

Prostate Cancer: Impact of Fat &Flaxseed Modified DietR01CA085740 · NCI · DUKE UNIVERSITY · PI DEMARK-WAHNEFRIED, WENDY · 2002 to 2005
$1.2M
NCI NIH HHS CA07464830NCI NIH HHS CA85740NCRR NIH HHS M01-RR-30
6 · The paper itself

Abstract

Enterolactone and enterodiol, mammalian lignans derived from dietary sources such as flaxseed, sesame seeds, kale, broccoli, and apricots, may impede tumor proliferation by inhibiting activation of nuclear factor kappa B (NFκB) and vascular endothelial growth factor (VEGF). We examined the associations between urinary enterolactone and enterodiol with prostatic tumor expression of NFκB, VEGF, and Ki67 among 147 patients with prostate cancer who participated in a presurgical trial of flaxseed supplementation (30 g/day) for ~30 days. Urinary enterolignans and tissue biomarkers were determined by high-performance liquid chromatography and immunohistochemistry, respectively. After supplementation, we observed significant correlations between intakes of plant lignan and urinary concentrations of total enterolignans (ρ=0.677, P<.0001), enterolactone (ρ=0.676, P<.0001), and enterodiol (ρ=0.628, P<.0001). Importantly, we observed that total urinary enterolignans and enterolactone were significantly and inversely correlated with Ki67 in the tumor tissue (ρ=-0.217, P=.011, and ρ=-0.230, P=.007, respectively), and a near-significant inverse association was observed for enterodiol (ρ=-0.159, P=.064). An inverse association was observed between enterolactone and VEGF (ρ=-0.143, P=.141), although this did not reach statistical significance. We did not observe an association between enterolignans and NFκB. In conclusion, flaxseed-derived enterolignans may hinder cancer cell proliferation via VEGF-associated pathways.

Indexed as

Dietary SupplementsPhytotherapy4-ButyrolactoneAgedAntineoplastic Agents, PhytogenicBiomarkersCell ProliferationFlaxHumansKi-67 AntigenLignansMaleMiddle AgedPlant ExtractsProstatic NeoplasmsVascular Endothelial Growth Factor A2,3-bis(3'-hydroxybenzyl)butane-1,4-diol2,3-bis(3'-hydroxybenzyl)butyrolactone4-ButyrolactoneAntineoplastic Agents, PhytogenicBiomarkersKi-67 AntigenLignansPlant ExtractsVascular Endothelial Growth Factor A

Identifiers

PMID23566060
PMCPMC3624628
OpenAlexW1980195233

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.