Evidence map›Paper›PMID 42403423›Full record

ReviewPathology oncology research : POR2026

B vitamins intake and cancer risk: a structured narrative review of evidence on riboflavin, pyridoxine, cobalamin and folate.

Alexander Bertuccioli, Chiara Maria Palazzi, Irene Asia Massaro, Massimiliano Cazzaniga, Ilaria Cavecchia, Maria Rosaria Matera, Valentina Biagioli, Luca Imperatori, Francesco Di Pierro, Annalisa Belli

Abstract readReview
In one paragraph

Review in Pathology oncology research : POR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Alexander BertuccioliDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.
Chiara Maria PalazziMicrobiota International Clinical Society, Torino, Italy.
Irene Asia MassaroDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.
Massimiliano CazzanigaScientific and Research Department, Velleja Research, Milan, Italy.
Ilaria CavecchiaMicrobiota International Clinical Society, Torino, Italy.
Maria Rosaria MateraMicrobiota International Clinical Society, Torino, Italy.
Valentina BiagioliMicrobiota International Clinical Society, Torino, Italy.
Luca ImperatoriFrancesca Pirozzi Foundation ETS, Fano, Italy.
Francesco Di PierroMicrobiota International Clinical Society, Torino, Italy.
Annalisa BelliDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: B vitamins play key roles in one-carbon metabolism, DNA synthesis and methylation, and redox regulation. Their potential association with cancer risk remains debated due to heterogeneous findings and methodological limitations across studies. Objective: This structured narrative review aimed to summarize and clinically contextualize the available evidence on the relationship between the intake of vitamins B2 (riboflavin), B6 (pyridoxine), B12 (cobalamin) and folate (vitamin B9) and the risk of selected cancers. Methods: A structured literature search was performed in PubMed up to 2 September 2025. Evidence was synthesized narratively, prioritizing meta-analyses (including dose-response meta-analyses) of observational studies, and including randomized controlled trials on B-vitamin supplementation when clinically relevant. Methodological quality and risk of bias were appraised narratively focusing on key domains such as exposure assessment, confounding, selection bias, and outcome assessment. Results: Most evidence derives from observational studies assessing dietary intake and circulating biomarkers. Riboflavin and vitamin B6 intake were generally associated with a reduced risk of colorectal cancer in several meta-analyses, including dose-response analyses. Vitamin B12 showed inconsistent associations across cancer sites, with concerns regarding confounding by diet and baseline nutritional status. Folate intake and folic acid supplementation showed mixed findings, with some evidence suggesting protective effects in specific populations, while randomized trials raised concerns about potential adverse effects in selected contexts and dosages. Overall, heterogeneity across studies was substantial, partly explained by differences in exposure definitions, baseline folate fortification policies, and co-interventions. Conclusion: Available evidence suggests potentially protective associations for riboflavin and vitamin B6-particularly for colorectal cancer-whereas findings for vitamin B12 and folate remain inconsistent and context-dependent. Given relevant methodological limitations and potential biases, further well-designed prospective studies and targeted trials are needed to clarify dose, timing and population-specific effects of B vitamins on cancer risk.

Indexed as

Folic AcidNeoplasmsPyridoxineRiboflavinVitamin B 12Vitamin B ComplexDietary SupplementsHumansFolic AcidPyridoxineRiboflavinVitamin B 12Vitamin B Complexcancer riskcobalaminfolic acidpyridoxineriboflavin

Identifiers

PMID42403423
PMCPMC13328041

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.