Low cholesterol may prevent some prostate cancers
By MARILYNN MARCHIONE
Men may protect more than their hearts if they keep cholesterol
in line: Their chances of getting aggressive prostate cancer may be
lower, new research suggests.
One study found that men whose cholesterol was in a healthy
range - below 200 - had less than half the risk of developing
high-grade prostate tumors compared to men with high cholesterol.
A second study found that men with lots of HDL, or ``good
cholesterol,'' were a little less likely to develop any form of
prostate cancer than men with very low HDL.
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Both studies were published Tuesday in Cancer Epidemiology
Biomarkers & Prevention, a journal of the American Association for
Cancer Research.
The two studies are not definitive and have some weaknesses. Yet
they fit with plenty of other science suggesting that limiting fats
in the bloodstream can lessen cancer risk.
``There might be this added benefit to keeping cholesterol
low,'' said Elizabeth Platz of Johns Hopkins University.
She led the first study, which looked at 5,586 men aged 55 and
older who were in the placebo group of a big federal cancer
prevention study done in the 1990s.
Cholesterol levels made no difference in the odds of getting
prostate cancer except for the 60 men who developed high-grade
tumors, the type that grow and spread fast. The chance of
developing one of these aggressive tumors was 59 percent lower
among men with cholesterol under 200.
That's ``a striking reduction in risk,'' Eric Jacobs and Susan
Gapstur, epidemiologists with the American Cancer Society, write in
an accompanying editorial.
Now for the caveats: Researchers do not know how many men in the
study were taking statin drugs such as Lipitor, Zocor or Crestor.
That means some of the reduced cancer risk could have come from
these cholesterol-lowering medicines instead of from low
cholesterol by itself.
Previous reports also suggest that statins can lower cancer
risk, but it's premature to take them for this reason until better
studies are done, doctors advise. Statins have long been known to
prevent heart disease, and nothing about the new research changes
that.
The second study involved more than 29,000 Finnish men more than
a decade ago. The men, all smokers, were testing whether various
vitamins and nutrients could lower their cancer risk.
Those with highest levels of HDL were 11 percent less likely to
develop prostate cancer than those with lowest levels, said study
leader Dr. Demetrius Albanes of the National Cancer Institute.
Prostate cancer is the most common cancer in American men. More
than 192,000 new cases are expected to occur in the United States
this year, leading to an estimated 27,360 deaths.
11/03/09 15:57
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