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Nathan Goodyear

Substantial contribution of extrinsic risk factors to cancer development - 0 views

  • Here we provide evidence that intrinsic risk factors contribute only modestly (<10~30%) to cancer development
  • we conclude that cancer risk is heavily influenced by extrinsic factors. These results carry immense consequences for strategizing cancer prevention
  • cancers are proposed to originate from the malignant transformation of normal tissue progenitor and stem cells
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  • “Intrinsic processes” include those that result in mutations due to random errors in DNA replication whereas “extrinsic factors” are environmental factors that affect mutagenesis rates (such as UV radiation, ionizing radiation, and carcinogens
  • intrinsic factors do not play a major causal role.
  • intrinsic cancer risk should be determined by the cancer incidence for those cancers with the least risk in the entire group controlling for total stem cell divisions
  • if one or more cancers would feature a much higher cancer incidence, for example, lung cancer among smokers vs. non-smokers, then this most likely reflects additional (and probably extrinsic) risk factors (smoking in this case)
  • Particularly, for breast and prostate cancers, it has long been observed that large international geographical variations exist in their incidences (5-fold for breast cancer, 25-fold for prostate cancer)14, and immigrants moving from countries with lower cancer incidence to countries with higher cancer rates soon acquire the higher risk of their new country
  • Colorectal cancer is another high-incidence cancer that is widely considered to be an environmental disease17, with an estimated 75% or more colorectal cancer risk attributable to diet
  • melanoma, its risk ascribed to sun exposure is around 65–86%
  • non-melanoma basal and squamous skin cancers, ~90% is attributable to UV
  • 75% of esophageal cancer, or head and neck cancer are caused by tobacco and alcohol
  • HPV may cause ~90% cases in cervical cancer23, ~90% cases in anal cancer24, and ~70% in oropharyngeal cancer
  • HBV and HCV may account for ~80% cases of hepatocellular carcinoma
  • H pylori may be responsible for 65–80% of gastric cancer
  • While a few cancers have relatively large proportions of intrinsic mutations (>50%), the majority of cancers have large proportions of extrinsic mutations, for example, ~100% for Myeloma, Lung and Thyroid cancers and ~80–90% for Bladder, Colorectal and Uterine cancers, indicating substantial contributions of carcinogen exposures in the development of most cancers
  • onsistent estimate of contribution of extrinsic factors of >70–90% in most common cancer types. This concordance lends significant credibility to the overall conclusion on the role of extrinsic factors in cancer development
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    Really great read.  Cancer is a majority lifestyle disease.
Nathan Goodyear

Specific Contribution of Methionine and Choline in Nutritional Nonalcoholic Steatohepat... - 0 views

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    review of SAMe, methylation, and Glutathione in the development of Nonalcoholic Steatohepatitis (NASH).  This would serve as a potential treatment for those with NAFLD.
Nathan Goodyear

Plasma Adiponectin in Nonalcoholic Fatty Liver Is Related to Hepatic Insulin Resistance... - 0 views

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    in those with nonalcoholic fatty liver disease, low adiponectin is associated with the insulin resistance, not the NAFLD.  But of course, insulin resistance leads to NAFLD
Nathan Goodyear

Polycystic Ovary Syndrome with Hyperandrogenism Is Characterized by an Increased Risk o... - 0 views

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    PCOS with associated hyperandrogenism, is associated with increased risk of NAFLD versus PCOS without hyperandrogenism.
Nathan Goodyear

Access : Nonalcoholic fatty liver disease: Microbiota in the pathogenesis of systemic a... - 0 views

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    Fascinating read of how inflammation as a direct result of dysbiosis in the gut contributes to the progression of NALFD.
Nathan Goodyear

Probiotic as a Novel Treatment Strategy Against Liver Disease - Hepatitis Monthly - - K... - 0 views

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    probiotics shown to be useful and safe in those with liver disease.
Nathan Goodyear

Synbiotic supplementation in nonalcoholic fatty liver disease: a randomized, double-bli... - 0 views

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    small pilot study finds that synbiotics, probiotics and prebiotics, + lifestyle modifications work better than lifestyle modifications alone in NAFLD.
Nathan Goodyear

Resveratrol up-regulates hepatic uncoupling protein... [Nutr Res. 2012] - PubMed - NCBI - 0 views

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    Not only does resveratrol reduce inflammation, but resveratrol inhibits NAFLD in rats fed a high fat diet.  
Nathan Goodyear

Obstructive Sleep Apnea Predisposes to Nonalcoh... [Endocr Pract. 2013] - PubMed - NCBI - 0 views

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    sleep apnea in women with PCOS found to be associated with NAFLD. The free Testosterone was directly associated with sleep apnea.
Nathan Goodyear

Uric Acid Stimulates Fructokinase and Accelerates Fructose Metabolism in the Developmen... - 0 views

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    Vicious cycle.  High fructose intake increases uric acid production.  Hyperuricemia then leads to further Fructose metabolism.  This study finds that hyperuricemia upregulates the fructokinase enzyme that is the first step in fructose metabolism.  This upregulation will increase fructose metabolism and increase fat accumulation in the liver.
Nathan Goodyear

Uric acid induces hepatic steatosis by generatio... [J Biol Chem. 2012] - PubMed - NCBI - 0 views

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    Elevated uric acid levels up regulate fructose metabolism to triglycerides and fatty liver.  This study finds that liver mitochondrial oxidative stress is also evident.  This mitochondrial dysfunction also leads to compromised ATP production and fat accumulation specifically through inhibition of aconitase..
Nathan Goodyear

Polychlorinated Biphenyls, Lead, and Mercury Are Associated with Liver Disease in Ameri... - 0 views

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    full article that revealed PCBs, Lead, and Mercury associated with elevated liver enzymes and NAFLD.
Nathan Goodyear

Relationship between non-alcoholic fatty liver ... [World J Urol. 2014] - PubMed - NCBI - 0 views

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    Men with NAFLD have higher incidence of lower urinary tract symptoms including BPH.
Nathan Goodyear

The efficacy of licorice root extract in decre... [Phytother Res. 2012] - PubMed - NCBI - 0 views

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    Licorice root extract shown to reduce liver enzymes, significantly, but modestly in those with NAFLD.  The dose was 2 g daily.  The results occurred in just 2 months.
Nathan Goodyear

Association Between Endogenous Sex Hormones and Liver Fat in a Mult... - PubMed - NCBI - 0 views

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    Time that physicians start following the science.  Study using data from the Multi-ethnic Study of Atherosclerosis was used to assess hormones and fatty liver in men and women.  Increasing bioavailable Testosterone levels in women was found to be associated with increasing fatty liver in post-menopausal women.  The opposite was found to be true in men.  Higher Estradiol levels were found to be associated with increased fatty liver in both sexes.  However, the statistical significance was higher with men.  Higher SHBG was associated with lower fatty liver incidence in men.  
Nathan Goodyear

A low level of serum total testosterone is independently associated with nonalcoholic f... - 0 views

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    low Testosterone is associated with NAFLD
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