Flavonoids have been inversely associated to colorectal cancer (CRC) and are plausible intermediaries for the relation among gut microbiome, intestinal permeability and CRC. We analyzed the relation of flavonoid intake with CRC and blood bacterial DNA. We conducted a case–control study in Italy involving 100 incident CRC cases and 200 controls. A valid and reproducible food–frequency questionnaire was used to assess dietary habits and to estimate six flavonoid subclass intakes. We applied qPCR and 16S rRNA gene profiling to assess blood bacterial DNA. We used multiple logistic regression to derive odds ratios (ORs) of CRC and Mann–Whitney and chi-–square tests to evaluate abundance and prevalence of operational taxonomic units (OTUs) according to flavonoid intakes. Inverse associations with CRC were found for anthocyanidins (OR for the highest versus the lowest tertile = 0.24, 95% confidence interval, CI = 0.11–0.52) and flavanones (OR = 0.18, 95% CI = 0.08–0.42). We found different abundance and prevalence according to anthocyanidin and flavanone intake for OTUs referring to Oligoflexales order, Diplorickettsiaceae family, Staphylococcus, Brevundimonas, Pelomonas and Escherischia–Shigella genera, and Flavobacterium and Legionella species. The study provides evidence to a protective effect of dietary anthocyanidins and flavanones on CRC and suggests an influence of flavonoids on blood bacterial DNA, possibly through intestinal permeability changes.

Flavonoid Intake in Relation to Colorectal Cancer Risk and Blood Bacterial DNA / M.C. Speciani, M. Cintolo, M. Marino, M. Oren, F. Fiori, G. Gargari, P. Riso, C. Ciafardini, F. Mascaretti, M. Parpinel, A. Airoldi, M. Vangeli, P. Leone, P. Cantù, P. Lagiou, C. Del Bo', M. Vecchi, P. Carnevali, B. Oreggia, S. Guglielmetti, R. Bonzi, G. Bonato, M. Ferraroni, C. La Vecchia, R. Penagini, M. Mutignani, M. Rossi. - In: NUTRIENTS. - ISSN 2072-6643. - 14:21(2022 Oct 27), pp. 4516.1-4516.13. [10.3390/nu14214516]

Flavonoid Intake in Relation to Colorectal Cancer Risk and Blood Bacterial DNA

M.C. Speciani
Primo
;
M. Marino;F. Fiori;G. Gargari;P. Riso;C. Ciafardini;F. Mascaretti;M. Vangeli;P. Leone;C. Del Bo';M. Vecchi;B. Oreggia;S. Guglielmetti;R. Bonzi;M. Ferraroni;C. La Vecchia;R. Penagini;M. Rossi
Ultimo
2022

Abstract

Flavonoids have been inversely associated to colorectal cancer (CRC) and are plausible intermediaries for the relation among gut microbiome, intestinal permeability and CRC. We analyzed the relation of flavonoid intake with CRC and blood bacterial DNA. We conducted a case–control study in Italy involving 100 incident CRC cases and 200 controls. A valid and reproducible food–frequency questionnaire was used to assess dietary habits and to estimate six flavonoid subclass intakes. We applied qPCR and 16S rRNA gene profiling to assess blood bacterial DNA. We used multiple logistic regression to derive odds ratios (ORs) of CRC and Mann–Whitney and chi-–square tests to evaluate abundance and prevalence of operational taxonomic units (OTUs) according to flavonoid intakes. Inverse associations with CRC were found for anthocyanidins (OR for the highest versus the lowest tertile = 0.24, 95% confidence interval, CI = 0.11–0.52) and flavanones (OR = 0.18, 95% CI = 0.08–0.42). We found different abundance and prevalence according to anthocyanidin and flavanone intake for OTUs referring to Oligoflexales order, Diplorickettsiaceae family, Staphylococcus, Brevundimonas, Pelomonas and Escherischia–Shigella genera, and Flavobacterium and Legionella species. The study provides evidence to a protective effect of dietary anthocyanidins and flavanones on CRC and suggests an influence of flavonoids on blood bacterial DNA, possibly through intestinal permeability changes.
blood; microbiome; flavonoids; anthocyanidin; flavanone; colorectal cancer; 16S rRNA gene profiling
Settore MED/01 - Statistica Medica
Settore MED/42 - Igiene Generale e Applicata
Settore MED/06 - Oncologia Medica
27-ott-2022
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/943874
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