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Tea consumption and risk of ovarian cancer

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Abstract

Objective

Although the growth inhibitory effects of tea, particularly green tea, and tea polyphenols have been demonstrated in animal models of ovarian cancer, the results of epidemiological studies have been inconclusive.

Methods

We investigated this issue using data from an Australian population-based, case–control study (1,368 cases; 1,416 controls). We also systemically reviewed all the available evidence regarding the potential association between green tea and risk of ovarian cancer, given the abundance of bioavailable polyphenols and higher antioxidant capacity of green tea than black tea, to provide the best summary estimate of the association.

Results

In our case–control study, while we found uniformly inverse odds ratios (OR) for tea drinkers compared to non-tea drinkers [4 + cups/day any tea OR 0.71 (95% CI 0.52–0.97); green tea OR 0.82 (95% CI 0.38–1.79); herbal tea OR 0.77 (95% CI 0.28–2.14): black tea OR 0.88 (95% CI 0.66–1.18)], we saw no dose–response trends. Our meta-analysis provided some evidence that women who drink green tea have a lower risk of ovarian cancer, although the summary estimate did not reach statistical significance (0.58, 95% CI 0.33–1.01 for ≥1 cup/green tea day). This result is consistent with two recent meta-analyses that evaluated the association of tea (all types combined) and ovarian cancer risk.

Conclusion

Overall, our findings provide some support for the hypothesis that tea consumption reduces the risk of ovarian cancer.

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References

  1. Yang CS, Wang X, Lu G, Picinich SC (2009) Cancer prevention by tea: animal studies, molecular mechanisms and human relevance. Nat Rev Cancer 9:429–439

    Article  CAS  PubMed  Google Scholar 

  2. Chung FL, Schwartz J, Herzog CR, Yang YM (2003) Tea and cancer prevention: studies in animals and humans. J Nutr 133:3268S–3274S

    CAS  PubMed  Google Scholar 

  3. Baker JA, Boakye K, McCann SE, Beehler GP, Rodabaugh KJ, Villella JA, Moysich KB (2007) Consumption of black tea or coffee and risk of ovarian cancer. Int J Gynecol Cancer 17:50–54

    Article  CAS  PubMed  Google Scholar 

  4. Song YJ, Kristal AR, Wicklund KG, Cushing-Haugen KL, Rossing MA (2008) Coffee, tea, colas, and risk of epithelial ovarian cancer. Cancer Epidemiol Biomarkers Prev 17:712–716

    Article  PubMed  Google Scholar 

  5. Zhang M, Binns CW, Lee AH (2002) Tea consumption and ovarian cancer risk: a case-control study in China. Cancer Epidemiol Biomarkers Prev 11:713–718

    PubMed  Google Scholar 

  6. Larsson SC, Wolk A (2005) Tea consumption and ovarian cancer risk in a population-based cohort. Arch Intern Med 165:2683–2686

    Article  PubMed  Google Scholar 

  7. Gates MA, Tworoger SS, Hecht JL, De Vivo I, Rosner B, Hankinson SE (2007) A prospective study of dietary flavonoid intake and incidence of epithelial ovarian cancer. Int J Cancer 121:2225–2232

    Article  CAS  PubMed  Google Scholar 

  8. Steevens J, Schouten LJ, Verhage BA, Goldbohm RA, van den Brandt PA (2007) Tea and coffee drinking and ovarian cancer risk: results from the Netherlands Cohort Study and a meta-analysis. Br J Cancer 97:1291–1294

    Article  CAS  PubMed  Google Scholar 

  9. Zhou B, Yang L, Wang L, Shi Y, Zhu H, Tang N, Wang B (2007) The association of tea consumption with ovarian cancer risk: A metaanalysis. Am J Obstet Gynecol 197:594.e1–596.e6

    Article  Google Scholar 

  10. Goodman MT, Tung KH, McDuffie K, Wilkens LR, Donlon TA (2003) Association of caffeine intake and CYP1A2 genotype with ovarian cancer. Nutr Cancer 46:23–29

    Article  CAS  PubMed  Google Scholar 

  11. Lee KW, Lee HJ, Lee CY (2002) Antioxidant activity of black tea vs. green tea. J Nutr 132:785

    CAS  PubMed  Google Scholar 

  12. Merritt MA, Green AC, Nagle CM, Webb PM (2008) Talcum powder, chronic pelvic inflammation and NSAIDs in relation to risk of epithelial ovarian cancer. Int J Cancer 122:170–176

    Article  CAS  PubMed  Google Scholar 

  13. DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188

    Article  CAS  PubMed  Google Scholar 

  14. Lin JK, Chen PC, Ho CT, Lin-Shiau SY (2000) Inhibition of xanthine oxidase and suppression of intracellular reactive oxygen species in HL-60 cells by theaflavin-3, 3’-digallate, (-)-epigallocatechin-3-gallate, and propyl gallate. J Agric Food Chem 48:2736–2743

    Article  CAS  PubMed  Google Scholar 

  15. Lin YL, Tsai SH, Lin-Shiau SY, Ho CT, Lin JK (1999) Theaflavin-3, 3’-digallate from black tea blocks the nitric oxide synthase by down-regulating the activation of NF-kappaB in macrophages. Eur J Pharmacol 367:379–388

    Article  CAS  PubMed  Google Scholar 

  16. Spinella F, Rosano L, Decandia S, Di Castro V, Albini A, Elia G, Natali PG, Bagnato A (2006) Antitumor effect of green tea polyphenol epigallocatechin-3-gallate in ovarian carcinoma cells: evidence for the endothelin-1 as a potential target. Exp Biol Med 231:1123–1127

    CAS  Google Scholar 

  17. Spinella F, Rosano L, Di Castro V, Decandia S, Albini A, Nicotra MR, Natali PG, Bagnato A (2006) Green tea polyphenol epigallocatechin-3-gallate inhibits the endothelin axis and downstream signaling pathways in ovarian carcinoma. Mol Cancer Ther 5:1483–1492

    Article  CAS  PubMed  Google Scholar 

  18. National Cancer Institute (2009) Search for Clinical Trials, 2009. Available from http://www.cancer.gov/clinicaltrials/search

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Acknowledgments

We acknowledge Ms. Maria Celia Hughes from the Queensland Institute of Medical Research for preparation of the dietary data. We gratefully acknowledge the cooperation of the participating institutions and the contribution of the study nurses and research assistants. The Australian Ovarian Cancer Study was supported by the US. Army Medical Research and Materiel Command under award DAMD17-01-1-0729, the Cancer Council Tasmania and Cancer Foundation of Western Australia; the Australian Cancer Study was funded by the National Health and Medical Research Council of Australia (199600). CN and PW are supported by research fellowships from the National Health and Medical Research Council of Australia, DW is supported by a Future Fellowship from the Australian Research Council and CO is funded by the Xstrata Community Partnership Program Queensland.

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Correspondence to Christina M. Nagle.

Additional information

This study is conducted for the Australian Cancer Study (Ovarian Cancer) and the Australian Ovarian Cancer Study Group.

Australian Cancer Study investigators are A. Green, P. Parsons, N. Hayward, P. Webb, and D. Whiteman.

Full membership of the Australian Ovarian Cancer Study Group is listed at http://www.aocstudy.org/.

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Nagle, C.M., Olsen, C.M., Bain, C.J. et al. Tea consumption and risk of ovarian cancer. Cancer Causes Control 21, 1485–1491 (2010). https://doi.org/10.1007/s10552-010-9577-7

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  • DOI: https://doi.org/10.1007/s10552-010-9577-7

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