The methods scientists currently use to study whether heme iron in food increases colorectal cancer risk are not realistic enough to give reliable answers, because they don't reflect how people...
Mechanism
Synthesis from 1 study
When people eat red meat, the iron in it makes chemicals in the gut that don’t damage DNA like cancer-causing substances usually do. This suggests those chemicals probably don’t start colon cancer, even though they’re made after eating meat. But we still don’t know if these chemicals do anything...
Most probable mechanism
When people eat red meat, the heme iron in it reacts with substances in the gut to form chemical compounds that don't damage DNA the way cancer-causing chemicals usually do. This means these compounds are unlikely to start cancer, even though they are made in the colon after eating meat.
Heme iron released from myoglobin during digestion catalyzes nitrosation reactions in the colonic lumen
Heme-bound iron favors formation of nitrosyl iron and nitrosothiols instead of alkylating N-nitroso compounds
Nitrosyl iron and nitrosothiols lack the chemical reactivity needed to form stable DNA adducts
Failure to form DNA adducts reduces mutagenic potential and limits initiation of carcinogenesis
Less supported by current evidence, but not ruled out
Too much heme iron in lab settings can kill cells lining the colon, causing the body to make new cells faster to fix the damage — and faster cell growth can sometimes lead to mistakes in DNA. But this only happens at doses much higher than what people normally eat.
Heme iron is released from myoglobin in the colon during digestion
Heme iron catalyzes lipid peroxidation, producing cytotoxic aldehydes such as 4-hydroxynonenal
Cytotoxic aldehydes damage colonic epithelial cells, causing cell death and sloughing
Epithelial damage triggers compensatory hyperproliferation of crypt stem cells
Increased proliferation elevates the probability of DNA replication errors and fixation of mutations
Evidence from Studies
Supporting (1)
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Gold Standard Evidence Needed
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