Vitamin D protects against lung cancer unless there is excess vitamin A

Serum 25-hydroxyvitamin D, vitamin A, and lung cancer mortality in the US population: a potential nutrient-nutrient interaction.

Cancer Causes Control. 2012 Jul 25.

Cheng TY, Neuhouser ML.

Public Health Sciences Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, M4B402, Seattle, WA, 98109-1024, USA, [email protected].

OBJECTIVE: Excess vitamin A may interrupt vitamin D-mediated transcription of target genes. This study investigated whether serum 25-hydroxyvitamin D [25(OH)D] concentrations were associated with lung cancer mortality, and whether this association varied by excess circulating vitamin A and vitamin A/?-carotene supplement use.

METHOD: We analyzed 16,693 men and women in the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994. Lung cancer mortality (n = 258, 104 were former smokers and 23 were never smokers) were identified through National Death Index as of 2006. Serum 25(OH)D was measured by a radioimmunoassay. Vitamin A biomarkers including serum retinol, ?-carotene, and retinyl esters were measured by HPLC. Supplement use for the past month was obtained by self-report. Multivariate-adjusted hazard ratios (HR) were estimated by Cox proportional hazard models.

RESULTS: There was no association of serum 25(OH)D with overall lung cancer mortality.

Among nonsmokers, ?44 vs. <44 nmol/L of serum 25(OH)D was associated with a decreased risk (HR = 0.53, 95 % CI = 0.31-0.92, former/never smokers and

HR = 0.31, 95 % CI = 0.13-0.77, distant-former [quit ?20 years]/never smokers).

The associations were not observed among participants with excess circulating vitamin A (serum retinyl esters ?7.0 ?g/dL or the ratio of retinyl esters to retinol ?0.08) or vitamin A/?-carotene supplement users. However, statistical evidence to support effect modification of vitamin A was less clear.

CONCLUSIONS: Serum 25(OH)D concentrations were inversely associated with lung cancer mortality in nonsmokers.

The beneficial association was diminished among those with excess circulating vitamin A or vitamin A/?-carotene supplement users.

PMID: 22829430

Summary

• No association of Vitamin D and ALL lung Cancer

• Association of Vitamin D with lung cancers only for never smoked and smoked a long time ago

• 69% less chance of getting lung cancer IF never smoked or smoked >20 years ago

  • AND vitamin D level > 44 nmol
  • AND retinyl esters < 7 micrograms/dl

See also Vitamin D Life

• Smoking reduces vitamin D - many studies

• Category Lung Cancer and Vitamin D items

• Lung and Vitamin D – Special Issue Dec 2011

• Vitamin D and lung Cancer - Expert Review 2011.pdf file

• Overview Lung cancer and vitamin D

• Google Search Vitamin D Life for "Vitamin A" 1930 items as of March 2013

• Vitamin D needs some vitamin A, but not too much

• Vitamin A may thwart the ability of vitamin D to reduce risk of osteoporosis – June 2010

• Masterjohn on relationships between Vitamin A D and K – Dec 2010

• Vitamin A and risk of prostate cancer – March 2011

• Vitamin A may thwart the ability of vitamin D to reduce risk of osteoporosis – June 2010

• Price and Masterjohn on Vitamin A Vitamin D and Vitamin K – 2010

• All items in category Vitamin A items

• Cancer - Lung category listing has items along with related searches

  Pages listed in both of the categories Lung Cancer and Vitamin A

{category}

See also web

• Vitamin D cuts lung cancer death risk in non-smokers this study was reported by FoodConsumer.org Nov 2012