Abstract
The health benefits of dietary fibers, namely, the insoluble and soluble fractions, against colorectal cancer are focused here. The role of food and occupational-originated environmental carcinogens or mutagens (heterocyclic amines, HCA, and polycyclic aromatic hydrocarbon, PAH) and the effects of dietary fibers against colorectal cancer (CRC) have recently gained ample interest. Epidemiological and clinical studies show that increasing the consumption of dietary fiber decreases the incidences of CRC. They act differently from drugs, and their effects could be categorized majorly into physiological and cellular or molecular mechanisms. The benefits accruing through the former include increase in intestinal viscosity, detoxification by binding the promutagens and mutagens, dilution and fecal bulking, pH maintenance, growth of favorable bacteria, formation of short-chain fatty acids (in particular, butyrate), and reduced transit time. The major pathway in cellular mechanism includes butyrate formation, which modulates the gene expression and assists in the elimination of damaged DNA. Immunomodulation by phase I and phase II enzymes, antitumor activity by induction of TNF-α and NK-cells, and antiproliferative activity are other cellular mechanisms that induce apoptosis and death of cells containing damaged DNA. Role of various dietary fibers and their fractions against CRC could prove the way for reducing the incidence of the carcinogenesis.
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Raman, M., Ambalam, P., Doble, M. (2016). Bioactive Carbohydrate: Dietary Fibers and Colorectal Cancer. In: Probiotics and Bioactive Carbohydrates in Colon Cancer Management. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2586-7_3
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DOI: https://doi.org/10.1007/978-81-322-2586-7_3
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