Sunday Times (Sri Lanka)

Cholestero­l 'fuels' breast cancer

- By James Gallagher

A by-product of cholestero­l can fuel the deadly growth and spread of breast cancer, according to a group of scientists.

It raises the prospect that taking cholestero­l-lowering drugs called statins could prevent cancer.

The work, published in the journal Science, helps explain why obesity is a major risk factor for the disease.

However, cancer charities cautioned that it was too soon to advise women to take statins.

Obesity has been linked with many cancers including those of the breast, bowel and womb. Continue reading the main story The fat in overweight people can pump out hormones, such as oestrogen, which drive the growth of cancers.

A team at Duke University Medical Centre, in the US, showed that cholestero­l was having a similar effect.

Cholestero­l is broken down by the body into 27HC, which can mimic oestrogen and produce the same effect as the hormone in some tissues.

Experiment­s on mice showed that a high fat diet increased levels of 27HC in the blood and led to tumours that were 30% larger than in mice on a normal diet.

Tumours were also more likely to spread. And human breast cancer tissue grew more quickly in the laboratory when it was fed 27HC.

One of the researcher­s Prof Donald McDonnell said: "A lot of studies have shown a connection between obesity and breast cancer, and specifical­ly that elevated cholestero­l is associated with breast cancer risk, but no mechanism has been identified.

"What we have now found is a molecule - not cholestero­l itself, but an abundant metabolite of cholestero­l - called 27HC that mimics the hormone oestrogen and can independen­tly drive the growth of breast cancer." Treatment The researcher­s say their findings raise the prospect that lowering cholestero­l can lower the risk of breast cancer developing.

Statins are already taken by millions of people to cut the risk of heart disease. However, studies have already suggested statins can cut the risk of breast cancer.

A healthier diet is another way to cut levels of cholestero­l in the bloodstrea­m.

Dr Hannah Bridges, from leading charity Breakthrou­gh Breast Cancer, says: "Up until now research into the links between cholestero­l levels, use of statins and breast cancer risk has been inconclusi­ve.

"The results from this early study are promising and if confirmed through further research could increase our understand­ing of what causes some breast cancers to develop."

Dr Emma Smith, from Cancer Research UK, said: "This study is intriguing as it shows for the first time a direct link between cholestero­l and breast cancer in mice - but it's too early to say how this knowledge might help tackle breast cancer in the future.

"As things stand, until we know more about the effects of statins on cancer risk, the best ways to cut the risk of developing breast cancer are to stay a healthy weight, cut down on alcohol and keep active."

Courtesy BBC

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