ACE Gene May Determine Green Tea's Ability to Guard Against Breast Cancer 

Participants: 297 people with breast cancer and 665 controls who did not have the disease.

Where: Singapore, China

Type of study: Case-control

Key information: One way in which green tea is believed to fight breast cancer is by inhibiting free radical production caused by a substance in the blood called angiotensin-II.

Angiotensin-II is "created" when it's converted from another substance by an enzyme called ACE (angiotensin-converting enzyme). Studies have shown that women who have a "low activity" ACE gene (meaning they produce less ACE and therefore less angiotensin-II) have a lesser risk of developing breast cancer than those with a "high activity" ACE gene.

This made the researchers wonder if there was a link between green tea (which fights the free radicals produced by angiotensin-II), the type of ACE gene a woman has (which helps determine how much angiotensin-II her body makes), and her risk of breast cancer.

Specifically, would green tea's ability to protect against breast cancer depend on whether she had a "low activity" or a "high activity" ACE gene?

Study methods: The researchers compared people with breast cancer to healthy controls. All of the volunteers participated in the Singapore Chinese Health Study.

What happened: There was no link between consumption of green tea and the risk of breast cancer among women with a "low activity" ACE gene.
     However, among women with a "high activity" ACE gene, green tea demonstrated a statistically significant protective effect. Drinking green tea at least once a week reduced their risk of developing breast cancer by a stunning 71%, and drinking it at least once a month reduced the risk by 67%.
    These results suggest that if your body produces a lot of angiotensin-II, drinking green tea can help reduce your risk of breast cancer. But if your body doesn't produce much angiotensin-II, drinking green tea probably won't make a difference in your breast cancer risk.

Researchers' conclusion: There was a statistically significant decrease in risk of breast cancer among women with the "high-activity" ACE gene who drank green tea at least monthly, and the risk decreased even more if green tea was taken at least weekly. There was no such effect on women with the "low activity" ACE gene.
     These findings "highlight the importance of genetically determined factors in evaluating the role of green tea intake in the development of breast cancer."

Citation: Yuan JM, Koh WP, Sun CL, et al. Green tea intake, ACE gene polymorphism and breast cancer risk among Chinese women in Singapore. Carcinogenesis 2005;26(8):1389-94.  (Click here to read PubMed study abstract.)


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