The impact of high protein-high red meat vs high carbohydrate weight loss diets on genome stability and biomarkers of colorectal cancer risk in overweight men.

Abstract

It has been suggested that high protein diets are associated with an increased risk of colorectal cancer due to the higher content of red meat. However, the study of the overall dietary and lifestyle pattern may prove more important than any individual component when assessing colorectal cancer risk. From this, it is proposed that a dietary pattern used for weight loss that is higher in protein but remains low in fat and high in foods rich in fibre and micronutrients that are required for genome stability may not increase the risk of colorectal cancer, thus providing a safe and effective dietary method of weight loss in overweight subjects. This thesis describes the development of a novel in vitro faecal water genotoxicity test using the cytokinesis-block micronucleus (CBMN) cytome assay in the WIL2-NS cell line. This thesis then investigates faecal water genotoxicity and peripheral blood lymphocyte genome stability in overweight men following a weight loss dietary pattern either high in protein, specifically red meat, or high in carbohydrate. Results from this thesis indicate that the genotoxic potential of faecal water can be successfully assessed in vitro using the CBMN cytome assay. A high protein-high red meat weight loss diet did not increase faecal water genotoxicity or peripheral blood lymphocyte DNA damage, measured with the CBMN cytome assay, differently to a high carbohydrate weight loss diet. Faecal water genotoxicity data suggests weight loss and/or caloric restriction following either a high protein or high carbohydrate diet may beneficially modify the carcinogenic load of the colon in the short term, however this needs to be validated in a study that includes a non-weight loss control group. A lack of relationship was seen between faecal water genotoxicity and genome damage in lymphocytes which may suggest that the assessment of both the genome damage potential of the bowel contents and the assessment of the genome stability profile of peripheral blood lymphocytes may be important in comprehensively assessing the impact on genome damage by different dietary patterns.