International variation in breast cancer incidence rates and the changes in
incidence among migrant populations have indicated that breast cancer risk
is influenced by environmental factors, in particular diet, and is therefo
re preventable. Data derived from animal experiments generally showed that
diets high in n-3 polyunsaturated fatty acids (PUFA) inhibit mammary tumor
growth and metastasis. Limited data is available on the relation of estimat
ed dietary intake of n-3 PUFA to risk of breast cancer.
We confronted adipose tissue fatty acid composition, as a reflect of long-t
erm, qualitative dietary intake of fatty acids, to the risk of metastasis i
n patients treated for breast cancer and we reported an inverse association
between level of alpha-linolenic acid, essential fatty acid, and the devel
opment of metastasis, suggesting a protective effect of alpha-linolenic aci
d in the evolution of breast cancer. In two independent case-control studie
s conducted in women treated for breast tumours, we found on inverse associ
ation between alpha-linolenic acid in adipose fat and breast cancer risk, s
uggesting a protective effect of this fatty acid in the risk of the disease
. In experiments performed in a model of chemically-induced rat mammary tum
ors, we examined the role of alpha-linolenic acid and peroxidation processe
s on mammary tumor growth. We found that tumor growth was increased by a 15
% linseed oil diet, rich in alpha-linolenic, in presence of antioxidant (vi
tamin E) while was decreased by alpha-linolenic acid in presence of a pro-o
xidant system. These data show that the effect of alpha-linolenic acid on t
umor growth is highly dependent on diet oxidative status. Further epidemiol
ogical and experimental studies are needed in order to identify the interac
tion of n-3 PUFA with anti- and pro-oxidative vitamins in the risk of breas
t cancer.