Foods for Esophageal Adenosquamous Carcinoma!

Introduction

Foods for Esophageal Adenosquamous Carcinoma should be personalized for each individual and also must adapt when cancer treatment or tumor genetic change. The personalization and adaptation must consider all the active ingredients or bioactives contained in different foods with respect to cancer tissue biology, genetics, treatments, lifestyle conditions and diet preferences. Hence while nutrition is one of the very important decisions for a cancer patient and individual at risk of cancer to make – how to choose foods to eat is not an easy task.

For Esophageal Adenosquamous Carcinoma does it matter what vegetables, fruits, nuts, seeds one eats?

A very common nutrition question asked by cancer patients and individuals at-genetic risk of cancer is – for cancers like Esophageal Adenosquamous Carcinoma does it matter what foods I eat and which I do not? Or if I follow a plant-based diet is that enough for cancer like Esophageal Adenosquamous Carcinoma?

For example does it matter if vegetable Giant Butterbur is consumed more compared to Black Cabbage? Does it make any difference if fruit Fox Grape is preferred over Red Raspberry? Also if similar choices are made for nuts/seeds like Butternut over Walnut and for pulses like Moth Bean over Catjang Pea. And if what I eat matters – then how does one identify foods which are recommended for Esophageal Adenosquamous Carcinoma and is it the same answer for everyone with the same diagnosis or genetic risk?

Yes! Foods you eat matters for Esophageal Adenosquamous Carcinoma!

Food recommendations may not be the same for everyone and can be different even for the same diagnosis and genetic risk.

All foods (vegetables, fruits, nuts, seeds, pulses, oils etc.) and nutritional supplements are made up of more than one active molecular ingredient or bio-actives in different proportions and quantities. Each active ingredient has a unique mechanism of action – which can be activation or inhibition of different biochemical pathways. Simply stated foods and supplements which are recommended are those which do not cause an increase of molecular drivers of cancer but reduce them. Else those foods should not be recommended. Foods contain multiple active ingredients – hence when evaluating foods and supplements you need to consider the impact of all active ingredients cumulatively rather than individually.

For example Fox Grape contains active ingredients Curcumin, Lupeol, Caffeine, Daidzein, Beta-sitosterol. And Red Raspberry contains active ingredients Curcumin, Ellagic Acid, Lupeol, Daidzein, Beta-sitosterol and possibly others.

A common mistake made when deciding and choosing foods to eat for Esophageal Adenosquamous Carcinoma – is to evaluate only selected active ingredients contained in foods and ignore the rest. Because different active ingredients contained in foods may have opposing effects on cancer drivers – you cannot cherry pick active ingredients in foods and supplements for making a nutrition decision for Esophageal Adenosquamous Carcinoma.

YES – FOOD CHOICES MATTER FOR CANCER. NUTRITION DECISIONS MUST CONSIDER ALL ACTIVE INGREDIENTS OF FOODS.

Skills Needed for Nutrition Personalization for Esophageal Adenosquamous Carcinoma?

Personalized nutrition for cancers like Esophageal Adenosquamous Carcinoma consists of recommended foods / supplements; not recommended foods / supplements with example recipes which prioritize use of recommended foods. An example of personalized nutrition can be seen at this link.

Deciding which foods are recommended or not is extremely complicated, requiring expertise in Esophageal Adenosquamous Carcinoma biology, food science, genetics, biochemistry along with good understanding of how cancer treatments work and associated vulnerabilities by which the treatments could stop being effective.

MINIMUM KNOWLEDGE EXPERTISE NEEDED FOR NUTRITION PERSONALIZATION FOR CANCER ARE: CANCER BIOLOGY, FOOD SCIENCE, CANCER TREATMENTS AND GENETICS.

Characteristics of cancers like Esophageal Adenosquamous Carcinoma

All cancers like Esophageal Adenosquamous Carcinoma can be characterized by a unique set of biochemical pathways – the signature pathways of Esophageal Adenosquamous Carcinoma. Biochemical pathways like Cell Cycle, Growth Factor Signaling, Cell Cycle Checkpoints, PI3K-AKT-MTOR Signaling are part of the signature definition of Esophageal Adenosquamous Carcinoma. Each individual’s cancer genetics can be different and hence their specific cancer signature could be unique.

The treatments which are effective for Esophageal Adenosquamous Carcinoma need to be cognizant of the associated signature biochemical pathways for each cancer patient and individual at genetic risk. Therefore different treatments with different mechanisms of actions are effective for different patients. Similarly and for the same reasons foods and supplements need to be personalized for each individual. Hence some foods and supplements are recommended for Esophageal Adenosquamous Carcinoma when taking cancer treatment Radiation, and some foods and supplements are not recommended.

Sources like cBioPortal and many others provide population representative patient anonymized data from clinical trials for all cancer indications. This data consists of clinical trial study details like sample size / number of patients, age groups, gender, ethnicity, treatments, tumor site and any genetic mutations.

TP53, NOTCH1, NOTCH4, BCR and NFE2L2 are the top ranked reported genes for Esophageal Adenosquamous Carcinoma. TP53 is reported in 100.0 % of the representative patients across all clinical trials. And NOTCH1 is reported in 40.0 %. The combined population patient data cover ages from to . 100.0 % of the patient data are identified as men. The Esophageal Adenosquamous Carcinoma biology along with reported genetics together define the population represented signature biochemical pathways for this cancer. If the individual cancer tumor genetics or genes contributing to the risk are also known then that should also be used for nutrition personalization.

NUTRITION CHOICES SHOULD MATCH WITH EACH INDIVIDUAL’S CANCER SIGNATURE.

Food and Supplements for Esophageal Adenosquamous Carcinoma

For Cancer Patients

Cancer patients on treatment or on palliative care need to make decisions on food and supplements – for the needed dietary calories, for managing any treatment side effects and also for improved cancer management. All plant-based foods are not equal and choosing and prioritizing foods which are personalized and customized to ongoing cancer treatment is important and complicated. Here are some examples providing guidelines for making nutrition decisions.

Choose Vegetable GIANT BUTTERBUR or BLACK CABBAGE?

Vegetable Giant Butterbur contains many active ingredients or bioactives such as Curcumin, Lupeol, Caffeine, Daidzein, Beta-sitosterol. These active ingredients manipulate various biochemical pathways like DNA Repair, Oxidative Stress, Cell Cycle and PI3K-AKT-MTOR Signaling and others. Giant Butterbur is recommended for Esophageal Adenosquamous Carcinoma when ongoing cancer treatment is Radiation. This is because Giant Butterbur modifies those biochemical pathways which have been scientifically reported to sensitize the effect of Radiation.

Some of the active ingredients or bioactives in vegetable Black Cabbage are Curcumin, Lupeol, Daidzein, Beta-sitosterol, Eugenol. These active ingredients manipulate various biochemical pathways like DNA Repair and Oxidative Stress and others. Black Cabbage is not recommended for Esophageal Adenosquamous Carcinoma when ongoing cancer treatment is Radiation because it modifies those biochemical pathways which make the cancer treatment resistant or less responsive.

VEGETABLE GIANT BUTTERBUR IS RECOMMENDED OVER BLACK CABBAGE FOR Esophageal Adenosquamous Carcinoma AND TREATMENT Radiation.

Choose Fruit RED RASPBERRY or FOX GRAPE?

Fruit Red Raspberry contains many active ingredients or bioactives such as Curcumin, Ellagic Acid, Lupeol, Daidzein, Beta-sitosterol. These active ingredients manipulate various biochemical pathways like Oxidative Stress, MYC Signaling, Angiogenesis and PI3K-AKT-MTOR Signaling and others. Red Raspberry is recommended for Esophageal Adenosquamous Carcinoma when ongoing cancer treatment is Radiation. This is because Red Raspberry modifies those biochemical pathways which have been scientifically reported to sensitize the effect of Radiation.

Some of the active ingredients or bioactives in fruit Fox Grape are Curcumin, Lupeol, Caffeine, Daidzein, Beta-sitosterol. These active ingredients manipulate various biochemical pathways like DNA Repair and Oxidative Stress and others. Fox Grape is not recommended for Esophageal Adenosquamous Carcinoma when ongoing cancer treatment is Radiation because it modifies those biochemical pathways which make the cancer treatment resistant or less responsive.

FRUIT RED RASPBERRY IS RECOMMENDED OVER FOX GRAPE FOR Esophageal Adenosquamous Carcinoma AND TREATMENT Radiation.

Choose Nut BUTTERNUT or WALNUT?

Butternut contains many active ingredients or bioactives such as Curcumin, Lupeol, Caffeine, Daidzein, Beta-sitosterol. These active ingredients manipulate various biochemical pathways like DNA Repair, MYC Signaling, Angiogenesis and PI3K-AKT-MTOR Signaling and others. Butternut is recommended for Esophageal Adenosquamous Carcinoma when ongoing cancer treatment is Radiation. This is because Butternut modifies those biochemical pathways which have been scientifically reported to sensitize the effect of Radiation.

Some of the active ingredients or bioactives in Walnut are Curcumin, Ellagic Acid, Lupeol, Daidzein, Beta-sitosterol. These active ingredients manipulate various biochemical pathways like DNA Repair and Oxidative Stress and others. Walnut is not recommended for Esophageal Adenosquamous Carcinoma when ongoing cancer treatment is Radiation because it modifies those biochemical pathways which make the cancer treatment resistant or less responsive.

BUTTERNUT IS RECOMMENDED OVER WALNUT FOR Esophageal Adenosquamous Carcinoma AND TREATMENT Radiation.

For Individuals with Genetic Risk of Cancer

The question asked by individuals who have genetic risk of Esophageal Adenosquamous Carcinoma or familial history is “What Should I Eat Differently from Before?” and how they should choose foods and supplements to manage risks of the disease. Since for cancer risk there is nothing actionable in terms of treatment – decisions of foods and supplements become important and one of the very few actionable things which can be done. All plant-based foods are not equal and based on identified genetics and pathway signature – the choices of food and supplements should be personalized.

Choose Vegetable CALABASH or BLACK RADISH?

Vegetable Calabash contains many active ingredients or bioactives such as Curcumin, Apigenin, Lupeol, Formononetin, Daidzein. These active ingredients manipulate various biochemical pathways like MAPK Signaling, DNA Repair, Cell Cycle Checkpoints and Oxidative Stress and others. Calabash is recommended for risk of Esophageal Adenosquamous Carcinoma when associated genetic risk is BCR. This is because Calabash increases those biochemical pathways which counteract the signature drivers of it.

Some of the active ingredients or bioactives in vegetable Black Radish are Curcumin, Lupeol, Formononetin, Daidzein, Phloretin. These active ingredients manipulate various biochemical pathways like Oxidative Stress and others. Black Radish is not recommended when risk of Esophageal Adenosquamous Carcinoma when associated genetic risk is BCR because it increases the signature pathways of it.

VEGETABLE CALABASH IS RECOMMENDED OVER BLACK RADISH FOR BCR GENETIC RISK OF CANCER.

Choose Fruit NANCE or SQUASHBERRY?

Fruit Nance contains many active ingredients or bioactives such as Curcumin, Apigenin, Lupeol, Formononetin, Daidzein. These active ingredients manipulate various biochemical pathways like MAPK Signaling, DNA Repair, TGFB Signaling and Oxidative Stress and others. Nance is recommended for risk of Esophageal Adenosquamous Carcinoma when associated genetic risk is BCR. This is because Nance increases those biochemical pathways which counteract the signature drivers of it.

Some of the active ingredients or bioactives in fruit Squashberry are Curcumin, Apigenin, Lupeol, Formononetin, Daidzein. These active ingredients manipulate various biochemical pathways like Oxidative Stress, TGFB Signaling and PI3K-AKT-MTOR Signaling and others. Squashberry is not recommended when risk of Esophageal Adenosquamous Carcinoma when associated genetic risk is BCR because it increases the signature pathways of it.

FRUIT NANCE IS RECOMMENDED OVER SQUASHBERRY FOR BCR GENETIC RISK OF CANCER.

Choose Nut COMMON HAZELNUT or CHESTNUT?

Common Hazelnut contains many active ingredients or bioactives such as Curcumin, Lupeol, Formononetin, Daidzein, Phloretin. These active ingredients manipulate various biochemical pathways like MAPK Signaling, DNA Repair, Cell Cycle Checkpoints and Oxidative Stress and others. Common Hazelnut is recommended for risk of Esophageal Adenosquamous Carcinoma when associated genetic risk is BCR. This is because Common Hazelnut increases those biochemical pathways which counteract the signature drivers of it.

Some of the active ingredients or bioactives in Chestnut are Curcumin, Apigenin, Ellagic Acid, Lupeol, Formononetin. These active ingredients manipulate various biochemical pathways like PI3K-AKT-MTOR Signaling, DNA Repair and Oxidative Stress and others. Chestnut is not recommended when risk of Esophageal Adenosquamous Carcinoma when associated genetic risk is BCR because it increases the signature pathways of it.

COMMON HAZELNUT IS RECOMMENDED OVER CHESTNUT FOR BCR GENETIC RISK OF CANCER.

In Conclusion

Foods and Supplements chosen are important decisions for cancers like Esophageal Adenosquamous Carcinoma. Esophageal Adenosquamous Carcinoma patients and individuals with genetic-risk always have this question: “What foods and nutritional supplements are recommended for me and which are not?” There is a common belief which is a misconception that all plant-based foods could be beneficial or not but would not be harmful. Certain foods and supplements can interfere with cancer treatments or promote molecular pathway drivers of cancer.

There are different types of cancer indications like Esophageal Adenosquamous Carcinoma, each with different tumor genetics with further genomic variations across each individual. Further every cancer treatment and chemotherapy has a unique mechanism of action. Each food like Giant Butterbur contains various bioactives in different quantities, which have an impact on different and distinct sets of biochemical pathways. The definition of personalized nutrition is individualized food recommendations for the cancer indication, treatments, genetics, lifestyle and other factors. Nutrition personalization decisions for cancer require knowledge of cancer biology, food science and an understanding of different chemotherapy treatments. Finally when there are treatment changes or new genomics is identified – the nutrition personalization needs re-evaluation.

The addon nutrition personalization solution makes the decision making easy and removes all the guesswork in answering the question, “What foods should I choose or not choose for Esophageal Adenosquamous Carcinoma?”. The addon multi-disciplinary team includes cancer physicians, clinical scientists, software engineers and data scientists.

References

Reference

• Pan Origimed 2020
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• Mechanism of Juglone-Induced Cell Cycle Arrest and Apoptosis in Ishikawa Human Endometrial Cancer Cells.
• Hyperoside Induces Breast Cancer Cells Apoptosis via ROS-Mediated NF-κB Signaling Pathway.
• Gallic acid provokes DNA damage and suppresses DNA repair gene expression in human prostate cancer PC-3 cells.