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What Foods are Recommended for Cancer?
is a very common question. Personalized Nutrition Plans are foods and supplements which are personalized to a cancer indication, genes, any treatments and lifestyle conditions.

Foods for Mouth Cancer!

Jul 23, 2023

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Introduction

Foods for Mouth Cancer 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.

Mouth cancer refers to the development of malignant tumors in the oral cavity, including the lips, gums, tongue, inner lining of the cheeks, roof of the mouth, floor of the mouth (under the tongue). Mouth cancer is grouped under the category of head and neck cancers.  Signs and symptoms of mouth cancer may include persistent, non-healing sores, a white or reddish patch on the inside of your mouth, loose teeth, a growth lump inside your mouth, mouth pain, ear pain or difficulty in swallowing. Risk factors for mouth cancer include Tobacco use of any kind, heavy alcohol use, a sexually transmitted virus – human papillomavirus (HPV), and a weakened immune system.  Early detection is crucial for improving mouth cancer survival rates. Treatment options for mouth cancer may involve surgery, chemotherapy, or radiation therapy, depending on the stage and location of the tumor. A well-balanced diet is essential for mouth cancer patients to maintain their strength and support their immune system during treatment. Foods that are soft, easy to swallow, and nutrient-dense, such as protein-rich foods, fruits, and vegetables, are recommended for mouth cancer patients. It is important to avoid spicy, acidic, or rough foods that can irritate the mouth. Mouth care for cancer patients, including proper dental hygiene and regular check-ups, is also essential. By being aware of the risks and symptoms of mouth cancer and adopting a healthy diet, individuals can actively prevent and manage this disease.



For Mouth Cancer 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 Mouth Cancer 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 Mouth Cancer?

For example does it matter if vegetable Giant Butterbur is consumed more compared to Garden Tomato? Does it make any difference if fruit Elderberry is preferred over Nance? Also if similar choices are made for nuts/seeds like Common Walnut over Chestnut and for pulses like Black-eyed Pea over Pigeon Pea. And if what I eat matters – then how does one identify foods which are recommended for Mouth Cancer and is it the same answer for everyone with the same diagnosis or genetic risk?

Yes! Foods you eat matters for Mouth Cancer!

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

All cancers like Mouth Cancer can be characterized by a unique set of biochemical pathways - the signature pathways of Mouth Cancer. Biochemical pathways like Amino Acid Metabolism, Angiogenesis, PI3K-AKT-MTOR Signaling, Cell Cycle Checkpoints are part of the signature definition of Mouth Cancer.

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 Elderberry contains active ingredients Quercetin, Curcumin, Phloretin, Lupeol, Isoliquiritigenin. And Nance contains active ingredients Curcumin, Phloretin, Lupeol, Isoliquiritigenin, Daidzein and possibly others.

A common mistake made when deciding and choosing foods to eat for Mouth Cancer – 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 Mouth Cancer.

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

Skills Needed for Nutrition Personalization for Mouth Cancer?

Personalized nutrition for cancers like Mouth Cancer 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 Mouth Cancer 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.

Foods to Eat After Cancer Diagnosis!

No two cancers are the same. Go beyond the common nutrition guidelines for everyone and make personalized decisions about food and supplements with confidence.

Characteristics of cancers like Mouth Cancer

All cancers like Mouth Cancer can be characterized by a unique set of biochemical pathways – the signature pathways of Mouth Cancer. Biochemical pathways like Amino Acid Metabolism, Angiogenesis, PI3K-AKT-MTOR Signaling, Cell Cycle Checkpoints are part of the signature definition of Mouth Cancer. Each individual’s cancer genetics can be different and hence their specific cancer signature could be unique.

The treatments which are effective for Mouth Cancer 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 Mouth Cancer when taking cancer treatment Fluorouracil, 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, TERT, CDKN2A, FAT1 and NOTCH1 are the top ranked reported genes for Mouth Cancer. TP53 is reported in 56.8 % of the representative patients across all clinical trials. And TERT is reported in 30.5 %. The combined population patient data cover ages from to . % of the patient data are identified as men. The Mouth Cancer 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.

Foods for Mouth Cancer!

Food and Supplements for Mouth Cancer

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 GARDEN TOMATO?

Vegetable Giant Butterbur contains many active ingredients or bioactives such as Curcumin, Phloretin, Lupeol, Isoliquiritigenin, Daidzein. These active ingredients manipulate various biochemical pathways like MAPK Signaling, Adherens junction, NFKB Signaling and Focal Adhesion and others. Giant Butterbur is recommended for Mouth Cancer when ongoing cancer treatment is Fluorouracil. This is because Giant Butterbur modifies those biochemical pathways which have been scientifically reported to sensitize the effect of Fluorouracil.

Some of the active ingredients or bioactives in vegetable Garden Tomato are Quercetin, Curcumin, Phloretin, Lupeol, Isoliquiritigenin. These active ingredients manipulate various biochemical pathways like Microtubule Dynamics, WNT Beta Catenin Signaling and Oxidative Stress and others. Garden Tomato is not recommended for Mouth Cancer when ongoing cancer treatment is Fluorouracil because it modifies those biochemical pathways which make the cancer treatment resistant or less responsive.

VEGETABLE GIANT BUTTERBUR IS RECOMMENDED OVER GARDEN TOMATO FOR Mouth Cancer AND TREATMENT Fluorouracil.

Choose Fruit NANCE or ELDERBERRY?

Fruit Nance contains many active ingredients or bioactives such as Curcumin, Phloretin, Lupeol, Isoliquiritigenin, Daidzein. These active ingredients manipulate various biochemical pathways like MAPK Signaling, Hypoxia and Adherens junction and others. Nance is recommended for Mouth Cancer when ongoing cancer treatment is Fluorouracil. This is because Nance modifies those biochemical pathways which have been scientifically reported to sensitize the effect of Fluorouracil.

Some of the active ingredients or bioactives in fruit Elderberry are Quercetin, Curcumin, Phloretin, Lupeol, Isoliquiritigenin. These active ingredients manipulate various biochemical pathways like Microtubule Dynamics, WNT Beta Catenin Signaling and Oxidative Stress and others. Elderberry is not recommended for Mouth Cancer when ongoing cancer treatment is Fluorouracil because it modifies those biochemical pathways which make the cancer treatment resistant or less responsive.

FRUIT NANCE IS RECOMMENDED OVER ELDERBERRY FOR Mouth Cancer AND TREATMENT Fluorouracil.

Choose Nut COMMON WALNUT or CHESTNUT?

Common Walnut contains many active ingredients or bioactives such as Quercetin, Ellagic Acid, Curcumin, Phloretin, Lupeol. These active ingredients manipulate various biochemical pathways like MAPK Signaling, NFKB Signaling, Microtubule Dynamics and Focal Adhesion and others. Common Walnut is recommended for Mouth Cancer when ongoing cancer treatment is Fluorouracil. This is because Common Walnut modifies those biochemical pathways which have been scientifically reported to sensitize the effect of Fluorouracil.

Some of the active ingredients or bioactives in Chestnut are Ellagic Acid, Curcumin, Phloretin, Lupeol, Isoliquiritigenin. These active ingredients manipulate various biochemical pathways like Netrin Signaling and Oxidative Stress and others. Chestnut is not recommended for Mouth Cancer when ongoing cancer treatment is Fluorouracil because it modifies those biochemical pathways which make the cancer treatment resistant or less responsive.

COMMON WALNUT IS RECOMMENDED OVER CHESTNUT FOR Mouth Cancer AND TREATMENT Fluorouracil.

For Individuals with Genetic Risk of Cancer

The question asked by individuals who have genetic risk of Mouth Cancer 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 CAULIFLOWER or MEXICAN GROUNDCHERRY?

Vegetable Cauliflower contains many active ingredients or bioactives such as Curcumin, Lupeol, Formononetin, Daidzein, Beta-sitosterol. These active ingredients manipulate various biochemical pathways like MAPK Signaling, MYC Signaling, Angiogenesis and PI3K-AKT-MTOR Signaling and others. Cauliflower is recommended for risk of Mouth Cancer when associated genetic risk is CDKN2A. This is because Cauliflower increases those biochemical pathways which counteract the signature drivers of it.

Some of the active ingredients or bioactives in vegetable Mexican Groundcherry are Apigenin, Curcumin, Lupeol, Formononetin, Daidzein. These active ingredients manipulate various biochemical pathways like Oncogenic Cancer Epigenetics and Stem Cell Signaling and others. Mexican Groundcherry is not recommended when risk of Mouth Cancer when associated genetic risk is CDKN2A because it increases the signature pathways of it.

VEGETABLE CAULIFLOWER IS RECOMMENDED OVER MEXICAN GROUNDCHERRY FOR CDKN2A GENETIC RISK OF CANCER.

Choose Fruit SOUR CHERRY or PUMMELO?

Fruit Sour Cherry contains many active ingredients or bioactives such as Apigenin, Curcumin, Quercetin, Lupeol, Formononetin. These active ingredients manipulate various biochemical pathways like MAPK Signaling, Cell Cycle Checkpoints, Stem Cell Signaling and PI3K-AKT-MTOR Signaling and others. Sour Cherry is recommended for risk of Mouth Cancer when associated genetic risk is CDKN2A. This is because Sour Cherry increases those biochemical pathways which counteract the signature drivers of it.

Some of the active ingredients or bioactives in fruit Pummelo are Apigenin, Curcumin, Quercetin, Lupeol, Formononetin. These active ingredients manipulate various biochemical pathways like Cell Cycle Checkpoints and Stem Cell Signaling and others. Pummelo is not recommended when risk of Mouth Cancer when associated genetic risk is CDKN2A because it increases the signature pathways of it.

FRUIT SOUR CHERRY IS RECOMMENDED OVER PUMMELO FOR CDKN2A GENETIC RISK OF CANCER.

Choose Nut BUTTERNUT or EUROPEAN CHESTNUT?

Butternut contains many active ingredients or bioactives such as Apigenin, Curcumin, Lupeol, Formononetin, Daidzein. These active ingredients manipulate various biochemical pathways like MAPK Signaling, MYC Signaling, Angiogenesis and PI3K-AKT-MTOR Signaling and others. Butternut is recommended for risk of Mouth Cancer when associated genetic risk is CDKN2A. This is because Butternut increases those biochemical pathways which counteract the signature drivers of it.

Some of the active ingredients or bioactives in European Chestnut are Apigenin, Curcumin, Quercetin, Lupeol, Formononetin. These active ingredients manipulate various biochemical pathways like Oncogenic Cancer Epigenetics and Stem Cell Signaling and others. European Chestnut is not recommended when risk of Mouth Cancer when associated genetic risk is CDKN2A because it increases the signature pathways of it.

BUTTERNUT IS RECOMMENDED OVER EUROPEAN CHESTNUT FOR CDKN2A GENETIC RISK OF CANCER.


In Conclusion

Foods and Supplements chosen are important decisions for cancers like Mouth Cancer. Mouth Cancer 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 Mouth Cancer, 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 Mouth Cancer?”. The addon multi-disciplinary team includes cancer physicians, clinical scientists, software engineers and data scientists.


Personalized Nutrition for Cancer!

Cancer changes with time. Customize and modify your nutrition based on cancer indication, treatments, lifestyle, food preferences, allergies and other factors.

References

Scientifically Reviewed by: Dr. Cogle

Christopher R. Cogle, M.D. is a tenured professor at the University of Florida, Chief Medical Officer of Florida Medicaid, and Director of the Florida Health Policy Leadership Academy at the Bob Graham Center for Public Service.

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