This thesis describes a study on the impact of selected nutrients, growth hormones and in vivo genome stability on breast cancer risk in BRCA1 or BRCA2 germline mutation carriers. Peripheral blood lymphocyes of BRCA germline mutation carriers and healthy non-carrier controls were studied for the impact of folic acid deficiency on genome damage and the methionine-dependence phenotype (MDP; in combination with common polymorphisms in one-carbon metabolism) on breast cancer risk, respectively. Plasma IGF-1 and IGFBP-3 were determined and chromosome 17 aneuploidy and Her2 amplification were assessed in mononucleated lymphocytes to establish the association of these markers on breast cancer risk in BRCA germline mutation carriers, independently or in combination with plasma folate, vitamin B12, homocysteine, selenium and common gene variants in the one-carbon metabolism, DNA repair genes or glutathionine S-transferase.

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. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1316889 / Thesis (Ph.D.) -- University of Adelaide, School of Molecular and Biomedical Science, 2008