Wine and cancer

DEFINITION: Red wine is a rich source of the natural antioxidants flavonoid and resveratrol. Antioxidants protect cells from the oxidative damage caused by free radicals, which have been implicated in cancer cell development.

How red wine may protect: Red wine is a rich source of active phytochemicals (plant chemicals) called polyphenols. Polyphenols are naturally found in the seeds and skins of grapes. Red wine contains more polyphenols than white wine because when white wine is made, the skins are removed after the grapes are crushed. The polyphenols found in red wine are the naturally occurring antioxidants known as flavonoid and resveratrol. These antioxidants help clear cancer-causing free radicals from the body. Resveratrol also functions as an anti-inflammatory agent, inhibiting enzymes that promote tumor development and cancer cell proliferation. The flavonoid present in red wine may be effective against cancer during the initiation, promotion, and progression phases.

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Colorectal cancer and red wine: According to one report published by the American College of Gastroenterology, consuming three or more glasses of red wine per week may reduce a person’s risk of developing colorectal cancer. In a New York study that included 1,700 people who underwent routine colorectal cancer screening, 10 percent of those patients who did not drink alcohol had colorectal cancer, while only 3.4 percent of patients who routinely drank red wine had colorectal cancer. However, findings published in a 2009 meta-analysis in the Annals of Oncology indicated that those who drank more than one alcoholic beverage per day had a higher relative risk of colorectal cancer than did nondrinkers. As the twenty-first century progressed, studies on wine consumption and colorectal cancer remained ambiguous. A 2019 review of studies found that the correlation between alcohol consumption and colorectal cancer followed a J-curve—the higher the amount of alcohol consumed, the more likely a person was to get colorectal cancer. A large 2023 study confirmed these results. 

Prostate cancer and red wine: According to a 2004 study conducted by investigators at the Fred Hutchinson Cancer Research Center, men who drank four or more glasses of wine per week reduced the risk of prostate cancer by 50 percent. Moreover, there was a 60 percent lower incidence of aggressive types of prostate cancer. Resveratrol, according to the Fred Hutchinson Cancer Research Center, may reduce circulating testosterone levels. This is important because circulating testosterone can promote prostate cancer cell growth. In 2013, a meta-analysis published in the Central European Journal of Urology suggested that resveratrol has the potential to prevent prostate cancer but stated that the appropriate dose has yet to be found. A study published in 2021 confirmed that resveratrol supplementation can delay the progression of prostate cancer by inhibiting DNA synthesis in both androgen-sensitive and androgen-independent prostate cancer cells.

Leukemia and red wine: Resveratrol also appears to be effective in causing apoptosis, cancer cell death, in patients with leukemia. Resveratrol may work by inhibiting deoxyribonucleic acid (DNA) synthesis in the leukemia cells, which causes cell death.

However, numerous studies have shown associations between alcohol consumption and elevated risk of developing head and neck, gastrointestinal, liver, and breast cancers, as well as colorectal cancers among heavy drinkers. Thus, even as debate over the effectiveness of red wine, or at least its component resveratrol, in preventing some cancers continues, the risk of developing other cancers remains.

Bibliography

“Alcohol and Cancer Risk Fact Sheet.” National Cancer Institute, 14 July 2021, www.cancer.gov/about-cancer/causes-prevention/risk/alcohol/alcohol-fact-sheet. Accessed 17 June 2024.

Bielinski, Roger, and Trista Chan. “Colorectal Cancer and Alcohol: Connection and Risk Factors.” Healthline, 18 Mar. 2024, www.healthline.com/health/colorectal-cancer/colorectal-cancer-and-alcohol#colorectal-cancer-and-alcohol. Accessed 17 June 2024.

“Health Benefits of Resveratrol — And Should You Take It?” Cleveland Clinic Health Essentials, 24 Jan. 2022, health.clevelandclinic.org/resveratrol-benefits. Accessed 17 June 2024.

Jasiński, Milosz, Lidia Jasiński, and Marcin Ogrodowczyk. "Resveratrol in Prostate Diseases – A Short Review." Central European Journal of Urology, vol. 66.2, 2013, pp. 144–49.

Jin, Eun H., et al. "Sex and Tumor-Site Differences in the Association of Alcohol Intake With the Risk of Early-Onset Colorectal Cancer." Journal of Clinical Oncology, vol. 41, no. 22, 2023, pp. 3816-3825, doi.org/10.1200/JCO.22.01895. Accessed 17 June 2024.

McNabb, Sarah, et al. "Meta-analysis of 16 Studies of the Association of Alcohol with Colorectal Cancer." International Journal of Cancer, vol. 146, no. 3, 2020, p. 861, doi.org/10.1002/ijc.32377. Accessed 17 June 2024.

Semba, Richard D., et al. "Resveratrol Levels and All-Cause Mortality in Older Community-Dwelling Adults." JAMA Internal Medicine, vol. 174.7, 2014, pp. 1077–84.

Silk, Natalie, et al. "The Effects of Resveratrol on Prostate Cancer through Targeting the Tumor Microenvironment." Journal of Xenobiotics, vol. 11, no. 1, 2021, pp. 16-32, doi.org/10.3390/jox11010002. Accessed 17 June 2024.