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You find the content of this column useful? Make a donation at www.richardbeliveau.org to speed up our research Carcinogenic food additives Translated from Le Journal de Montréal, January 09, 2017 A recent study suggests that two additives which are commonly used by the food industry, polysorbate 80 and carboxymethylcellulose, favour the development of colorectal cancer. Another good reason to cook meals for oneself in order to better control the contents of one’s plate. Aside from often containing astronomical levels of sugar, fats and salt, many industrially processed foods also contain emulsifiers such as polysorbate 80 and carboxymethylcellulose. These synthetic molecules are particularly appreciated in industrial production because they possess the property of linking fat and water (like a detergent), which allows the creation of a smooth and homogeneous texture in processed foods. Recent studies indicate, however, that the ability of these emulsifiers to dissolve fats could also perturb certain protective barriers whose function requires that they remain insoluble in water. The layer of mucus which covers the surface of the intestine, for example, should remain intact to avoid allowing the hundreds of billions of intestinal bacteria from making contact with the circulating blood. One recent study showed that this barrier can be affected by the presence of emulsifiers, because addition of weak quantities of polysorbate 80 or carboxymethylcellulose to the diet caused inflammation of the intestine, a consequence of bacterial infiltration across the mucus barrier1. These dietary additives do not seem to be as innocuous as had been thought, which is quite disquieting when considering their very large quantities in industrially processed foods. INFLAMMATION AND CANCER The dangers associated with the pro-inflammatory effect of these emulsifiers are real, since inflammation represents an important risk factor in several types of cancers, including colorectal cancer (it is estimated that up to 15% of all cancers are caused by sustained inflammatory conditions). It is thus possible that the chronic inflammation caused by regular ingestion of dietary emulsifiers could contribute to the very strong incidence of colorectal cancer observed in Western populations where up to 70% of the calories come from eating industrially processed food. This contribution by emulsifiers to the development of colorectal cancer is supported by a series of observations recently published in the renowned journal Cancer Research2. By using a preclinical model of colorectal cancer induced by inflammation, the researchers showed that regular consumption of carboxymethylcellulose or polysorbate 80 drastically accelerated the development of this cancer. This pro-cancerous effect was associated with a major perturbation in the composition of the bacterial community living in the intestine (the microbiome), which resulted in the activation of several cellular processes which favoured the growth of cancerous cells. This effect of emulsifiers on the intestinal flora seems to be particularly devastating because the simple act of transferring the microbial contents of the intestines, from animals exposed to emulsifiers into animals which were not exposed, was sufficient to recreate the activation of these pro-cancerous processes. In summary, these observations indicate that the regular consumption of emulsifiers provokes derangement of the composition of the intestinal microbiome, which creates a pro-inflammatory environment that favours the progression of cancerous cells. EAT FIBRE It goes without saying that the best way to guard against the negative effects of emulsifiers is to reduce consumption of industrially transformed foods to a minimum in favour of “real” foods, particularly those derived from plants. Not only do plants contain vitamins, minerals and different protective phytochemical compounds, but they are also an indispensable source of dietary fibre for maintaining the microbiome at equilibrium. One study recently showed that a lack of fibre is associated with disappearance of the layer of mucus protecting the intestinal mucosa, which then makes the colon particularly vulnerable to microorganisms and stimulates inflammation3. Increasing the intake of foods rich in fibre such as fruits, vegetables, beans and whole grains, while also eliminating (wherever possible) synthetic additives such as emulsifiers, is thus indispensable for the prevention of colorectal cancer. (1) Chassaing B et al. Dietary emulsifiers impact the mouse gut microbiota promoting colitis and metabolic syndrome. Nature 2015;519:92-96. (2) Viennois E et al. Dietary emulsifier-induced low-grade inflammation promotes colon carcinogenesis. Cancer Res. 2017;77(1):27-40. (3) Desai MS et al. A dietary fiber-deprived gut microbiota degrades the colonic mucus barrier and enhances pathogen susceptibility. Cell 2016;167:1339-1353. You find the content of this column useful? Make a donation at www.richardbeliveau.org to speed up our research You find the content of this column useful? Make a donation at www.richardbeliveau.org to speed up our research You find the content of this column useful? Make a donation at www.richardbeliveau.org to speed up our research Richard Béliveau