Gillian Chugg Arleigh Grecco Title: Anti-cancerous effects of vitamin B-complex versus vitamin B6 Abstract: The objective of this research is to see if vitamin B6 alone or vitamin B-complex slows the growth of colorectal cancer cells. This research is significant due to conflicting results in the scientific world, the fact that little research has been published about B vitamin combinations, and that ten thousands of people die of colorectal cancer a year. The effects of vitamin B complex and vitamin B6 on a colorectal cancer cell line (HCT-116) are investigated by treating cell media with the proportionate amounts of vitamins compared to the amount of vitamins that would be ingested by the average adult. Data was collected by growing a control cell line, a vitamin B complex treated cell line, and a vitamin B6 treated cell line and taking down the cells approximately every other day to get alive cell counts. As a result of completing this procedure, we can tentatively conclude that B complex has a negative effect on the growth (makes the cells grow faster) and B6 has a positive effect (makes the cells grow slower). This research suggests that for a colorectal cancer patient, taking vitamin B-complex will make the cancer progress faster, whereas taking vitamin B6 alone will slow down cancer cell growth. Introduction: There are eight B complex vitamins: thiamine (vitamin B1), riboflavin (vitamin B2), niacin (vitamin B3), pantothenic acid (vitamin B5), vitamin B6 (pyridoxine, pyridoxamine, or pyridoxal), biotin (vitamin B7), folic acid (folate or vitamin B9), and vitamin B12 (cobalamin or cyanocobalamin). The B complex vitamins are water soluble and often found together in natural food sources. The B vitamins are important for the maintenance and enhancement of the hair, eyes, skin, and liver. The vitamin B complex is found in vegetables, meat, seeds, eggs, and poultry. Each individual vitamin in the complex has been researched. Published research delineates certain characteristics that support the idea that the complex as a whole aids in the prevention and treatment of cancer. Thiamine is used to assist in the breakdown of sugars, and it prevents nerve and heart problems. Thiamine has been shown to combat cancer by suppressing transketolase activity in blood, spleen, and tumor cells. Transketolase is a key enzyme in the pentose phosphate pathway, which is a pathway extensively used by tumor cells (Thomas et al., 2007). Riboflavin is essential for vitamin B6 and folate activity by changing vitamin B6 and folate to their active form. The American Medical Association completed a 400,000 person population study in which researchers measured the amount of specific vitamins in the individuals’ blood serum. After looking at the level of riboflavin, there was no correlation found between the amount of riboflavin in the blood serum and the chance of getting cancer in five years (Johansson et al., 2010). Niacin works with coenzyme Poly-ADP-ribose polymerases (PARPs). PARPs function in DNA repair, stress responses, cell signaling, transcription, regulation, apoptosis, chromatin structure, and cell differentiation (Hidgon & Drake, 2008). The range of niacin’s functions in cell maintenance, particularly its role in DNA integrity, suggests that niacin might play a role in cancer prevention. Gillian Chugg Arleigh Grecco Pantothenic acid, a part of coenzyme A, is needed for the production of melatonin. An antitumor effect was shown on mice that received daily amounts of melatonin (Sharman, E.H., Sharman, K.G., & Bondy, 2011). A possible way to decrease tumor size and number is to increase the amount of pantothenic acid, which affects melatonin production. Though pantothenic acid and melatonin’s effects on tumor growth will not be studied directly in this research, the belief that pantothenic acid is potentially related to cancer is an important topic to note. Biotin, through biotinylation and holocarboxylase synthetase (HCS), forms histones which are important proteins for DNA (Hidgon & Drake, 2008). Because cancer prevention and treatment rely on keeping DNA integrity, biotin may help prevent or treat cancer through its affect on histones. The sole job of folate coenzymes is “mediating the transfer of one-carbon units” (Hidgon & Drake, 2008). Folate coenzymes are important in correctly synthesizing DNA and methylation (Hidgon & Drake, 2008). An above-median level of folate in the blood serum did not show any correlation with a decrease in lung cancer alone, though (Johansson et al., 2010). Cornelia Ulrich states that high folate intake aids in cancer prevention, but folate supplementation may be dangerous when cancer has already developed (“Folate,” 2007, p. 271). Not only does high folate intake aid in cancer prevention, low folate intake can actually cause cancer because low folate has a chromosome-breaking effect (“Folate,” 2007, p. 271) (Fenech, 2011). A current problem related to folate is that the current recommended daily intake may be too low to prevent chromosomal damage (Fenech, 2011). Vitamin B12 in the form of methylcobalamin is used by the body for methionine sythase, an enzyme needed for making methionine. Methionine is needed for normal metabolism and growth. Vitamin B12 is also involved in the metabolism of every cell in the body, especially in DNA synthesis. However, the American Medical Association studied the level of vitamin B12 in the body, and no correlation was shown between amounts of vitamin B12 in blood serum and the chance of getting cancer in five years (Johansson et al., 2010). Michael Fenech has an opposing view, though. Because vitamin B12 is an essential cofactor for “the maintenance of methylation patterns in DNA,” which affects genes and chromosomes, and because irregular methylation pattern maintenance increases the risk for cancer, Fenech has significant reason to believe that low vitamin B12 can cause cancer. Similarly to folate, the current recommended daily intake for vitamin B12 may be too low to prevent chromosomal damage (Fenech, 2011). The specific preventative and anti-cancerous properties of vitamin B6 and the B complex as a whole will be studied more directly in this research. Vitamin B6 contributes to the body’s formation of neurotransmitters, leveling homocysteine levels (Sun, Haven, Tsao, & Wu, 2002), and the synthesis of serine and tetrahydrofolate to glycine, helping to correctly make DNA (van den Donk, Visker, Harryvan, Kok, & Kampman, 2006). Neurotransmitters help develop melatonin, of which the anticancerous properties have been previously identified (Hidgon & Drake, 2008). Vitamin B6, in addition to folate and vitamin B12, contributes to monitoring the amount of homocysteine in the blood (Sun, Haven, Tsao, & Wu, 2002). Higher levels of homocysteine have been found in cancer patients, but studies indicate that higher levels of homocysteine are not a cause of cancer and are only an effect of cancerous cell proliferation (Sun, Haven, Tsao, & Wu, 2002). Because of this, vitamins that regulate levels of Gillian Chugg Arleigh Grecco homocysteine would be more of a treatment for cancer as opposed to a preventive measure. In the American Medical Association’s population study, above-median levels of vitamin B6 and methionine showed a 50 % decrease in lung cancer development within five years (Johansson et al., 2010). The Antitumor effect of vitamin B6 and its mechanisms review states that vitamin B6 may slow down the development of tumors by slowing down cell development, free radical damage, and the creation of new blood vessels (Komatsu, Yanaka, Matsubara, & Kato, 2002). A dose dependent relationship has been identified in cases when vitamin B6 induces chromosomal breakages; the higher the dose, the greater chance of breakages (Takeuchi, Antunes, & Takahashi, 2007). Multiple studies have studied the effects of multiple B vitamins in combination. In the American Medical Association’s population study, above-median levels of vitamin B6, methionine, and folate showed a 66 % decrease in developing lung cancer within five years versus only a 50% decrease with above-median levels of vitamin B6 and methionine (Johansson et al., 2010). A different study was published that combined CoenzymeQ10, riboflavin and niacin (Premkumar, Yuvaraj, Sathish, Shanthi, & Sachdanandam, 2008). After giving breast cancer patients, CoenzymeQ10, riboflavin and niacin, there was a decrease in angiogenic influences and an increase in anti-angiogenic influences (Premkumar, et al., 2008). Studies demonstrate that combinations of B vitamins produce more positive results. Research has been published on individual components of B vitamins and certain combinations of different B vitamins together and how preventive or anti-cancerous the vitamins are, however, these researches could not find studies done with the B complex as a whole in relation to cancer. In addition, there are multiple contradicting studies. Van den Donk et al. (2006) cites multiple studies that contradict each other surrounding the B vitamins and cancer, thus concluding that more research is necessary. This research will look into lung cancer and study how anti-cancerous Vitamin B complex is compared to Vitamin B6 alone. Previous research suggests that our study may be fulfilling a vitamin B6 deficiency for cancer patients (Depeint, Bruce, Shangari, Mehta, & O’Brien, 2006). The B vitamins play an essential role in maintaining mitochondrial function and mitochondria are compromised by a deficiency of any B vitamin (Depeint et al., 2006). Vitamin B therapy has been shown to alleviate B deficiency symptoms and prevents mitochondrial toxicity (Depeint et al., 2006). Depeint et al. (2006) found B vitamins to be effective at preventing oxidative stress toxicity as well as Takeuchi, Antunes, & Takahashi (2007, pg. 669), who found that a vitamin B6 deficiency “decreases the antioxidant defense system” and “increases oxidative stress in rat liver tissue.” A weak antioxidant defense system and increased oxidative stress are both qualities common among cancer patients. According to the American Medical Association’s study, “lung cancer remains the most common cause of cancer death… today” (Johansson et al., 2010, pg. 2384). If more research is done on the anti-cancerous properties of B vitamins, then it helps save or prolong the lives of those living with lung cancer. Gillian Chugg Arleigh Grecco Methods and Materials: Basic materials needed for cell culture were acquired and HCT-116 colorectal cancer cells were cultured in a 75cc flask. Once this flask reached a confluency of approximately 70%, the cells were split into a well plate with approximately 4,000 cells per well. All of the wells either contained untreated control media, vitamin B6 (GNC, 255214) treated media, or vitamin B-complex (GNC, 017913)treated media. The amount of vitamins to be added to the experimental media was determined by a proportion of the amount of vitamins that would be absorbed by a human body of approximately 5,600mL of blood proportionate to 4mL of media; the amount of media in each well. Rows of three wells were taken down on a set schedule of approximately every other day. A hemocytometer was then used to count the alive cells in each well. Data: Table 1: Control trial data of number of alive cells/mL counted on certain days since seeding Days Since Number of Alive Seeding Cells/mL 0 4000 4 45185 5 309894 6 757500 7 1795000 8 2276250 Table 2: Vitamin B6 trial data of number of alive cells/mL counted on certain days since seeding Days Since Number of Seeding Alive Cells/mL 0 4000 4 84444.44 6 983750 8 1790000 Gillian Chugg Arleigh Grecco Table 3: Vitamin B-complex trial data of number of alive cells/mL counted on certain days since seeding Days Since Number of Seeding Alive Cells/mL 0 4000 4 135000 5 402118 6 1133333 7 1842222 8 2363667 Results: Table 4: χ2 Values for Vitamin treatment data compared to control data per day Vitamin B6 χ2 Value Vitamin B-Complex χ2 Value Day 6 240082.56 831671.24 Day 7 N/A 29811.1 Day 8 721684.43 85145.07 Gillian Chugg Arleigh Grecco Graph 1: Compiled Data for Control and Experimental Trials Comparing Days Since Seeding and the Number of Alive Cells/mL 2500000 Number of Alive Cells/mL 2000000 1500000 Control 1000000 Vitamin B6 Experimental Vitamin B-Complex Experimental 500000 0 0 -500000 2 4 6 Days Since Seeding 8 10 Gillian Chugg Arleigh Grecco Discussion: As a result of completing the stated procedure with multiple trials, the data suggests that Bcomplex has a negative effect on the growth (makes the cells grow faster) and B6 has a positive effect (makes the cells grow slower). Consequently, the original hypothesis, “If vitamin B6 and vitamin Bcomplex are applied to separate cell cultures of colorectal cancer cells, then the cells applied with the vitamin B-complex will better slow the growth of the cancer cells because all parts of the B-complex have anti-cancerous properties that often work synergistically,” is not supported. With respect to previous research on this topic, these results further support that vitamin B6 has beneficial anti-cancerous properties on its own. Because research on the entire B-complex in accordance with cancer was unprecedented before this research, these results suggest that all of the B vitamins used together in accordance with cancer has adverse effects. These conclusions are able to be drawn because results of the chi-square test that was run on the day six, seven, and eight data points (in Table 4). The critical value for a 95% confidence interval with two degrees of freedom is 5.99. As seen in Table 4, all of the calculated chi-square values (240082.56, 721684.43, 831671.24, 29811.1, and 85145.07) far exceed 5.99 indicating statistically significant differences for both the B-complex and B6 treated trials, however the B-complex treated trial is significantly higher and the B6 treated trial is significantly lower when compared to the control. Nonetheless, this research is still extremely important. The results of this research cannot be fully compared to how the vitamins react in a human body system, but the research suggests that a colorectal cancer patient should not take vitamin Bcomplex because B-complex could make the cancer progress faster, but a colorectal cancer patient should take vitamin B6 alone because vitamin B6 could slow down cancer cell growth. Future work that can be done in accordance with this project includes testing B-complex and B6 on a different cancer cell line, determining why exactly B6 decreases the growth of colorectal cancer cells, optimizing vitamin concentrations, or testing different vitamin combinations. Gillian Chugg Arleigh Grecco References: ATCC (n.d.) Product Description CCL-247. Retrieved from http://www.atcc.org/ATCCAdvancedCatalog Search/ProductDetail/tabid/452/Default.aspx?ATCCNum=CCL-247&Template=cellBiology Depeint, F., Bruce, W. R., Shangari, N., Mehta, R., O’Brien, P. J. (2006). Mitochondrial function and toxicity: Role of the B vitamin family on mitochondrial energy metabolism. Elsevier, 163, 94-112. doi: 10.1016/j.cbi.2006.04.014 Folate and cancer prevention: a closer look at a complex picture [Editorial]. (2007, September 7) The American Journal of Clinical Nutrition, p 271-273. Fenech, M. (September 2011). Folate (vitamin B9) and vitamin B12 and their function in the maintenance of nuclear and mitochondrial genome integrity. Elsevier. doi: 10.1016/j.mrfmmm.2011.11.003 GNC (n.d.) GNC Vitamin B-Complex 50. Retrieved from http://www.gnc.com/product/index.jsp?product Id=2133317 GNC (n.d.) GNC Vitamin B-6 100. Retrieved from http://www.gnc.com/product/index.jsp?productId=21 33446 Hidgon, J., & Drake, V. J. (2008). Micronutrient information center. Retrieved from http://lpi.oregonstate.edu/infocenter/ Gillian Chugg Arleigh Grecco Johansson, M., Relton, C., Ueland, P. M., Vollset, S. E., Midttun, O., Nygard, O., . . . Brennan, P. (2010). Serum B vitamin levels and risk of lung cancer. JAMA, 303, 2377-2385. doi: 10.1001/jama.2010.808 Komatsu, S., Yanaka, N., Matsubara, K., & Kato, N. (2002). Antitumor effect of vitamin B6 and its mechanisms review. Biochemica et Biophysica Acta (BBA) - Proteins & Proteomics, 1647, 127-130. doi:10.1016/S1570-9639(03)00076-1 Premkumar, V. 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Retrieved from http://www.atcc.org/ATCCAdvancedCatalog Search/ProductDetail/tabid/452/Default.aspx?ATCCNum=CCL-247&Template=cellBiology