RAW or COOKED FOODS
Tiến sĩ Bùi Quốc Quang

Recently the consumption of raw seafood (sushi, sashimi, etc.) has been raised due to the possible presence of heavy metals (methyl mercury, lead, etc.,) and parasites. Should we eat only cooked food? I’m not convinced.

The Maillard reaction is responsible for the formation of browning products contributing to color, odor and taste of grilled (thịt nướng, thịt BBQ, v.v) and/or processed foods (nước mầu kho thịt cá, v.v.). Browing reaction products from mainly glucose and aspargine are responsible for the formation of acrylamide (AA) in foods (Ho CT, 2006). The presence of AA in foods causes considerable concern since AA is classified as probably carcinogenic to humans by the International Agency for Research on Cancer (IARC, 1994)

AA is readily absorbed and metabolized in the human body. A metabolic pathway is the CYP2E1 (cytochrome P450 2E1) dependent oxidation of AA leading to the formation of the genotoxic epoxide glycidamide (GA)(Sumner et al., 1999). GA reacts with DNA and other macro-molecules forming adducts (GA-adducts) and this is probably the main pathway responsible for the carcinogenic effect of AA (Dearfield et al., 1995). A major detoxification pathway is glutathione conjugation resulting in urinary excretion of a mercapturic acid derivative (MA-AA). This deactivation pathway therefore competes with the formation of GA adducts. The above kinetics are not unique to AA. Indeed, a large number of chemical carcinogens are biotransformed to more toxic metabolites by phase I activation enzymes, such as CYP2E1 or to non-toxic compounds by phase II enzymes, such as glutathione-S-transferase. CYP2E1 is an inducible enzyme found mainly in the liver, but is also found in significant levels in other human tissues. The role of CYP2E1 in epoxidation of AA to GA and formation of GA-adducts has been demonstrated and ascertained. Whether or not AA can induce cancer in an individual depends on two factors. The individual variations in the dietary intake of AA and the genetic polymorphisms affecting enzymes involved in biotransformation are the two most important determinants of the individual susceptibility to chemical carcinogens. Depletion of the glutathione through the chronic use of certain medications may also contribute to the overall risk of individual for AA-associated disease such as neurotoxicity and cancer.

One thing for sure is that raw seafood is not associated with cancer whereas grilled food may be. So, in my opinion, the best way to balance our diet and gene-interaction is to enjoy a combination of seafood and products of Maillard reaction such as cá nướng, cá kho tộ, tôm càng nướng, sò huyết nướng lò, v.v. Ăn ngon quên chết. Quên chết thì ngán gì cancer với ba thứ parasites vớ vẩn.

Until the next time, stay healthy.
Buiquốc Quang
April 2009

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