The China Study

The China Study by T. Colin Campbell, Thomas M. Campbell Page A

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protein consumption. But how much protein is too
much or too little? Using rats, we investigated a range of 4-24% dietary
protein (Chart 3.637 ). Foci did not develop with up to about 10% dietary
protein. Beyond 10%, foci development increased dramatically with in-
creases in dietary protein. The results were later repeated a second time in
my laboratory by a visiting professor from Japan, Fumiyiki Horio.38

     CHART 3.6: FOCI PROMOTION BY DIETARY PROTEIN

     90

     80

     70

     60
     +-'
     Adequate Protein
     C
     ClJ
     E for Body Growth
     50
     0.
     o
     Qj
     >
     ClJ
     40
     o
     'u
     o
     LL
     30

     20

     10

     4 6 8 10 12 14 20
     % Dietary Protein
58 THE CHINA STUDY

    The most significant finding of this experiment was this: foci devel-
o p e d only when the animals met or exceeded the amount of dietary
protein (12%) needed to satisfy their body growth rate. 39 That is, when
the animals met and surpassed their requirement for protein, disease
onset began.
    This finding may have considerable relevance for humans even
though these were rat studies. I say this because the protein required
for growth in young rats and humans as well as the protein required to
maintain health for adult rats and humans is remarkably similar.4o,41
    According to the recommended daily allowance (RDA) for protein
consumption, we humans should be getting about 10% of our energy
from protein. This is considerably more than the actual amount required.
But because requirements may vary from individual to individual, 10%
dietary protein is recommended to insure adequate intake for virtually
all people. What do most of us routinely consume? Remarkably, it is
considerably more than the recommended 10%, The average American
consumes 15-16% protein. Does this place us at risk for getting cancer?
These animal studies hint that it does.
Ten percent dietary protein is equivalent to eating about 50-60 grams
of protein per day; depending on body weight and total calorie intake. The
national average of 15-16% is about 70-100 grams of protein per day; with
men at the upper part of the range and women at the lower end, In food
terms, there are about twelve grams of protein in 100 calories of spinach
(fifteen ounces) and five grams of protein in 100 calories of raw chick peas
Gust over two tablespoons). There are about thirteen grams of protein in
100 calories of porterhouse steak Gust over one and a half ounces).
Yet another question was whether protein intake could modify the
all-important relationship between aflatoxin dose and foci formation.
A chemical is usually not considered a carcinogen unless higher doses
yield higher incidences of cancer. For example, as the aflatoxin dose
becomes greater, foci and tumor growth should be correspondingly
greater. If an increasing response is not observed for a suspect chemical
carcinogen, serious doubt arises whether it really is carcinogenic.
To investigate this dose-response question, ten groups of rats were
administered increasing doses of aflatoxin, then fed either regular levels
(20%) or low levels (5-10%) of protein during the promotion period
(Chart 3.7 34 ) .
In the animals fed the 20% level of protein, foci increased in number and
size, as expected, as the aflatoxin dose was increased. The dose-response
59
     TURNING OFF CANCER

     CHART 3.7: AFLATOXIN DOSE-FOCI RESPONSE

     (])
     Vl
     C
     o
     a.
     _ 20% Protein
     Vl
     (])
     a::
     _ 5% Protein
     ·0
     o
     u..

     235 275 350
     200 300
     Aflatoxin Dose (mcglkg body weight/day)

relationship was strong and clear. However, in the animals fed 5% protein,
the dose-response curve completely disappeared. There was no foci response,
even when animals were given the maximum tolerated aflatoxin dose. This
was yet another result demonstrating that a low-protein diet could over-
ride the cancer-causing effect of a very powerful carcinogen, aflatoxin.
Is it possible that chemical carcinogens, in general, do not cause
cancer unless the nutritional conditions are "right"? Is it possible

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