RT Journal Article T1 Possible role of chondroitin sulphate and glucosamine for primary prevention of colorectal cancer. Results from the MCC-Spain study. A1 Ibáñez-Sanz, Gemma A1 Díez-Villanueva, Anna A1 Vilorio-Marqués, Laura A1 Gracia, Esther A1 Aragonés, Nuria A1 Olmedo-Requena, Rocío A1 Llorca, Javier A1 Vidán, Juana A1 Amiano, Pilar A1 Nos, Pilar A1 Fernández-Tardón, Guillermo A1 Rada, Ricardo A1 Chirlaque, María Dolores A1 Guinó, Elisabet A1 Dávila-Batista, Verónica A1 Castaño-Vinyals, Gemma A1 Pérez-Gómez, Beatriz A1 Mirón-Pozo, Benito A1 Dierssen-Sotos, Trinidad A1 Etxeberria, Jaione A1 Molinuevo, Amaia A1 Álvarez-Cuenllas, Begoña A1 Kogevinas, Manolis A1 Pollán, Marina A1 Moreno, Victor AB A safe and effective colorectal cancer (CRC) chemoprevention agent remains to be discovered. We aim to evaluate the association between the use of glucosamine and/or chondroitin sulphate and risk of colorectal cancer (CRC) in the MCC-Spain study, a case-control study performed in Spain that included 2140 cases of CRC and 3950 population controls. Subjects were interviewed on sociodemographic factors, lifestyle, family and medical history and regular drug use. Adjusted odds ratios and their 95% confidence intervals were estimated. The reported frequency of chondroitin and/or glucosamine use was 2.03% in controls and 0.89% in cases. Users had a reduced risk of CRC (OR: 0.47; 95% CI: 0.28-0.79), but it was no longer significant when adjusted for NSAID (nonsteroidal anti-inflammatory drugs) use (OR: 0.82; 95% CI: 0.47-1.40). A meta-analysis with previous studies suggested a protective effect, overall and stratified by NSAID use (OR: 0.77; 95% CI: 0.62-0.97). We have not found strong evidence of an independent preventive effect of CG on CRC in our population because the observed effects of our study could be attributed to NSAIDs concurrent use. These results merit further research due to the safety profile of these drugs. YR 2018 FD 2018-02-01 LK http://hdl.handle.net/10668/12077 UL http://hdl.handle.net/10668/12077 LA en DS RISalud RD Apr 6, 2025