Gupta S, Hastak K, Ahmad N, Lewin J S, Mukhtar H
Department of Dermatology, Case Western Reserve University & The Research Institute of University Hospitals of Cleveland, Cleveland, OH 44106, USA.
Proc Natl Acad Sci U S A. 2001 Aug 28;98(18):10350-5. doi: 10.1073/pnas.171326098. Epub 2001 Aug 14.
Development of effective chemopreventive agents against prostate cancer (CaP) for humans requires conclusive evidence of their efficacy in animal models that closely emulates human disease. The autochthonous transgenic adenocarcinoma of the mouse prostate (TRAMP) model, which spontaneously develops metastatic CaP, is one such model that mimics progressive forms of human disease. Employing male TRAMP mice, we show that oral infusion of a polyphenolic fraction isolated from green tea (GTP) at a human achievable dose (equivalent to six cups of green tea per day) significantly inhibits CaP development and increases survival in these mice. In two separate experiments, the cumulative incidence of palpable tumors at 32 weeks of age in 20 untreated mice was 100% (20 of 20). In these mice, 95% (19 of 20), 65% (13 of 20), 40% (8 of 20), and 25% (5 of 20) of the animals exhibited distant site metastases to lymph nodes, lungs, liver, and bone, respectively. However, 0.1% GTP (wt/vol) provided as the sole source of drinking fluid to TRAMP mice from 8 to 32 weeks of age resulted in (i) significant delay in primary tumor incidence and tumor burden as assessed sequentially by MRI, (ii) significant decrease in prostate (64%) and genitourinary (GU) (72%) weight, (iii) significant inhibition in serum insulin-like growth factor-I and restoration of insulin-like growth factor binding protein-3 levels, and (iv) marked reduction in the protein expression of proliferating cell nuclear antigen (PCNA) in the prostate compared with water-fed TRAMP mice. The striking observation of this study was that GTP infusion resulted in almost complete inhibition of distant site metastases. Furthermore, GTP consumption caused significant apoptosis of CaP cells, which possibly resulted in reduced dissemination of cancer cells, thereby causing inhibition of prostate cancer development, progression, and metastasis of CaP to distant organ sites.
开发针对人类前列腺癌(CaP)的有效化学预防剂需要在能紧密模拟人类疾病的动物模型中获得其疗效的确凿证据。小鼠前列腺原位转基因腺癌(TRAMP)模型能自发发展为转移性CaP,是一种模拟人类疾病进展形式的模型。利用雄性TRAMP小鼠,我们发现以人类可达到的剂量(相当于每天六杯绿茶)口服从绿茶中分离出的多酚组分(GTP),可显著抑制CaP的发展并提高这些小鼠的存活率。在两项独立实验中,20只未治疗小鼠在32周龄时可触及肿瘤的累积发生率为100%(20/20)。在这些小鼠中,分别有95%(19/20)、65%(13/20)、40%(8/20)和25%(5/20)的动物出现远处淋巴结、肺、肝和骨转移。然而,从8至32周龄为TRAMP小鼠提供0.1% GTP(重量/体积)作为唯一饮用水源,导致:(i)通过MRI连续评估,原发性肿瘤发生率和肿瘤负荷显著延迟;(ii)前列腺重量(64%)和泌尿生殖系统(GU)重量(72%)显著降低;(iii)血清胰岛素样生长因子-I显著抑制,胰岛素样生长因子结合蛋白-3水平恢复;(iv)与饮水喂养的TRAMP小鼠相比,前列腺中增殖细胞核抗原(PCNA)的蛋白表达显著降低。该研究的显著发现是,GTP输注几乎完全抑制了远处转移。此外,饮用GTP导致CaP细胞显著凋亡,这可能导致癌细胞扩散减少,从而抑制前列腺癌的发展、进展以及CaP向远处器官部位的转移。