Reddy B S, Narisawa T, Maronpot R, Weisburger J H, Wynder E L
Cancer Res. 1975 Nov;35(11 Pt. 2):3421-6.
Studies in metabolic epidemiology have shown a strong association between dietary fat intake, level of fecal anaerobic bacteria, fecal acid, and neutral sterols and the risk of colon cancer among different populations. Current concepts visualize that colonic bile acids and cholesterol metabolites play a modifying role in large bowel carcinogenesis, that these compounds are derived from dietary factors (directly or indirectly), and that they subsequently are modified by the intestinal bacteria. In the animal model, 2 bile acids (lithocholic and taurodeoxycholic) acted as colon tumor promoters. Rats fed a high-fat diet were more susceptible to colon tumor induction by 1,2-dimethylhydrazine compared to animals fed a normal-fat diet. The intestinal microflora also played a modifying role in enhancing colon tumor production by 1,2-dimethylhydrazine.
代谢流行病学研究表明,不同人群的饮食脂肪摄入量、粪便厌氧菌水平、粪便酸和中性固醇与结肠癌风险之间存在密切关联。当前的观点认为,结肠胆汁酸和胆固醇代谢产物在大肠癌变过程中起调节作用,这些化合物源自饮食因素(直接或间接),随后被肠道细菌修饰。在动物模型中,两种胆汁酸(石胆酸和牛磺去氧胆酸)起到结肠肿瘤促进剂的作用。与喂食正常脂肪饮食的动物相比,喂食高脂肪饮食的大鼠对1,2 - 二甲基肼诱导的结肠肿瘤更敏感。肠道微生物群在增强1,2 - 二甲基肼诱发结肠肿瘤方面也发挥了调节作用。