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膳食脂肪、卡路里与乳腺肿瘤发生

Dietary fat, calories, and mammary gland tumorigenesis.

作者信息

Welsch C W

机构信息

Department of Pharmacology and Toxicology, Michigan State University, East Lansing.

出版信息

Adv Exp Med Biol. 1992;322:203-22. doi: 10.1007/978-1-4684-7953-9_16.

Abstract

In this communication, a vast array of studies designed to examine the relationship between dietary fat and experimental mammary gland tumorigenesis was reviewed and critiqued. It is clear, as reported by many laboratories, that as the fat content of the diet is increased from a low or standard level to a high level, a consistent and substantial increase in the development of rodent mammary gland tumors is observed. The longer the duration the high-fat diet is fed, the greater the enhancing effect on tumorigenesis. Furthermore, the stimulatory effect of a high-fat diet is observed even when fed commencing late in an animal's life. A multitude of studies also have provided evidence that the type of fat can markedly influence the development of rodent mammary gland tumors. In general, high dietary levels of unsaturated fats (e.g., corn oil, sunflower-seed oil) stimulate this tumorigenic process more than high levels of saturated fats (e.g., beef tallow, coconut oil); diets rich in certain fish oils (e.g., Menhaden oil, Max EPA) are often the most inhibitory to this tumorigenic process. Importantly, however, supplementation of saturated fat or fish oil diets with modest amounts of unsaturated fats, e.g., corn oil, often negates the mammary tumor inhibitory activities of these fats. Thus, rather extreme differences in the types of fat are required for a differential in mammary gland tumorigenesis; common proportionate blends of different fats of animal, plant, and/or fish origin are often unable to differentially influence this tumorigenic process. Diets rich in monoenoic fatty acids, e.g., those containing high levels of olive oil, have been examined in a number of studies; results from these studies have been inconsistent. A number of reports suggest that the increase in development of mammary tumors in rodents fed a high-fat diet, compared with those fed a low-fat diet, is due to specific metabolic activities of the fat per se, activities independent of a caloric mechanism. Careful analysis of these reports suggest that such a conclusion may not be totally warranted. Indeed, persuasive evidence is accumulating indicating that the major mammary tumor development enhancing activities of a high-fat diet may be via a caloric (energy) mechanism. Caloric restriction, even in animals fed a high-fat diet, significantly suppresses mammary tumor development. Even mild caloric restriction (e.g., 12%) can significantly suppress development of mammary tumors in rodents.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

在本通讯中,对一系列旨在研究膳食脂肪与实验性乳腺肿瘤发生之间关系的研究进行了综述和批判。正如许多实验室所报告的那样,很明显,随着饮食中的脂肪含量从低水平或标准水平增加到高水平,啮齿动物乳腺肿瘤的发生率会持续且显著增加。高脂饮食喂养的时间越长,对肿瘤发生的促进作用就越大。此外,即使在动物生命后期开始喂食高脂饮食,也能观察到其刺激作用。大量研究还提供了证据表明,脂肪的类型可显著影响啮齿动物乳腺肿瘤的发生。一般来说,高膳食水平的不饱和脂肪(如玉米油、葵花籽油)比高膳食水平的饱和脂肪(如牛脂)更能刺激这种肿瘤发生过程;富含某些鱼油(如鲱鱼油、Max EPA)的饮食通常对这种肿瘤发生过程抑制作用最强。然而,重要的是,在饱和脂肪或鱼油饮食中添加适量的不饱和脂肪,如玉米油,往往会抵消这些脂肪对乳腺肿瘤的抑制活性。因此,为了在乳腺肿瘤发生上产生差异,需要脂肪类型有相当大的差异;动物、植物和/或鱼类来源的不同脂肪的常见比例混合通常无法对这种肿瘤发生过程产生差异影响。在一些研究中对富含单不饱和脂肪酸的饮食,如那些含有高水平橄榄油的饮食进行了研究;这些研究的结果并不一致。一些报告表明,与喂食低脂饮食的啮齿动物相比,喂食高脂饮食的啮齿动物乳腺肿瘤发生率增加是由于脂肪本身的特定代谢活动,这些活动独立于热量机制。对这些报告的仔细分析表明,这样的结论可能并不完全合理。事实上,越来越多有说服力的证据表明,高脂饮食促进乳腺肿瘤发生的主要活动可能是通过热量(能量)机制。热量限制,即使在喂食高脂饮食的动物中,也能显著抑制乳腺肿瘤的发生。即使是轻度的热量限制(如12%)也能显著抑制啮齿动物乳腺肿瘤的发生。(摘要截选至400字)

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