Ghosh Jagadananda
Department of Urology, Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI 48202, USA.
Biochem Biophys Res Commun. 2004 Mar 12;315(3):624-35. doi: 10.1016/j.bbrc.2004.01.100.
Recent clinical trials have documented that selenium significantly reduces the incidence of clinical prostate cancer. However, nothing is clearly known about the underlying molecular mechanisms by which selenium exerts its anti-cancer effect. This report provides evidence that selenium at micro-molar concentrations induces rapid apoptotic death in human prostate cancer cells, but not in normal prostate epithelial cells. Apoptosis involves activation of caspase 3 which plays a critical role in the cell death process. Interestingly, the apoptosis-inducing effect of selenium in prostate cancer cells is substantially alleviated by the 5-lipoxygenase metabolites, 5(S)-HETE and its dehydrogenated derivative 5-oxoETE, but not by metabolites of 12-lipoxygenase (12(S)-HETE) or 15-lipoxygenase (15(S)-HETE). Apoptosis is also prevented by their precursor, arachidonic acid, an omega-6, polyunsaturated fatty acid, presumably by metabolic conversion through the 5-lipoxygenase pathway. These results indicate that selenium's anticancer effect may involve induction of apoptosis specifically in prostate cancer cells sparing normal prostate epithelial cells, and that 5-lipoxygenase may be a molecular target of selenium's anticancer action. The present report warrants that care should be taken about high intake of dietary fat containing arachidonic acid or its precursor fatty acids when selenium is used for the management of prostate cancer, and suggests that a combination of selenium and 5-lipoxygenase inhibitors may be a more effective regimen for prostate cancer control.
近期的临床试验已证明,硒能显著降低临床前列腺癌的发病率。然而,关于硒发挥抗癌作用的潜在分子机制,目前尚无明确了解。本报告提供的证据表明,微摩尔浓度的硒可诱导人前列腺癌细胞快速凋亡死亡,但对正常前列腺上皮细胞无此作用。细胞凋亡涉及半胱天冬酶3的激活,其在细胞死亡过程中起关键作用。有趣的是,5-脂氧合酶代谢产物5(S)-HETE及其脱氢衍生物5-氧代ETE可显著减轻硒对前列腺癌细胞的凋亡诱导作用,而12-脂氧合酶的代谢产物(12(S)-HETE)或15-脂氧合酶的代谢产物(15(S)-HETE)则无此作用。它们的前体花生四烯酸(一种ω-6多不饱和脂肪酸)也可阻止细胞凋亡,推测是通过5-脂氧合酶途径进行代谢转化实现的。这些结果表明,硒的抗癌作用可能涉及特异性诱导前列腺癌细胞凋亡,而不影响正常前列腺上皮细胞,并且5-脂氧合酶可能是硒抗癌作用的分子靶点。本报告提醒,在使用硒治疗前列腺癌时,应注意避免高摄入含花生四烯酸或其前体脂肪酸的膳食脂肪,并表明硒与5-脂氧合酶抑制剂联合使用可能是控制前列腺癌更有效的方案。