Ramos Eduardo J B, Middleton Frank A, Laviano Alessandro, Sato Tomoi, Romanova Irina, Das Undurti N, Chen Chung, Qi Yong, Meguid Michael M
Surgical Metabolism and Nutrition Laboratory, Neuroscience Program, Department of Surgery, SUNY Upstate Medical University, University Hospital, Syracuse, NY 13210, USA.
J Am Coll Surg. 2004 Nov;199(5):716-23. doi: 10.1016/j.jamcollsurg.2004.07.014.
Dietary fish oil (rich in omega-3 fatty acids: eicosapentaenoic acid and docosahexaenoic acid) suppresses synthesis and activity of proinflammatory cytokines that induce anorexia. We hypothesized that dietary fish oil reverses the feeding pattern of tumor anorexia, increasing food intake and retarding tumor growth.
Thirty-two Fischer rats were placed in Automated Eater Meter cages and randomly divided into four groups: tumor bearing (TB) rats eating normal chow diet (TB-Chow); TB rats eating chow diet supplemented with omega-3 fatty acids (TB-omega-3FA); Controls, non-tumor bearing (NTB) rats eating normal chow (NTB-Chow); and NTB rats with omega-3 fatty acid supplementation (NTB-omega-3FA). Doses of 10(6) methylcholanthrene (MCA) sarcoma cells were subcutaneously injected in TB rats. Daily food intake, meal size (MZ), meal number (MN), body weight, and tumor volume were measured, and rats were euthanized at onset of anorexia. Data were statistically analyzed using analyses of variance (ANOVA) and t-tests. Data are reported as mean +/- SE.
Tumor appeared significantly earlier in TB-Chow than in TB-omega-3FA rats (7.5 +/- 0.3 days versus 11.6 +/- 0.8 days, p < 0.05). Daily food intake declined significantly in TB-Chow versus TB-omega-3FA rats 18 days after tumor inoculation and, at onset of anorexia, was 9.41 +/- 1.77 g/day versus 13.32 +/- 0.81 g/day, p < 0.05. Food intake decreased initially by decrease in meal number (at day 15) followed by a decrease in meal size (at day 18). At onset of anorexia, meal size and meal number were significantly decreased in TB-Chow versus TB-omega-3FA rats (0.75 +/- 0.067 g/meal versus 1.05 +/- 0.08 g/meal, p < 0.05) and (9.5 +/- 1.32 versus 12.79 +/- 0.93 meals/day, p < 0.05), respectively. Tumor volume was significantly smaller in TB-omega-3FA versus TB-Chow rats (7.6 +/- 0.6 cm(3) versus 16.5 +/- 1.0 cm(3), p < 0.05), as was tumor weight (7.5 +/- 2.2 g versus 18.1 +/- 1.6 g, p < 0.05).
In TB rats, omega-3FA improved food intake; restored normal eating pattern, delayed onset of anorexia, tumor appearance, and growth; and prevented body weight loss. Supplementation of omega-3 fatty acids has therapeutic potential in cancer anorexia.
膳食鱼油(富含ω-3脂肪酸:二十碳五烯酸和二十二碳六烯酸)可抑制诱导厌食的促炎细胞因子的合成和活性。我们推测膳食鱼油可逆转肿瘤性厌食的进食模式,增加食物摄入量并延缓肿瘤生长。
将32只Fischer大鼠置于自动进食计量笼中,随机分为四组:荷瘤(TB)大鼠食用普通饲料(TB-普通饲料);TB大鼠食用添加ω-3脂肪酸的饲料(TB-ω-3FA);对照组,非荷瘤(NTB)大鼠食用普通饲料(NTB-普通饲料);以及补充ω-3脂肪酸的NTB大鼠(NTB-ω-3FA)。将10⁶甲基胆蒽(MCA)肉瘤细胞皮下注射到TB大鼠体内。测量每日食物摄入量、餐量(MZ)、餐数(MN)、体重和肿瘤体积,并在厌食开始时对大鼠实施安乐死。使用方差分析(ANOVA)和t检验对数据进行统计学分析。数据报告为平均值±标准误。
TB-普通饲料组大鼠的肿瘤出现时间明显早于TB-ω-3FA组大鼠(7.5±0.3天对11.6±0.8天,p<0.05)。接种肿瘤18天后,TB-普通饲料组大鼠的每日食物摄入量与TB-ω-3FA组大鼠相比显著下降,在厌食开始时,分别为9.41±1.77克/天对13.32±0.81克/天,p<0.05。食物摄入量最初因餐数减少(第15天)而下降,随后餐量减少(第18天)。在厌食开始时,TB-普通饲料组大鼠的餐量和餐数与TB-ω-3FA组大鼠相比显著降低(分别为0.75±0.067克/餐对1.05±0.08克/餐,p<0.05)和(9.5±1.32餐/天对12.79±0.93餐/天,p<0.05)。TB-ω-3FA组大鼠的肿瘤体积明显小于TB-普通饲料组大鼠(7.6±0.6立方厘米对16.5±1.0立方厘米,p<0.05),肿瘤重量也是如此(7.5±2.2克对18.1±1.6克,p<0.05)。
在TB大鼠中,ω-3FA改善了食物摄入量;恢复了正常进食模式,延迟了厌食、肿瘤出现和生长的开始;并防止了体重减轻。补充ω-3脂肪酸在癌症厌食方面具有治疗潜力。