Hilakivi-Clarke Leena, Olivo Susan E, Shajahan Ayesha, Khan Galam, Zhu Yuelin, Zwart Alan, Cho Elizabeth, Clarke Robert
Department of Oncology, Georgetown University Medical Center, Washington, DC 20057, USA.
J Nutr. 2005 Dec;135(12 Suppl):2946S-2952S. doi: 10.1093/jn/135.12.2946S.
Dietary exposures during childhood may influence later breast cancer risk. We tested in an animal model the hypothesis that prepubertal intake of (n-3) PUFAs, present mainly in fish, reduces susceptibility to breast cancer. Between postnatal days 5 to 25, rat pups were fed (n-3) PUFA-containing diets at a 2:1 ratio of (n-6):(n-3) PUFAs (typical of prehistoric societies) or a control (n-6) PUFA diet at a 17:1 ratio of (n-6):(n-3) PUFAs (comparable with current Western societies). These fatty acids were given in a low- or high-fat context (16 or 39% energy from fat). The low-(n-3) PUFA diet reduced while the high-(n-3) PUFA diet increased carcinogen-induced mammary tumorigenesis. The low-(n-3) PUFA diet reduced mammary cell proliferation and increased apoptosis, particularly in the terminal end buds (the mammary source of malignant breast tumors). The high-(n-3) PUFA diet had opposite effects on these 2 key biomarkers and increased phospho-Akt levels, a survival factor. Microarray analyses identified genes that were permanently upregulated in the low-(n-3) PUFA-exposed glands and function in oxidative damage repair. Serum levels of 8-hydroxy-2'deoxyguanosine, a marker of DNA damage, were significantly reduced in these low-(n-3) PUFA-fed rats, and increased in the high-(n-3) PUFA-exposed group. The latter group exhibited reduced expression of BRCA1, a DNA repair gene. Our results indicate that the opposing susceptibilities to mammary tumorigenesis between the low- versus high-fat (n-3) PUFA-exposed groups were associated with altered DNA damage repair and gene expression linked to proliferation, survival, and differentiation.
儿童时期的饮食暴露可能会影响日后患乳腺癌的风险。我们在动物模型中测试了以下假设:青春期前摄入主要存在于鱼类中的(n-3)多不饱和脂肪酸(PUFAs)可降低患乳腺癌的易感性。在出生后第5至25天,给幼鼠喂食(n-6):(n-3)PUFAs比例为2:1的含(n-3)PUFA饮食(史前社会的典型比例)或(n-6):(n-3)PUFAs比例为17:1的对照(n-6)PUFA饮食(与当前西方社会相当)。这些脂肪酸以低脂肪或高脂肪的形式提供(分别提供16%或39%的能量)。低(n-3)PUFA饮食可降低致癌物诱导的乳腺肿瘤发生,而高(n-3)PUFA饮食则会增加其发生。低(n-3)PUFA饮食可减少乳腺细胞增殖并增加细胞凋亡,尤其是在终末芽(恶性乳腺肿瘤的乳腺来源)中。高(n-3)PUFA饮食对这两个关键生物标志物有相反的影响,并增加了存活因子磷酸化Akt的水平。微阵列分析确定了在低(n-3)PUFA暴露腺体中永久上调且在氧化损伤修复中起作用的基因。在这些喂食低(n-3)PUFA的大鼠中,DNA损伤标志物8-羟基-2'-脱氧鸟苷的血清水平显著降低,而在高(n-3)PUFA暴露组中则升高。后一组中DNA修复基因BRCA1的表达降低。我们的结果表明,低脂肪与高脂肪(n-3)PUFA暴露组对乳腺肿瘤发生的相反易感性与DNA损伤修复改变以及与增殖、存活和分化相关的基因表达改变有关。