Department of Nutritional Science and Food Management, Ewha Womans University, Seoul, South Korea.
Transl Oncol. 2011 Oct;4(5):271-81. doi: 10.1593/tlo.11184. Epub 2011 Oct 1.
Numerous epidemiological studies have consistently demonstrated that individuals who eat more fruits and vegetables (which are rich in carotenoids) and who have higher serum β-carotene levels have a lower risk of cancer, especially lung cancer. However, two human intervention trials conducted in Finland and in the United States have reported contrasting results with high doses of β-carotene supplementation increasing the risk of lung cancer among smokers. The failure of these trials to demonstrate actual efficacy has resulted in the initiation of animal studies to reproduce the findings of these two studies and to elucidate the mechanisms responsible for the harmful or protective effects of carotenoids in lung carcinogenesis. Although these studies have been limited by a lack of animal models that appropriately represent human lung cancer induced by cigarette smoke, ferrets and A/J mice are currently the most widely used models for these types of studies. There are several proposed mechanisms for the protective effects of carotenoids on cigarette smoke-induced lung carcinogenesis, and these include antioxidant/prooxidant effects, modulation of retinoic acid signaling pathway and metabolism, induction of cytochrome P450, and molecular signaling involved in cell proliferation and/or apoptosis. The technical challenges associated with animal models include strain-specific and diet-specific effects, differences in the absorption and distribution of carotenoids, and differences in the interactions of carotenoids with other antioxidants. Despite the problems associated with extrapolating from animal models to humans, the understanding and development of various animal models may provide useful information regarding the protective effects of carotenoids against lung carcinogenesis.
许多流行病学研究一致表明,摄入更多水果和蔬菜(富含类胡萝卜素)、血清 β-胡萝卜素水平较高的个体,癌症风险较低,尤其是肺癌风险较低。然而,芬兰和美国进行的两项人体干预试验报告了相反的结果,高剂量 β-胡萝卜素补充剂增加了吸烟者患肺癌的风险。这些试验未能证明实际疗效,导致开展了动物研究,以重现这两项研究的结果,并阐明类胡萝卜素在肺癌发生过程中产生有害或保护作用的机制。尽管这些研究受到缺乏能够适当代表香烟烟雾诱导的人类肺癌的动物模型的限制,但雪貂和 A/J 小鼠目前是这些类型研究中最广泛使用的模型。类胡萝卜素对香烟烟雾诱导的肺癌发生具有保护作用的机制有几种,包括抗氧化/促氧化剂作用、调节视黄酸信号通路和代谢、诱导细胞色素 P450 以及参与细胞增殖和/或细胞凋亡的分子信号。动物模型相关的技术挑战包括特定品系和特定饮食的影响、类胡萝卜素的吸收和分布差异,以及类胡萝卜素与其他抗氧化剂的相互作用差异。尽管从动物模型推断到人类存在问题,但对各种动物模型的理解和开发可能为类胡萝卜素对肺癌发生的保护作用提供有用信息。