Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
J Gastroenterol Hepatol. 2013 Oct;28(10):1616-23. doi: 10.1111/jgh.12287.
The chemopreventive effect of RAS inhibitors on colorectal cancer is unknown. Because aberrant crypt foci (ACF), earliest preneoplastic lesions, are highly positive for K-RAS mutation, RAS inhibitors are likely to be effective for chemoprevention. Therefore, in the present study, the suppressive effect of a RAS inhibitor, manumycin A, on ACF formation in an azoxymethane (AOM)-induced rat colorectal carcinogenesis model was investigated.
Rats injected with AOM were administered manumycin A (30 mg/kg) subcutaneously thrice weekly for 8 weeks or for 4 weeks (latter half), sacrificed at 8 weeks, and examined for ACF in the colorectum. Phosphorylated ERK and Ki-67 expression was evaluated by immunohistochemistry. Apoptosis was assessed by TUNEL staining.
The mean number of ACF in the 8-week manumycin A group (72.9 ± 20.1) was significantly lower than in the vehicle group (155.6 ± 56.7, P < 0.01), and it was significantly lower even in the 4-week manumycin A group than in the vehicle group (92.2 ± 13.0 vs 222.3 ± 83.3, P < 0.01). The positive rate for phosphorylated ERK in the manumycin A group (13.5 ± 19.2%) was significantly lower than in the vehicle group (50.2 ± 19.8%, P < 0.01). The positive rate for Ki-67 in the manumycin A group (2.2 ± 3.4%) was significantly lower than in the vehicle group (14.7 ± 8.2%, P < 0.01). There were significantly more terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling-positive cells in tissue samples from the manumycin A group versus the vehicle group (8.6 ± 9.7% vs 2.9 ± 2.0%, P < 0.05).
Manumycin A suppressed ACF formation in the AOM-induced colorectal carcinogenesis model, demonstrating that RAS inhibitors may be very effective for chemoprevention of colorectal cancers.
RAS 抑制剂对结直肠癌的化学预防作用尚不清楚。由于异常隐窝病灶(ACF)是最早的癌前病变,其 K-RAS 突变高度阳性,因此 RAS 抑制剂可能对化学预防有效。因此,在本研究中,我们研究了 RAS 抑制剂马纳霉素 A 对氧化偶氮甲烷(AOM)诱导的大鼠结直肠癌变模型中 ACF 形成的抑制作用。
注射 AOM 的大鼠每周三次皮下给予马纳霉素 A(30mg/kg)共 8 周或 4 周(后半部分),在 8 周时处死,并检查结直肠中的 ACF。通过免疫组织化学评估磷酸化 ERK 和 Ki-67 的表达。通过 TUNEL 染色评估细胞凋亡。
8 周马纳霉素 A 组的 ACF 平均数量(72.9±20.1)明显低于对照组(155.6±56.7,P<0.01),甚至 4 周马纳霉素 A 组也明显低于对照组(92.2±13.0 比 222.3±83.3,P<0.01)。马纳霉素 A 组磷酸化 ERK 的阳性率(13.5±19.2%)明显低于对照组(50.2±19.8%,P<0.01)。马纳霉素 A 组 Ki-67 的阳性率(2.2±3.4%)明显低于对照组(14.7±8.2%,P<0.01)。马纳霉素 A 组组织样本中的末端脱氧核苷酸转移酶介导的脱氧尿苷三磷酸缺口末端标记阳性细胞明显多于对照组(8.6±9.7%比 2.9±2.0%,P<0.05)。
马纳霉素 A 抑制了 AOM 诱导的结直肠癌变模型中的 ACF 形成,表明 RAS 抑制剂可能对结直肠癌的化学预防非常有效。