抗氧化剂加速小鼠肺癌进展。
Antioxidants accelerate lung cancer progression in mice.
机构信息
Sahlgrenska Cancer Center, Department of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, SE-405 30 Gothenburg, Sweden.
出版信息
Sci Transl Med. 2014 Jan 29;6(221):221ra15. doi: 10.1126/scitranslmed.3007653.
Antioxidants are widely used to protect cells from damage induced by reactive oxygen species (ROS). The concept that antioxidants can help fight cancer is deeply rooted in the general population, promoted by the food supplement industry, and supported by some scientific studies. However, clinical trials have reported inconsistent results. We show that supplementing the diet with the antioxidants N-acetylcysteine (NAC) and vitamin E markedly increases tumor progression and reduces survival in mouse models of B-RAF- and K-RAS-induced lung cancer. RNA sequencing revealed that NAC and vitamin E, which are structurally unrelated, produce highly coordinated changes in tumor transcriptome profiles, dominated by reduced expression of endogenous antioxidant genes. NAC and vitamin E increase tumor cell proliferation by reducing ROS, DNA damage, and p53 expression in mouse and human lung tumor cells. Inactivation of p53 increases tumor growth to a similar degree as antioxidants and abolishes the antioxidant effect. Thus, antioxidants accelerate tumor growth by disrupting the ROS-p53 axis. Because somatic mutations in p53 occur late in tumor progression, antioxidants may accelerate the growth of early tumors or precancerous lesions in high-risk populations such as smokers and patients with chronic obstructive pulmonary disease who receive NAC to relieve mucus production.
抗氧化剂被广泛用于保护细胞免受活性氧(ROS)引起的损伤。抗氧化剂可以帮助抗癌的概念在普通民众中根深蒂固,这一概念得到了食品补充剂行业的推动,并得到了一些科学研究的支持。然而,临床试验报告的结果并不一致。我们表明,用抗氧化剂 N-乙酰半胱氨酸(NAC)和维生素 E 补充饮食会显著促进 B-RAF 和 K-RAS 诱导的肺癌小鼠模型中的肿瘤进展并降低其存活率。RNA 测序显示,NAC 和维生素 E 虽然结构上不相关,但会在肿瘤转录组图谱中产生高度协调的变化,主要表现为内源性抗氧化基因的表达降低。NAC 和维生素 E 通过降低 ROS、DNA 损伤和小鼠及人肺肿瘤细胞中的 p53 表达来促进肿瘤细胞增殖。p53 的失活会增加肿瘤生长的程度与抗氧化剂相同,并消除抗氧化剂的作用。因此,抗氧化剂通过破坏 ROS-p53 轴加速肿瘤生长。由于 p53 的体细胞突变发生在肿瘤进展的后期,因此抗氧化剂可能会加速高危人群(如吸烟者和接受 NAC 以缓解粘液产生的慢性阻塞性肺病患者)中早期肿瘤或癌前病变的生长。