Díaz-Díaz Carol J, Ronnekleiv-Kelly Sean M, Nukaya Manabu, Geiger Peter G, Balbo Silvia, Dator Romel, Megna Bryant W, Carney Patrick R, Bradfield Christopher A, Kennedy Gregory D
*Department of Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, WI †Masonic Cancer Center, University of Minnesota, Minneapolis, MN ‡McArdle Laboratory for Cancer Research, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI.
Ann Surg. 2016 Sep;264(3):429-36. doi: 10.1097/SLA.0000000000001874.
To determine the role of the aryl hydrocarbon receptor (AHR) in colitis-associated colorectal tumorigenesis.
Colorectal cancer (CRC) is the third most commonly diagnosed cancer in United States. Chronic intestinal inflammation increases the risk for the development of CRC. We investigated the involvement of AHR, a ligand-activated transcriptional regulator, in colitis-associated colorectal tumorigenesis.
We used a mouse model of colitis-associated colorectal tumorigenesis that employs treatment with azoxymethane and dextran sodium sulfate. We examined the role of AHR using both an Ahr-deletion mouse model (Ahr) and treatment with the AHR pro-agonist indole-3-carbinol (I3C). Incidence, multiplicity, and location of tumors were visually counted. Tumors were defined as neoplasms. Intestinal inflammation was assessed by quantitative PCR for proinflammatory markers and colon length. Data were evaluated and compared using GraphPad Prism software (version 6, La Jolla, CA).
Tumor incidence was increased 32% in Ahr null mice and tumor multiplicity was approximately increased 3-fold compared with wild-type mice (2.4 vs 7; P < 0.05). Furthermore, tumor multiplicity was reduced 92% by treatment of I3C in wild-type mice, whereas the suppressor effect of I3C was not observed in Ahr null mice (P < 0.05).
We found that AHR plays a protective role in colitis-associated colorectal tumorigenesis. This conclusion is based on the observations that Ahr null mice showed increased number of colorectal tumors, and mice treated with I3C exhibited fewer tumors. This study supports the use of AHR agonists such as I3C as a chemopreventive therapy for IBD-associated CRC in human patients.
确定芳烃受体(AHR)在结肠炎相关结直肠癌发生中的作用。
结直肠癌(CRC)是美国第三大最常被诊断出的癌症。慢性肠道炎症会增加患CRC的风险。我们研究了配体激活的转录调节因子AHR在结肠炎相关结直肠癌发生中的作用。
我们使用了一种结肠炎相关结直肠癌发生的小鼠模型,该模型采用了氧化偶氮甲烷和葡聚糖硫酸钠进行处理。我们使用Ahr基因缺失小鼠模型(Ahr)和AHR前激动剂吲哚 - 3 - 甲醇(I3C)处理来研究AHR的作用。通过肉眼计数肿瘤的发生率、多发性和位置。肿瘤被定义为肿瘤形成。通过定量PCR检测促炎标志物和结肠长度来评估肠道炎症。使用GraphPad Prism软件(版本6,加利福尼亚州拉霍亚)对数据进行评估和比较。
与野生型小鼠相比,Ahr基因敲除小鼠的肿瘤发生率增加了32%,肿瘤多发性大约增加了3倍(2.4对7;P < 0.05)。此外,野生型小鼠用I3C处理后肿瘤多发性降低了92%,而在Ahr基因敲除小鼠中未观察到I3C的抑制作用(P < 0.05)。
我们发现AHR在结肠炎相关结直肠癌发生中起保护作用。这一结论基于以下观察结果:Ahr基因敲除小鼠的结直肠癌数量增加,而用I3C处理的小鼠肿瘤较少。本研究支持使用AHR激动剂如I3C作为人类患者中IBD相关CRC的化学预防疗法。