Kumar Amit, Lubet Ronald A, Fox Jennifer T, Nelson William G, Seifried Harold, Grubbs Clinton J, Miller Mark Steven
Nutritional Science Research Group, Division of Cancer Prevention, National Cancer Institute, Rockville, MD.
Chemopreventive Agent Development Research Group, Division of Cancer Prevention, Rockville, MD.
J Obes Chronic Dis. 2021;5(1):67-78. Epub 2021 Jan 11.
Epidemiology, clinical and experimental animal studies suggest high fructose diets are detrimental to metabolic status and may contribute to tumor development. This due to increased obesity and metabolic syndrome, known risk factors for many types of cancer. We compared tumor development in N-methyl-N-nitrosourea (MNU)-treated rats fed either a high (60%)-fructose diet (HFD) or a standard diet (SD). Female Sprague-Dawley rats at 43 days of age (DOA) were fed a SD or HFD followed by administration of MNU at 50 DOA. Rats were palpated weekly and sacrificed at 190 DOA. MNU-treated rats on HFD exhibited decreased tumor latency and roughly a two-fold increase in tumor multiplicity. RNA-Seq on frozen tumors (SD HFD rats) showed altered expression of approximately 10% of genes (P < 0.05). When examined by Ingenuity Pathway Analysis, multiple highly significant pathways were identified including A) mechanisms of cancer, B) Wnt pathway, C) immune response (, "Th1 and Th2 activation" and "antigen presentation") and D) LXR/RXR nuclear receptor. These generalized pathways were indirectly confirmed by alterations of various interrelated disease pathways (epithelial cancers, T cell numbers and apoptosis). In a second study, serum was collected from rats on the HFD or SD pre-MNU and at the time of sacrifice. Metabolomics revealed that the HFD yielded: A) increased levels of fructose, B) increases of various monoglycerols, C) reduced levels of various diacylglycerols and oxygenated inflammatory lipids (9 and 13 HODE and 12,13 DHOME) and D) increased levels of secondary bile acids (hyodeoxycholate and 6-oxolithocholate), which may reflect microbiome changes. These metabolomic changes, which are distinct from those on a high-fat diet, may prove relevant when examining individuals who consume higher levels of fructose.
流行病学、临床及实验动物研究表明,高果糖饮食对代谢状态有害,可能促进肿瘤发展。这是由于肥胖和代谢综合征增加,而它们是多种癌症的已知风险因素。我们比较了用N-甲基-N-亚硝基脲(MNU)处理的大鼠分别喂食高(60%)果糖饮食(HFD)或标准饮食(SD)后的肿瘤发展情况。43日龄(DOA)的雌性斯普拉格-道利大鼠先喂食SD或HFD,然后在50 DOA时给予MNU。每周对大鼠进行触诊,并在190 DOA时处死。接受MNU处理且喂食HFD的大鼠肿瘤潜伏期缩短,肿瘤多发性大致增加了两倍。对冷冻肿瘤(SD与HFD大鼠)进行的RNA测序显示约10%的基因表达发生改变(P < 0.05)。通过 Ingenuity 通路分析检查时,确定了多个高度显著的通路,包括:A)癌症机制,B)Wnt通路,C)免疫反应(“Th1和Th2激活”以及“抗原呈递”)和D)LXR/RXR核受体。这些一般通路通过各种相关疾病通路(上皮癌、T细胞数量和细胞凋亡)的改变得到间接证实。在第二项研究中,在给予MNU前及处死时从喂食HFD或SD的大鼠中收集血清。代谢组学分析显示,HFD导致:A)果糖水平升高,B)各种单甘油酯增加,C)各种二酰甘油和氧化炎症脂质(9-和13-羟基十八碳二烯酸以及12,13-二羟基十八碳烯酸)水平降低,D)次级胆汁酸(猪去氧胆酸和6-氧代石胆酸)水平升高,这可能反映了微生物组的变化。这些与高脂饮食不同的代谢组学变化,在研究摄入较高果糖水平的个体时可能具有相关性。