Rogers A E
Cancer Res. 1983 May;43(5 Suppl):2477s-2484s.
High incidences of breast and colon tumors are associated with high dietary fat intake. The importance of specific fat type and of other nutrients that interact with fat, as well as the mechanisms by which fat acts, is being investigated in animal models. The amount and type of dietary fat influence mammary gland carcinogenesis in rats. Tumor incidence and number are increased and latency is decreased in rats fed large amounts of corn oil, other polyunsaturated vegetable oils, or lard. Certain fats, e.g., rapeseed oil and beef fallow, have little or no effect. The influence of corn oil is exerted during promotion; lard appears to act both at initiation and during promotion. Mechanisms proposed for enhancement of carcinogenesis by dietary fat include alteration of endocrine balance and stimulation of cell division or changes in differentiation in the mammary gland. Data from studies of these postulated mechanisms are inconclusive; further investigation in well-defined animal models is needed. Colon carcinogenesis also is increased in rats fed high-fat diets in certain models, but in others there is no demonstrable effect of dietary fat. Interactions of fat and selenium, the requirement for which is governed by amount and type of dietary fat, may play a role in mammary gland and colon carcinogenesis. Lipotropic nutrients, required for normal fat metabolism, have powerful effects on hepatocarcinogenesis but have not been demonstrated to influence colon and mammary gland carcinogenesis. Lipotrope deficiency alters carcinogen metabolism, increases hepatocyte turnover, and accelerates induction of hyperplastic foci in the liver by many carcinogens. The significance of these abnormalities for carcinogenesis and the timing of the lipotrope effects are subjects of investigation in several animal models.
乳腺癌和结肠癌的高发病率与高脂肪饮食摄入有关。在动物模型中,正在研究特定脂肪类型以及与脂肪相互作用的其他营养素的重要性,以及脂肪发挥作用的机制。饮食脂肪的数量和类型会影响大鼠的乳腺癌发生。喂食大量玉米油、其他多不饱和植物油或猪油的大鼠,肿瘤发生率和数量增加,潜伏期缩短。某些脂肪,例如菜籽油和牛肉脂肪,几乎没有影响或没有影响。玉米油的影响在促进阶段发挥作用;猪油似乎在启动阶段和促进阶段都起作用。提出的饮食脂肪增强致癌作用的机制包括内分泌平衡的改变以及乳腺细胞分裂的刺激或分化的变化。关于这些假定机制的研究数据尚无定论;需要在明确的动物模型中进行进一步研究。在某些模型中,喂食高脂肪饮食的大鼠结肠癌发生也会增加,但在其他模型中,饮食脂肪没有明显影响。脂肪和硒的相互作用可能在乳腺癌和结肠癌发生中起作用,硒的需求量受饮食脂肪的数量和类型控制。正常脂肪代谢所需的促脂营养素对肝癌发生有强大影响,但尚未证明会影响结肠癌和乳腺癌发生。促脂营养素缺乏会改变致癌物代谢,增加肝细胞更新,并加速许多致癌物诱导肝脏增生灶。这些异常对致癌作用的意义以及促脂营养素作用的时间是几种动物模型中的研究课题。