Hilakivi-Clarke L, Clarke R, Onojafe I, Raygada M, Cho E, Lippman M
Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC 20007, USA.
Proc Natl Acad Sci U S A. 1997 Aug 19;94(17):9372-7. doi: 10.1073/pnas.94.17.9372.
We hypothesized that feeding pregnant rats with a high-fat diet would increase both circulating 17beta-estradiol (E2) levels in the dams and the risk of developing carcinogen-induced mammary tumors among their female offspring. Pregnant rats were fed isocaloric diets containing 12% or 16% (low fat) or 43% or 46% (high fat) of calories from corn oil, which primarily contains the n - 6 polyunsaturated fatty acid (PUFA) linoleic acid, throughout pregnancy. The plasma concentrations of E2 were significantly higher in pregnant females fed a high n - 6 PUFA diet. The female offspring of these rats were fed with a laboratory chow from birth onward, and when exposed to 7,12-dimethylbenz(a)anthracene had a significantly higher mammary tumor incidence (60% vs. 30%) and shorter latency for tumor appearance (11.4 +/- 0.5 weeks vs. 14.2 +/- 0.6 weeks) than the offspring of the low-fat mothers. The high-fat offspring also had puberty onset at a younger age, and their mammary glands contained significantly higher numbers of the epithelial structures that are the targets for malignant transformation. Comparable changes in puberty onset, mammary gland morphology, and tumor incidence were observed in the offspring of rats treated daily with 20 ng of E2 during pregnancy. These data, if extrapolated to humans, may explain the link among diet, early puberty onset, mammary parenchymal patterns, and breast cancer risk, and indicate that an in utero exposure to a diet high in n - 6 PUFA and/or estrogenic stimuli may be critical for affecting breast cancer risk.
我们推测,用高脂饮食喂养怀孕大鼠会增加母鼠循环中的17β-雌二醇(E2)水平,并增加其雌性后代发生致癌物诱导的乳腺肿瘤的风险。在整个孕期,给怀孕大鼠喂食等热量饮食,这些饮食中玉米油提供的热量分别为12%或16%(低脂)或43%或46%(高脂),玉米油主要含有n-6多不饱和脂肪酸(PUFA)亚油酸。喂食高n-6 PUFA饮食的怀孕雌性大鼠血浆E2浓度显著更高。这些大鼠的雌性后代从出生起就喂食实验室饲料,当接触7,12-二甲基苯并(a)蒽时,其乳腺肿瘤发生率显著更高(60%对30%),肿瘤出现的潜伏期更短(11.4±0.5周对14.2±0.6周),比低脂母亲的后代更高。高脂后代青春期开始的年龄也更小,其乳腺中含有数量显著更多的上皮结构,而这些结构是恶性转化的靶点。在孕期每天用20 ng E2处理的大鼠后代中,观察到青春期开始、乳腺形态和肿瘤发生率有类似变化。这些数据如果外推到人类,可能解释饮食、青春期早发、乳腺实质模式和乳腺癌风险之间的联系,并表明子宫内暴露于高n-6 PUFA饮食和/或雌激素刺激可能对影响乳腺癌风险至关重要。