Abstract
In this study, long term dextran sulphate sodium administration was studied to ascertain whether colorectal carcinoma could be produced in patients with long standing ulcerative colitis. Simultaneously, changes in the intestinal microflora were analysed. Low grade to high grade dysplasia was seen in three of the five hamsters treated with 1% dextran sulphate sodium solution for 100 days, while no dysplasia was detected in the eight animals concomitantly treated with metronidazole, an antianerobic microbial agent, which prevents colonic ulceration. In these two groups, none of the animals developed colorectal cancer over 100 day period. In a group treated for 180 days, seven of the eight animals had dysplasia, and one had two adenomas. Furthermore, four of the eight animals had adenocarcinoma in the transverse colon; they were protruding well differentiated adenocarcinoma in one and non-protruding lesions infiltrating into the musclaris propria in three. The three non-protruding infiltrating adenocarcinomas were classified to be well differentiated adenocarcinoma in one and mucinous adenocarcinoma in two, resembling the type of cancer which complicates ulcerative colitis in man.
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- Aries V., Crowther J. S., Drasar B. S., Hill M. J., Williams R. E. Bacteria and the aetiology of cancer of the large bowel. Gut. 1969 May;10(5):334–335. doi: 10.1136/gut.10.5.334. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ashi K. W., Inagaki T., Fujimoto Y., Fukuda Y. Induction by degraded carrageenan of colorectal tumors in rats. Cancer Lett. 1978 Mar;4(3):171–176. doi: 10.1016/s0304-3835(78)94237-4. [DOI] [PubMed] [Google Scholar]
- Benno Y., Sawada K., Mitsuoka T. The intestinal microflora of infants: composition of fecal flora in breast-fed and bottle-fed infants. Microbiol Immunol. 1984;28(9):975–986. doi: 10.1111/j.1348-0421.1984.tb00754.x. [DOI] [PubMed] [Google Scholar]
- Broström O., Löfberg R., Ost A., Reichard H. Cancer surveillance of patients with longstanding ulcerative colitis: a clinical, endoscopical, and histological study. Gut. 1986 Dec;27(12):1408–1413. doi: 10.1136/gut.27.12.1408. [DOI] [PMC free article] [PubMed] [Google Scholar]
- George W. L., Sutter V. L., Citron D., Finegold S. M. Selective and differential medium for isolation of Clostridium difficile. J Clin Microbiol. 1979 Feb;9(2):214–219. doi: 10.1128/jcm.9.2.214-219.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goddard P., Fernandez F., West B., Hill M. J., Barnes P. The nuclear dehydrogenation of steroids by intestinal bacteria. J Med Microbiol. 1975 Aug;8(3):429–435. doi: 10.1099/00222615-8-3-429. [DOI] [PubMed] [Google Scholar]
- Gyde S. N., Prior P., Thompson H., Waterhouse J. A., Allan R. N. Survival of patients with colorectal cancer complicating ulcerative colitis. Gut. 1984 Mar;25(3):228–231. doi: 10.1136/gut.25.3.228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hill M. J., Drasar B. S., Hawksworth G., Aries V., Crowther J. S., Williams R. E. Bacteria and aetiology of cancer of large bowel. Lancet. 1971 Jan 16;1(7690):95–100. doi: 10.1016/s0140-6736(71)90837-3. [DOI] [PubMed] [Google Scholar]
- Hirono I., Kuhara K., Hosaka S., Tomizawa S., Golberg L. Induction of intestinal tumors in rats by dextran sulfate sodium. J Natl Cancer Inst. 1981 Mar;66(3):579–583. [PubMed] [Google Scholar]
- Lennard-Jones J. E., Morson B. C., Ritchie J. K., Shove D. C., Williams C. B. Cancer in colitis: assessment of the individual risk by clinical and histological criteria. Gastroenterology. 1977 Dec;73(6):1280–1289. [PubMed] [Google Scholar]
- Marcus R., Watt J. Seaweeds and ulcerative colitis in laboratory animals. Lancet. 1969 Aug 30;2(7618):489–490. doi: 10.1016/s0140-6736(69)90187-1. [DOI] [PubMed] [Google Scholar]
- Marcus R., Watt J. Ulcerative disease of the colon in laboratory animals induced by pepsin inhibitors. Gastroenterology. 1974 Sep;67(3):473–483. [PubMed] [Google Scholar]
- Mitsuoka T., Ohno K., Benno Y., Suzuki K., Namba K. Die Faekalflora bei Menschen. IV. Mitteilung: Vergleich des neu entwickelten Verfahrens mit dem bisherigen üblichen Verfahren zur Darmfloraanalyse. Zentralbl Bakteriol Orig A. 1976 Mar;234(2):219–233. [PubMed] [Google Scholar]
- Muto T., Bussey H. J., Morson B. C. The evolution of cancer of the colon and rectum. Cancer. 1975 Dec;36(6):2251–2270. doi: 10.1002/cncr.2820360944. [DOI] [PubMed] [Google Scholar]
- Ohkusa T., Yamada M., Takenaga T., Kitazume C., Yamamoto N., Sasabe M., Takashimizu I., Tamura Y., Sakamoto E., Kurosawa H. [Protective effect of metronidazole in experimental ulcerative colitis induced by dextran sulfate sodium]. Nihon Shokakibyo Gakkai Zasshi. 1987 Oct;84(10):2337–2346. [PubMed] [Google Scholar]
- Ohkusa T. [Production of experimental ulcerative colitis in hamsters by dextran sulfate sodium and changes in intestinal microflora]. Nihon Shokakibyo Gakkai Zasshi. 1985 May;82(5):1327–1336. [PubMed] [Google Scholar]
- Okayasu I., Hatakeyama S., Yamada M., Ohkusa T., Inagaki Y., Nakaya R. A novel method in the induction of reliable experimental acute and chronic ulcerative colitis in mice. Gastroenterology. 1990 Mar;98(3):694–702. doi: 10.1016/0016-5085(90)90290-h. [DOI] [PubMed] [Google Scholar]
- Onderdonk A. B., Franklin M. L., Cisneros R. L. Production of experimental ulcerative colitis in gnotobiotic guinea pigs with simplified microflora. Infect Immun. 1981 Apr;32(1):225–231. doi: 10.1128/iai.32.1.225-231.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Onderdonk A. B., Hermos J. A., Dzink J. L., Bartlett J. G. Protective effect of metronidazole in experimental ulcerative colitis. Gastroenterology. 1978 Mar;74(3):521–526. [PubMed] [Google Scholar]
- Reddy B. S., Weisburger J. H., Wynder E. L. Effects of dietary fat level and dimethylhydrazine on fecal acid and neutral sterol excretion and colon carcinogenesis in rats. J Natl Cancer Inst. 1974 Feb;52(2):507–511. doi: 10.1093/jnci/52.2.507. [DOI] [PubMed] [Google Scholar]
- Riddell R. H., Goldman H., Ransohoff D. F., Appelman H. D., Fenoglio C. M., Haggitt R. C., Ahren C., Correa P., Hamilton S. R., Morson B. C. Dysplasia in inflammatory bowel disease: standardized classification with provisional clinical applications. Hum Pathol. 1983 Nov;14(11):931–968. doi: 10.1016/s0046-8177(83)80175-0. [DOI] [PubMed] [Google Scholar]
- Watt J., Marcus R. Carrageenan-induced ulceration of the large intestine in the guinea pig. Gut. 1971 Feb;12(2):164–171. doi: 10.1136/gut.12.2.164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Watt J., Marcus R. Ulceration of the colon in rabbits fed sulphated amylopectin. J Pharm Pharmacol. 1972 Jan;24(1):68–69. doi: 10.1111/j.2042-7158.1972.tb08868.x. [DOI] [PubMed] [Google Scholar]









