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Japanese Journal of Cancer Research : Gann logoLink to Japanese Journal of Cancer Research : Gann
. 2002 Jan;93(1):42–49. doi: 10.1111/j.1349-7006.2002.tb01199.x

Chemopreventive Effects of a Flavonoid Antioxidant Silymarin on N‐Butyl‐N‐(4‐ hydroxybutyl)nitrosamine‐induced Urinary Bladder Carcinogenesis in Male ICR Mice

Pham Quang Vinh 1,2, Shigeyuki Sugie 2,, Takuji Tanaka 2, Akira Hara 2, Yasuhiro Yamada 2, Masaki Katayama 2, Takashi Deguchi 1, Hideki Mori 2
PMCID: PMC5926872  PMID: 11802807

Abstract

The modifying effects of dietary administration of a flavonoid antioxidant, silymarin, a mixture of three flavonoids isolated from milk thistle seeds, on N‐butyl‐.N‐(4‐hydroxybutyl)nitrosamine (OH‐ BBN)‐induced urinary bladder carcinogenesis were examined in male ICR mice. Animals were divided into 5 groups, and groups 1 to 3 were given OH‐BBN (500 ppm) in drinking water for 6 weeks. Mice in group 2 were fed a diet containing 1000 ppm silymarin for 8 weeks during the initiation phase starting 1 week before OH‐BBN exposure, and mice in group 3 were fed the diet for 24 weeks during the postinitiation phase. Animals in group 4 were given only the test compound, and those in group 5 were given the basal diet alone throughout the experiment. Animals were sacrificed at the end of week 32. The frequency of bladder lesions, cell proliferation and cell cycle progression activity estimated in terms of the 5‐bromodeoxyuridine (BrdU) labeling index or cyclin Dl‐positive cell ratio were compared among the groups. Administration of silymarin in the initiation or postinitiation phase significantly decreased the incidences of bladder neoplasms and preneoplastic lesions. Dietary exposure to this agent significantly reduced the labeling index for BrdU and the cyclin Dl‐positive cell ratio in various bladder lesions. These findings suggest that silymarin is effective in preventing OH‐BBN‐induced bladder carcinogenesis in mice.

Keywords: Chemoprevention, Silymarin, OH‐BBN, Cyclin Dl, Urinary bladder carcinogen‐ esis

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REFERENCES

  • 1. ) Coleman , M. P. , Esteve , J. , Damiecki , P. , Arslan , A. and Renard , H.Trends in cancer incidence and mortality . IARC Sci. Publ , 121 , 1 – 806 ( 1993. ). [DOI] [PubMed] [Google Scholar]
  • 2. ) Wingo , P. A. , Tong , T. and Bolden , S.Cancer statistics, 1995 . CA Cancer J. Clin. , 45 , 8 – 30 ( 1995. ). [DOI] [PubMed] [Google Scholar]
  • 3. ) Reddy , B. S. , Hirose , Y. , Cohen , L. A. , Simi , B. , Cooma , I. and Rao , C. V.Preventive potential of wheat bran fractions against experimental colon carcinogenesis: implications for human colon cancer prevention . Cancer Res. , 60 , 4792 – 4797 ( 2000. ). [PubMed] [Google Scholar]
  • 4. ) Mori , H. , Tanaka , T. , Sugie , S. , Yoshimi , N. , Kawamori , T. , Hirose , Y. and Ohnishi , M.Chemoprevention by naturally occurring and synthetic agents in oral, liver, and large bowel carcinogenesis . J. Cell. Biochem. Suppl. , 27 , 35 – 41 ( 1997. ). [PubMed] [Google Scholar]
  • 5. ) Mori , H. , Kawabata , K. , Matsunaga , K. , Ushida , J. , Fujii , K. , Hara , A. , Tanaka , T. and Murai , H.Chemopreventive effects of coffee bean and rice constituents on colorectal carcinogenesis . Biofactors , 12 , 101 – 105 ( 2000. ). [DOI] [PubMed] [Google Scholar]
  • 6. ) Sugie , S. , Okamoto , K. , Ueda , F. , Watanabe , T. , Tanaka , T. and Mori , H.Suppressive effect of irsogladine maleate on diethylnitrosamine‐initiated and phenobarbital‐promoted hepatocarcinogenesis in male F344 rats . Jpn. J. Cancer Res. , 89 , 371 – 376 ( 1998. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7. ) Tanaka , T. , Kohno , H. , Shimada , R. , Kagami , S. , Yamaguchi , F. , Kataoka , S. , Ariga , T. , Murakami , A. , Koshimizu , K. and Ohigashi , H.Prevention of colonic aberrant crypt foci by dietary feeding of garcinol in male F344 rats . Carcinogenesis , 21 , 1183 – 1189 ( 2000. ). [PubMed] [Google Scholar]
  • 8. ) Xing , N. , Chen , Y. , Mitchell , S. H. and Young , C. Y.Quercetin inhibits the expression and function of the androgen receptor in LNCaP prostate cancer cells . Carcinogenesis , 22 , 409 – 414 ( 2001. ). [DOI] [PubMed] [Google Scholar]
  • 9. ) Deschner , E. E. , Ruperto , J. , Wong , G. and Newmark , H. L.Quercetin and rutin as inhibitors of azoxymethanol‐induced colonic neoplasia . Carcinogenesis , 12 , 1193 – 1196 ( 1991. ). [DOI] [PubMed] [Google Scholar]
  • 10. ) Heo , M. Y. , Sohn , S. J. and Au , W. W.Anti‐genotoxicity of galangin as a cancer chemopreventive agent candidate . Mutat. Res. , 488 , 135 – 150 ( 2001. ). [DOI] [PubMed] [Google Scholar]
  • 11. ) Ferenci , P. , Dragosics , B. , Dittrich , H. , Frank , H. , Benda , L. , Lochs , H. , Meryn , S. , Base , W. and Schneider , B.Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver . J. Hepatol , 9 , 105 – 113 ( 1989. ). [DOI] [PubMed] [Google Scholar]
  • 12. ) Par , A. , Roth , E. , Rumi , G. J. , Kovacs , Z. , Nemes , J. and Mozsik , G.Oxidative stress and antioxidant defense in alcoholic liver disease and chronic hepatitis C . On. Hetil. , 141 , 1655 – 1659 ( 2000. ). [PubMed] [Google Scholar]
  • 13. ) Luper , S.A review of plants used in the treatment of liver disease: part 1 . Ahem. Med. Rev. , 3 , 410 – 421 ( 1998. ). [PubMed] [Google Scholar]
  • 14. ) Comoglio , A. , Leonarduzzi , G. , Carini , R. , Busolin , D. , Basaga , H. , Albano , E. , Tomasi , A. , Poli , G. , Morazzoni , P. and Magistretti , M. J.Studies on the antioxidant and free radical scavenging properties of IdB 1016 a new flavonolignan complex . Free Radic. Res. Commun. , 11 , 109 – 115 ( 1990. ). [DOI] [PubMed] [Google Scholar]
  • 15. ) Mira , L. , Silva , M. and Manso , C. F.Scavenging of reactive oxygen species by silibinin dihemisuccinate . Biochem. Pharmacol. , 48 , 753 – 759 ( 1994. ). [DOI] [PubMed] [Google Scholar]
  • 16. ) Dehmlow , C. , Murawski , N. and de Groot , H.Scavenging of reactive oxygen species and inhibition of arachidonic acid metabolism by silibinin in human cells . Life Sci. , 58 , 1591 – 1600 ( 1996. ). [DOI] [PubMed] [Google Scholar]
  • 17. ) El‐Bahay , C. , Gerber , E. , Horbach , M. , Tran‐Thi , Q. H. , Rohrdanz , E. and Kahl , R.Influence of tumor necrosis factor‐alpha and silibinin on the cytotoxic action of alpha‐ amanitin in rat hepatocyte culture . Toxicol. Appl. Pharmacol. , 158 , 253 – 260 ( 1999. ). [DOI] [PubMed] [Google Scholar]
  • 18. ) Mereish , K. A. , Bunner , D. L. , Ragland , D. R. and Creasia , D. A.Protection against microcystin‐LR‐induced hepato‐ toxicity by silymarin: biochemistry, histopathology, and lethality . Pharm. Res. , 8 , 273 – 277 ( 1991. ). [DOI] [PubMed] [Google Scholar]
  • 19. ) Salmi , H. A. and Sarna , S.Effect of silymarin on chemical, functional, and morphological alterations of the liver. A double‐blind controlled study . Scand. J. Gastroenterol. , 17 , 517 – 521 ( 1982. ). [DOI] [PubMed] [Google Scholar]
  • 20. ) Zhao , J. , Lahir‐Chatterjee , M. , Sharma , Y. and Agarwal , R.Inhibitory effect of a flavonoid antioxidant silymarin on benzoyl peroxide‐induced tumor promotion, oxidative stress and inflammatory responses in SENCAR mouse skin . Carcinogenesis , 21 , 811 – 816 ( 2000. ). [DOI] [PubMed] [Google Scholar]
  • 21. ) Zi , X. , Zhang , J. , Agarwal , R. and Pollak , M.Silibinin up‐ regulates insulin‐like growth factor‐binding protein 3 expression and inhibits proliferation of androgen‐independent prostate cancer cells . Cancer Res. , 60 , 5617 – 5620 ( 2000. ). [PubMed] [Google Scholar]
  • 22. ) Zi , X. , Feyes , D. K. and Agarwal , R.Anti‐carcinogenic effect of a flavonoid antioxidant, silymarin, in human breast cancer cells MDA‐MB 468: induction of G1 arrest through an increase in Cipl/p21 concomitant with a decrease in kinase activity of cyclin‐dependent kinases and associated cyclins . Clin. Cancer Res. , 4 , 1055 – 1064 ( 1998. ). [PubMed] [Google Scholar]
  • 23. ) Ahmad , N. , Gali , H. , Javed , S. and Agarwal , R.Skin cancer chemopreventive effects of a flavonoid antioxidant silymarin are mediated via impairment of receptor tyrosine kinase signaling and perturbation in cell cycle progression . Biochem. Biophys. Res. Commun. , 248 , 294 – 301 ( 1998. ). [DOI] [PubMed] [Google Scholar]
  • 24. ) Zi , X. and Agarwal , R.Modulation of mitogen‐activated protein kinase activation and cell cycle regulators by the potent skin cancer preventive agent silymarin . Biochem. Biophys. Res. Commun. , 263 , 528 – 536 ( 1999. ). [DOI] [PubMed] [Google Scholar]
  • 25. ) Fukushima , S. , Murasaki , G. , Hirose , M. , Nakanishi , K. , Hasegawa , R. and Ito , N.Histopathological analysis of preneoplastic changes during N‐butyl‐N‐(4‐hydroxybutyl)‐ nitrosamine‐induced urinary bladder carcinogenesis in rats . Acta Pathol. Jpn. , 32 , 243 – 250 ( 1982. ). [DOI] [PubMed] [Google Scholar]
  • 26. ) Ushida , J. , Sugie , S. , Kawabata , K. , Pham , Q. V. , Tanaka , T. , Fujii , K. , Takeuchi , H. , Ito , Y. and Mori , H.Chemopreventive effect of curcumin on N‐nitrosomethylbenzylamine‐ induced esophageal carcinogenesis in rats . Jpn. J. Cancer Res. , 91 , 893 – 898 ( 2000. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27. ) Otori , K. , Sugiyama , K. , Fukushima , S. and Esumi , H.Expression of the cyclin D1 gene in rat colorectal aberrant crypt foci and tumors induced by azoxymethane . Cancer Lett. , 140 , 99 – 104 ( 1999. ). [DOI] [PubMed] [Google Scholar]
  • 28. ) Lee , C. C. , Yamamoto , S. , Morimura , K. , Wanibuchi , H. , Nishisaka , N. , Ikemoto , S. , Nakatani , T. , Wada , S. , Kishimoto , T. and Fukushima , S.Significance of cyclin Dl overexpression in transitional cell carcinomas of the urinary bladder and its correlation with histopathologic features . Cancer , 79 , 780 – 789 ( 1997. ). [DOI] [PubMed] [Google Scholar]
  • 29. ) Zi , X. , Grasso , A. W. , Kung , H. J. and Agarwal , R.A flavonoid antioxidant, silymarin, inhibits activation of erbB1 signaling and induces cyclin‐dependent kinase inhibitors, G1 arrest, and anticarcinogenic effects in human prostate carcinoma DU145 cells . Cancer Res. , 58 , 1920 – 1929 ( 1998. ). [PubMed] [Google Scholar]
  • 30. ) Bhatia , N. , Zhao , J. , Wolf , D. M. and Agarwal , R.Inhibition of human carcinoma cell growth and DNA synthesis by silibinin, an active constituent of milk thistle: comparison with silymarin . Cancer Lett. , 147 , 77 – 84 ( 1999. ). [DOI] [PubMed] [Google Scholar]
  • 31. ) Lahiri‐Chatterjee , M. , Katiyar , S. K. , Mohan , R. R. and Agarwal , R.A flavonoid antioxidant, silymarin, affords exceptionally high protection against tumor promotion in the SENCAR mouse skin tumorigenesis model . Cancer Res. , 59 , 622 – 632 ( 1999. ). [PubMed] [Google Scholar]
  • 32. ) Matsushime , H. , Roussel , M. F. , Ashmun , R. A. and Sherr , C. J.Colony‐stimulating factor 1 regulates novel cyclins during the Gl phase of the cell cycle . Cell , 65 , 701 – 713 ( 1991. ). [DOI] [PubMed] [Google Scholar]
  • 33. ) Motokura , T. , Bloom , T. , Kim , H. G. , Juppner , H. , Rudderman , J. V. , Kronenberg , H. M. and Arnold , A.A novel cyclin encoded by a bcl 1‐linked candidate oncogene . Nature , 350 , 512 – 515 ( 1991. ). [DOI] [PubMed] [Google Scholar]
  • 34. ) Nishida , N. , Fukuda , Y. , Komeda , T. , Kita , R. , Sando , T. , Furukawa , M. , Amenomori , M. , Shibagaki , I. , Nakao , K. , Ikenaga , M. and Ishizaki , K.Amplification and overexpression of the cyclin Dl gene in aggressive human hepatocellular carcinoma . Cancer Res. , 54 , 3107 – 3110 ( 1994. ). [PubMed] [Google Scholar]
  • 35. ) Naitoh , H. , Shibata , J. , Kawaguchi , A. , Komada , M. and Hattori , T.Overexpression and localization of cyclin Dl mRNA and antigen in esophageal cancer . Am. J. Pathol. , 146 , 1161 – 1169 ( 1995. ). [PMC free article] [PubMed] [Google Scholar]
  • 36. ) Betticher , D. C. , Heighway , J. , Hasleton , P. S. , Altermatt , H. J. , Ryder , W. D. , Cerny , T. and Thatcher , N.Prognostic significance of CCND1 (cyclin Dl) overexpression in primary resected non‐small‐cell lung cancer . Br. J. Cancer , 73 , 294 – 300 ( 1996. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37. ) Zhang , S. Y. , Caamano , J. , Cooper , F. , Guo , X. and Klein‐Szanto , A. J. P.Immunohistochemistry of cyclin Dl in human breast cancer . Am. J. Clin. Pathol. , 102 , 695 – 698 ( 1994. ). [DOI] [PubMed] [Google Scholar]
  • 38. ) Mclntosh , G. G. , Anderson , J. J. , Milton , I. , Steward , M. , Parr , A. H. , Thomas , M. D. , Henry , J. A. , Angus , B. , Lennard , T. W. and Home , C. H.Determination of the prognostic value of cyclin Dl overexpression in breast cancer . Oncogene , 11 , 885 – 891 ( 1995. ). [PubMed] [Google Scholar]
  • 39. ) Bianchi , A. B. , Fisher , S. M. , Robles , A. J. , Rinchik , E. M. and Conti , C. J.Overexpression of cyclin Dl in mouse skin carcinogenesis . Oncogene , 8 , 1127 – 1133 ( 1993. ). [PubMed] [Google Scholar]
  • 40. ) Said , T. K. and Medina , D.Cell cyclins and cyclin‐dependent kinase activities in mouse mammary tumor development . Carcinogenesis , 16 , 823 – 830 ( 1995. ). [DOI] [PubMed] [Google Scholar]
  • 41. ) Wang , Q. S. , Sabourin , C. L. K. , Wang , H. and Stoner , G. D.Overexpression of cyclin Dl and cyclin E in N‐ nitrosomethylbenzylamine‐induced rat esophageal tumorigenesis . Carcinogenesis , 17 , 1583 – 1588 ( 1996. ). [DOI] [PubMed] [Google Scholar]
  • 42. ) Lonardo , F. , Rusch , V. , Langenfeld , J. , Dmitrovsky , E. and Klimstra , D. S.Overexpression of cyclins Dl and E is frequent in bronchial preneoplasia and precedes squamous cell carcinoma development . Cancer Res. , 59 , 2470 – 2476 ( 1999. ). [PubMed] [Google Scholar]
  • 43. ) Tabaka , K. , Saeki , K. , Suzuki , K. , Wanibuchi , H. and Fukushima , S.Significant overexpression of metallothionein and cyclin Dl and apoptosis in the early process of rat urinary bladder carcinogenesis induced by treatment with N‐butyl‐N(4‐hydroxybutyl)nitrosamine or sodium L‐ascorbate . Carcinogenesis , 21 , 691 – 700 ( 2000. ). [DOI] [PubMed] [Google Scholar]
  • 44. ) Salim , E. I. , Wanibuchi , H. , Morimura , K. , Kim , S. , Yano , Y. , Yamamoto , S. and Fukushima , S.Inhibitory effects of 1,3‐diaminopropane, an ornithine decarboxylase inhibitor, on rat two‐stage urinary bladder carcinogenesis initiated by N‐butyl‐N‐(4‐hydroxybutyl)nitrosamine . Carcinogenesis , 21 , 195 – 203 ( 2000. ). [DOI] [PubMed] [Google Scholar]
  • 45. ) Youssef , E. M. , Hasuma , T. , Morishima , Y. , Takada , N. , Osugi , H. , Higashino , M. , Otani , S. and Fukushima , S.Overexpression of cyclin Dl in rat esophageal carcinogenesis model . Jpn. J. Cancer Res. , 88 , 18 – 25 ( 1997. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46. ) Kanda , Y. , Nishiyama , Y. , Shimada , Y. , Imamura , M. , Nomura , H. , Hiai , H. and Fukumoto , M.Analysis of gene amplification and overexpression in human esophageal‐carcinoma cell lines . Int. J. Cancer , 58 , 291 – 297 ( 1994. ). [DOI] [PubMed] [Google Scholar]
  • 47. ) Lee , C. C. , Yamamoto , S. , Wanibuchi , H. , Wada , S. , Sugimura , K. , Kishimoto , T. and Fukushima , S.Cyclin Dl overexpression in rat two‐stage bladder carcinogenesis and its relationship with oncogenes, tumor suppressor genes, and cell proliferation . Cancer Res. , 57 , 4765 – 4776 ( 1997. ). [PubMed] [Google Scholar]
  • 48. ) Sgambato , A. , Han , E. K. , Zhang , Y. J. , Moon , R. C. , Santella , R. M. and Weinstein , I. B.Deregulated expression of cyclin D1 and other cell cycle‐related genes in carcinogen‐induced rat mammary tumors . Carcinogenesis , 16 , 2193 – 2198 ( 1995. ). [DOI] [PubMed] [Google Scholar]
  • 49. ) Mori , H. , Sugie , S. , Yoshimi , N. , Hara , A. and Tanaka , T.Control of cell proliferation in cancer prevention . Mutat. Res. , 428 , 291 – 298 ( 1999. ). [DOI] [PubMed] [Google Scholar]
  • 50. ) Sugie , S.Cell proliferation modifiers and their inhibitory effects in carcinogenesis . Environ. Mutagen. Res. , 19 , 179 – 191 ( 1997. ). [Google Scholar]
  • 51. ) Bear , W. L. and Teel , R. W.Effects of citrus flavonoids on the mutagenicity of heterocyclic amines and on cytochrome P450 1A2 activity . Anticancer Res. , 20 , 3609 – 3614 ( 2000. ). [PubMed] [Google Scholar]
  • 52. ) Crocenzi , F. A. , Sanchez , P. E. J. , Pellegrino , J. M. , Favre , C. O. , Rodriguez , G. E. A. , Mottino , A. D. , Coleman , R. and Roma , M. G.Beneficial effects of silymarin on estrogen‐induced cholestasis in the rat: a study in vivo and in iso/ated hepatocyte couplets . Hepatology , 34 , 329 – 339 ( 2001. ). [DOI] [PubMed] [Google Scholar]
  • 53. ) Venkataramanan , R. , Ramachandran , V. , Komoroski , B. J. , Zhang , S. , Schiff , P. L. and Strom , S. C.Milk thistle, a herbal supplement, decreases the activity of CYP3A4 and uridine diphosphoglucuronosyl transferase in human hepatocyte cultures . Drug Metab. Dispos. , 28 , 1270 – 1273 ( 2000. ). [PubMed] [Google Scholar]
  • 54. ) Beckmann , K. S. , Rietbrock , S. , Weyhenmeyer , R. , Bocker , R. H. , Beckurts , K. T. , Lang , W. , Hunz , M. and Fuhr , U.Inhibitory effects of silibinin on cytochrome P‐450 enzymes in human liver microsomes . Pharmacol. Toxicol. , 86 , 250 – 256 ( 2000. ). [DOI] [PubMed] [Google Scholar]
  • 55. ) Yang , C. S. , Tu , Y. Y. , Koop , D. R. and Coon , M. J.Metabolism of nitrosamines by purified rabbit liver cytochrome P450 isozymes . Cancer Res. , 45 , 1140 – 1145 ( 1985. ). [PubMed] [Google Scholar]
  • 56. ) Tanaka , T. , Kohno , H. , Murakami , M. , Shimada , R. , Kagami , S. , Sumida , T. , Azuma , Y. and Ogawa , H.Suppression of azoxymethane‐induced colon carcinogenesis in male F334 rats by mandarin juices rich in β‐cryptoxanthin and hesperidin . Int. J. Cancer , 88 , 146 – 150 ( 2000. ). [PubMed] [Google Scholar]

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