Abstract
Bile acids enhance colon carcinogenesis in animal models, whereas ursodeoxycholic acid (UDCA) suppresses it. Nonsteroid anti‐inflammatory drugs prevent colon cancer development in animals and humans. The aim of the present study was to explore the inhibitory effect of UDCA conjugate with 5‐aminosalicylic acid (5‐ASA), UDCA‐5‐ASA conjugate (UDCA‐5‐ASA), against colon carcinogenesis in rats. One‐hundred‐and‐twenty‐nine 7‐week‐old F344 rats received an intrarectal instillation of 2 mg of N‐methylnitrosourea 3 tunes a week for 3 weeks, and were fed a 0% (control), 0.11% or 0.02% UDCA‐5‐ASA‐, 0.08% UDCA‐ or 0.03% 5‐ASA‐supplemented diet for the next 27 weeks. The test diets contained an equimolar amount of a test agent, 2.0 mmol/kg diet, except for the 0.02% UDCA‐5‐ASA diet. The tumor incidence and the mean number of tumors/rat at week 30 were significantly lower and smaller in the UDCA‐5‐ASA diet groups, 48% and 0.7 in both, and marginally lower in the UDCA and 5‐ASA diet groups, 56% and 0.9, and 64% and 0.8, compared to the control group, 83% and 1.3. All the tumors were polypoid in shape, and most of them were differentiated adenocarcinomas restricted to the mucosa or submucosa. An analysis by HPLC for bile acids and 5‐ASA in the feces and serum collected at week 30 showed that one‐half of ingested UDCA‐5‐ASA was cleaved into UDCA and 5‐ASA in the colon. Thus, the two moieties may have independently affected the promotion stage of carcinogenesis.
Keywords: Colon cancer, Chemoprevention, Ursodeoxycholic acid, Aminosalicylic acid, Ursodeoxycholic acid‐5‐aminosalicylic acid conjugate
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REFERENCES
- 1.Weisburger , J. H.Causes, relevant mechanisms, and prevention of large bowel cancer . Semin. Oncol. , 18 , 316 – 336 ( 1991. ). [PubMed] [Google Scholar]
- 2.World Cancer Research Fund/American Institute for Cancer Research . “ Food, Nutrition and the Prevention of Cancer: a Global Perspective ” ( 1997. ). World Cancer Research Fund/American Institute for Cancer Research; , Washington , DC . [DOI] [PubMed] [Google Scholar]
- 3.Narisawa , T. , Magadia , N. E. , Weisburger , J. H. and Wynder , E. L.Promoting effect of bile acids on colon car‐cinogenesis after intrarectal instillation of N‐methyl‐N'‐nitro‐N‐nitrosoguanidine in rats . J. Natl. Cancer Inst. , 53 , 1093 – 1097 ( 1974. ). [DOI] [PubMed] [Google Scholar]
- 4.Reddy , B. S. , Watanabe , K. , Weisburger , J. H. and Wynder , E. L.Promoting effect of bile acids in colon carcinogenesis in germfree and conventional F344 rats . Cancer Res. , 37 , 3238 – 3242 ( 1977. ). [PubMed] [Google Scholar]
- 5.Sarwal , A. N. , Cohen , B. L , Raicht , R. F. , Takahashi , M. and Fazzini , E.Effect of dietary administration of chenode‐oxycholic acid on N‐methyl‐N‐nitrosourea‐induced colon cancer in rats . Biochim. Biophys. Acta , 574 , 423 – 432 ( 1979. ). [DOI] [PubMed] [Google Scholar]
- 6.Cohen , B. L , Raicht , R. F. , Deschner , E. E. , Takahashi , M. and Sarwal , A. N.Effect of cholic acid feeding on N‐methyl‐N‐nitrosourea‐induced colon tumors in rats . J. Natl. Cancer Inst. , 64 , 573 – 578 ( 1980. ). [PubMed] [Google Scholar]
- 7.Earnest , D. L. , Holubec , H. , Wali , R. K. , Jolley , C. S. , Bissonette , M. , Bhattacharyya , A. K. , Roy , H. , Khare , S. and Brasitus , T. A.Chemoprevention of azoxymethane‐induced colon carcinogenesis by supplemental dietary ursodeoxycholic acid . Cancer Res. , 54 , 5071 – 5074 ( 1994. ). [PubMed] [Google Scholar]
- 8.Narisawa , T. , Fukaura , Y. , Terada , K. and Sekiguchi , H.Prevention of N‐methylnitrosourea‐induced colon tumorigenesis by ursodeoxycholic acid in F344 rats . Jpn. J. Cancer Res. , 89 , 1009 – 1013 ( 1998. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Taketo , M. M.Cyclooxygenase‐2 inhibitors in tumorigenesis (Part II) . J. Natl. Cancer Inst. , 90 , 1609 – 1620 ( 1998. ). [DOI] [PubMed] [Google Scholar]
- 10.Little , J.Aspirin and other nonsteroidal anti‐inflammatory drugs and colorectal neoplasia . Int. J. Oncol. , 5 , 1151 – 1162 ( 1994. ). [DOI] [PubMed] [Google Scholar]
- 11.Batta , A. K. , Tint , G. S. , Xu , G. , Shefer , S. and Salen , G.Synthesis and intestinal metabolism of ursodeoxycholic acid conjugate with an anti‐inflammatory agent, 5‐aminosalicylic acid . J. Lipid Res. , 39 , 1641 – 1646 ( 1998. ). [PubMed] [Google Scholar]
- 12.Bird , R. P.Role of aberrant crypt foci in understanding the pathogenesis of colon cancer . Cancer Lett. , 93 , 55 – 71 ( 1995. ). [DOI] [PubMed] [Google Scholar]
- 13.Guldutuna , S. , You , T. , Kurts , W. and Leuschner , U.High‐performance liquid chromatographic determination of free and conjugated bile acids in serum, liver biopsies, bile, gastric juice and feces by fluorescence labeling . Clin. Chim. Acta , 214 , 195 – 207 ( 1993. ). [DOI] [PubMed] [Google Scholar]
- 14.Sakakura , H. , Suzuki , M. , Kimura , N. , Takeda , H. , Nagata , S. and Maeda , M.Simultaneous determination of bile acids in rat bile and serum by high‐performance liquid chromatography . J. Chromatogr. , 621 , 123 – 131 ( 1993. ). [DOI] [PubMed] [Google Scholar]
- 15.Rijk , M. C. M. , Schaik , A. and Tongeren , H. M.Disposition of 5‐aminosalicylic acid by 5‐aminosalicylic acid‐delivering compounds . Scand. J. Gastroenterol. , 23 , 107 – 112 ( 1988. ). [DOI] [PubMed] [Google Scholar]
- 16.Seraj , M. J. , Umemoto , A. , Kajikawa , A. , Mimura , S. , Kinouchi , T. , Ohnishi , Y. and Monden , Y.Effects of dietary bile acids on formation of azoxymethane‐induced aberrant crypt foci in F344 rats . Cancer Lett. , 15 , 97 – 103 ( 1997. ). [DOI] [PubMed] [Google Scholar]
- 17.Holbec , H. , Earnest , D. , Batte , A. , Salen , G. , Alberts , D. and Gibson , J.Chemopreventive effects of 6‐fluoroursode‐oxycholic acid on azoxymethane‐induced aberrant crypt foci in rat colon . Gastroenterology , 112 , A579 ( 1997. ). [Google Scholar]
- 18.Ikegami , T. , Matsuzaki , Y. , Shoda , J. , Kono , M. , Hirabayashi , N. and Tanaka , N.The chemopreventive role of ursodeoxycholic acid in azoxymethane‐treated rats: suppressive effects on enhanced group II phospholipase A2 expression in colonic tissue . Cancer Lett. , 134 , 129 – 139 ( 1998. ). [DOI] [PubMed] [Google Scholar]
- 19.Narisawa , T. , Fukaura , Y. , Terada , K. and Sekiguchi , H.Inhibitory effects of ursodeoxycholic acid on N‐methylnitrosourea‐induced colon carcinogenesis and colonic mucosal telomerase activity in F344 rats . J. Exp. Clin. Cancer Res. , 18 , 259 – 266 ( 1999. ). [PubMed] [Google Scholar]
- 20.Wargovich , M. J. , Jimenez , A. , McKee , K. , Steele , V. , Velasco , M. , Woods , J. , Price , R. , Gray , K. and Kelloff , G. J.Efficacy of potential chemopreventive agents on rat colon aberrant crypt formation and progression . Carcinogenesis , 21 , 1149 – 1155 ( 2000. ). [PubMed] [Google Scholar]
- 21.Konishi , T. , Takahashi , M. and Ohta , S.Basic studies on 5‐(7‐hydroxy‐3‐O‐phosphonocolyl)aminosalicylic acid for the evaluation of microbial overgrowth . Biol. Pharm. Bull. , 20 , 370 – 375 ( 1997. ). [DOI] [PubMed] [Google Scholar]
- 22.Batta , A. K. , Salen , G. , Holubec , H. , Brasitus , T. A. , Alberts , D. and Earnest , D. L.Enrichment of the more hydrophilic bile acid ursodeoxycholic acid in the fecal water‐soluble fraction after feeding to rats with colon polyps . Cancer Res. , 58 , 1684 – 1687 ( 1998. ). [PubMed] [Google Scholar]
- 23.Koutos , K. I. , Shiff , S. J. and Rigas , B.The effect of ursodeoxycholic and lithocholic acid on cell cycle and apoptosis in human colon adenocarcinoma cells . Gastroenterology , 108 , A492 ( 1995. ). [Google Scholar]
- 24.Bissonette , M. , Johnson , J. , Wexler , S. , Skarosi , S. and Wali , R.Ursodeoxycholate, a chemopreventive bile salt in colon carcinogenesis, stimulates apoptosis and inhibits Bcl‐2 expression in Caco cells . Gastroenterology , 112 , A537 ( 1997. ). [Google Scholar]
- 25.Baijal , P. K. , Fitzpatrick , D. W. and Bird , R. P.Modulation of colonic xenobiotic metabolizing enzymes by feeding bile acids: comparative effects of cholic, deoxycholic, lithocholic and ursodeoxycholic acids . Food Chem. Toxicol. , 36 , 601 – 607 ( 1998. ). [DOI] [PubMed] [Google Scholar]
- 26.Wali , R. K. , Frawley , B. P. , Jr. , Hartmann , S. , Roy , H. K. , Khare , S. , Scaglione‐Sewell , B. A. , Earnest , D. L. , Sitrin , M. D. , Brasitus , T. A. and Bissonnette , M.Mechanism of action of chemopreventive ursodeoxycholate in the azoxymethane model of rat colonic carcinogenesis: potential role of protein kinase C‐α, ‐βII, and ‐ζ . Cancer Res. , 55 , 5257 – 5264 ( 1995. ). [PubMed] [Google Scholar]
- 27.Takano , S. , Akagi , M. and Bryan , G. T.Stimulation of ornithine decarboxylase activity and DNA synthesis by phorbol esters or bile acids in rat colon . Jpn. J. Cancer Res. , 75 , 29 – 35 ( 1984. ). [PubMed] [Google Scholar]
- 28.Cheng , Y. , Tauschel , H. D. , Nilsson , A. and Duan , R. D.Ursodeoxycholic acid increases the activities of alkaline sphingomyelinase and caspase‐3 in the rat colon . Scand. J. Gastroenterol. , 34 , 915 – 920 ( 1999. ). [DOI] [PubMed] [Google Scholar]
- 29.Davis , A. E. , Patterson , F. and Crouch , R.The effect of therapeutic drugs used in inflammatory bowel disease on the incidence and growth of colonic cancer in the dimethyl‐hydrazine rat model . Br. J. Cancer , 66 , 777 – 780 ( 1992. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Andrianopoulos , G. D. , Nelson , R. L. , Barch , D. H. and Nyhus , L. M.Sulfasalazine alters the character of dimethylhydrazine‐induced colorectal carcinoma in rats . Anticancer Res. , 9 , 1725 – 1728 ( 1989. ). [PubMed] [Google Scholar]
- 31.Craven , P. A. , Pfanstiel , J. and DeRubertis , F. R.Actions of sulfasalazine and 5‐aminosalicylic acid as reactive oxygen scavengers in the suppression of bile acid‐induced increases in colonic epithelial cell lose and proliferative activity . Gastroenterology , 92 , 1998 – 2008 ( 1987. ). [DOI] [PubMed] [Google Scholar]
- 32.Allgayer , H. , Holb , M. , Stuber , V. and Kruis , W.Modulation of base hydroxylation by bile acids and salicylate in a model of human colonic mucosal DNA: putative implications in colonic cancer . Dig. Dis. Sci. , 44 , 761 – 767 ( 1999. ). [DOI] [PubMed] [Google Scholar]
- 33.Pinczowski , D. , Ekbom , A. , Baron , J. , Yuen , J. and Adami , H. O.Risk factors for colorectal cancer in patients with ulcerative colitis: a case‐control study . Gastroenterology , 107 , 117 – 120 ( 1994. ). [DOI] [PubMed] [Google Scholar]