Carcinogenesis, Vol 18, 721-730, Copyright © 1997 by Oxford University Press
WC Chang, RS Chapkin and JR Lupton
In order to determine the prognostic significance of proliferation,
differentiation, and apoptosis as intermediate markers for colon tumor
development, these indices were measured during the promotion phase of
tumorigenesis. Two hundred and sixty male Sprague-Dawley rats were provided
with one of two fats (corn oil and fish oil) and two fibers (pectin and
cellulose) plus or minus the carcinogen azoxymethane (AOM) and killed at
two time points (18 and 36 wk) in a 2x2x2x2 factorial design. In vivo cell
proliferation was measured immunohistochemically using incorporation of
bromodeoxyuridine into DNA. Differentiation was assessed by binding of
Dolichos biflorus agglutinin (DBA) to colonocytes. Apoptosis was measured
by immunoperoxidase detection of digoxigenin-labeled genomic DNA.
Adenocarcinoma incidence results at week 36 were 70.3% for corn oil + AOM
and 56.1% for fish oil + AOM treatment (P < 0.05); no main effect of
fiber was observed. At week 18, AOM treatment increased the number of cells
per crypt column in the proximal colon compared with saline controls (P =
0.0358) and increased the proliferative zone in the distal colon compared
with controls (P = 0.0073). However, changes in cell proliferation at week
18 did not predict the beneficial effect of fish oil versus corn oil. In
contrast, DBA binding (the marker for differentiation) was higher in fish
oil versus corn oil fed animals in both the proximal and distal colon and
in each portion of the crypt (P = 0.0001). There were a greater number of
apoptotic cells/crypt column in the proximal colon (P = 0.0019) and distal
colon (P = 0.0358) with fish oil compared with corn oil, and indices of
apoptosis also predicted certain fat/fiber interactions. Measurements of
differentiation and apoptosis had greater prognostic value to detect
dietary effects on tumor incidence than did measurements of cell
proliferation.
ARTICLES
Predictive value of proliferation, differentiation and apoptosis as intermediate markers for colon tumorigenesis
Faculty of Nutrition, Texas A&M University, College Station 77843-2471, USA.
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