Carcinogenesis Advance Access published online on April 9, 2009
Carcinogenesis, doi:10.1093/carcin/bgp082
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Lung tumor promotion by curcumin
a Department of Cancer Biology
b Section on Comparative Medicine, Department of Pathology
c Department of Biostatistical Sciences
d Biochemistry and Molecular Biology, Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157
e Department of Medicine, Albert Einstein Cancer Center, Montefiore Medical Center, Bronx, NY 10467
* Corresponding author: Dr. Mark Steven Miller, Department of Cancer Biology, 1 Medical Center Blvd., Wake Forest University School of Medicine, Comprehensive Cancer Center, Winston-Salem, NC 27157 Phone: 336-716-0795, Fax: 336-716-0255, E-Mail: msmiller{at}wfubmc.edu.
Curcumin exhibits anti-inflammatory and anti-tumor activity and is being tested in clinical trials as a chemopreventive agent for colon cancer. Curcumin's chemopreventive activity was tested in a transgenic mouse model of lung cancer that expresses the human Ki-rasG12C allele in a doxycycline (DOX) inducible and lung-specific manner. The effects of curcumin were compared to the lung tumor promoter, butylated hydroxytoluene (BHT), and the lung cancer chemopreventive agent, sulindac. Treatment of DOX-induced mice with dietary curcumin increased tumor multiplicity (36.3±0.9 vs. 24.3±0.2) and progression to later stage lesions, results which were similar to animals that were co-treated with DOX/BHT. Microscopic examination showed that the percentage of lung lesions that were adenomas and adenocarcinomas increased to 66% in DOX/BHT, 66% in DOX/curcumin, and 49% in DOX/BHT/curcumin treated groups relative to DOX only treated mice (19%). Immunohistochemical analysis also showed increased evidence of inflammation in DOX/BHT, DOX/curcumin, and DOX/BHT/curcumin mice relative to DOX only treated mice. In contrast, co-treatment of DOX/BHT mice with 80 ppm of sulindac inhibited the progression of lung lesions and reduced the inflammation. Lung tissue from DOX/curcumin treated mice demonstrated a significant increase (33%; p = 0.01) in oxidative damage, as assessed by the levels of carbonyl protein formation, relative to DOX-treated control mice after one week on the curcumin diet. These results suggest that curcumin may exhibit organ-specific effects to enhance reactive oxygen species formation in the damaged lung epithelium of smokers and ex-smokers. Ongoing clinical trials thus may need to exclude smokers and ex-smokers in chemopreventive trials of curcumin.
Received September 12, 2008; revised March 27, 2009; accepted March 27, 2009.
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