Chemoprevention for colorectal tumorigenesis associated with chronic colitis in mice via apoptosis

S Orii1, T Yamaguchi, H Anzai

  • 1First Dept. of Internal Medicine, Iwate Medical University School of Medicine, Morioka, Iwate, Japan. sorii@iwate-med.ac.jp

Insights

Nonsteroidal anti-inflammatory drugs suppress colon tumors in mice with colitis. This chemoprevention is linked to increased apoptosis, not reduced prostaglandin E2 levels.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pharmacology

Background:

  • Chronic colitis can lead to colonic aberrant crypt foci and tumors.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to have chemopreventive effects.

Purpose of the Study:

  • To investigate the mechanism by which NSAIDs suppress colonic aberrant crypt foci/tumors in a murine model of colitis-associated neoplasia.
  • To determine whether prostaglandin E2 reduction or apoptosis induction is the primary mechanism of NSAID chemoprevention.

Main Methods:

  • Azoxymethane and dextran sulfate sodium were used to induce colitis and neoplasia in mice.
  • Mice were treated with sulindac (a COX-1 and COX-2 inhibitor) or nimesulide (a COX-2 selective inhibitor).
  • Colonic aberrant crypt foci/tumors, prostaglandin E2 levels, apoptosis indices, and cyclooxygenase-2 expression were analyzed.

Main Results:

  • Both sulindac and nimesulide significantly suppressed the formation of colonic aberrant crypt foci/tumors.
  • No significant difference in prostaglandin E2 levels was observed between NSAID-treated groups and controls.
  • Nimesulide treatment significantly increased apoptosis indices and decreased cyclooxygenase-2 expression, with higher doses showing greater effects on apoptosis.

Conclusions:

  • NSAIDs effectively suppress colitis-associated colonic neoplasia in mice.
  • The chemopreventive mechanism of NSAIDs in this model is primarily mediated by the induction of apoptosis.
  • Apoptosis induction is a more critical factor in NSAID-mediated chemoprevention than the reduction of prostaglandin E2.

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