Page 194 - Vitamin D and Cancer
P. 194

8  Vitamin D and Cancer Chemoprevention                         181

            were maintained on these diets for 24 weeks. At the end of 24 weeks the cohorts
            that were fed a high fat and low calcium and low vitamin D diet (Cohorts II and III)
            had a greater number of mammary lesions and tumors as compared to the low fat
            groups (Cohorts IV, V, VI). There were more tumors in the low fat, low vitamin D,
            low calcium cohort (Cohort VI) compared to the other low fat diet cohorts (Cohorts
            IV, V). Thus, suggesting that the combination of low vitamin D and low calcium
            results  in  enhanced  mammary  tumorigenesis,  especially  when  combined  with  a
            high fat diet.
              Similar to Jacobson’s study, Xue et al. examined the effects of low vitamin D
            and low calcium in combination with high fat diets on the number of terminal ducts
            in mouse mammary glands (NTDMG) in C57BL/6 J mice [24]. Terminal ducts are
            the  cancer  prone  region  in  the  mammary  tissue  of  both  mice  and  humans.  An
            increase in the NTDMG increases the risk of developing mammary tumors; there-
            fore this study used NTDMG to evaluate the effects of low vitamin D and low
            calcium in a high fat diet. Mice were split in to two cohorts, one received standard
            AIN-76A diet containing 12% Fat/kcal, 1.4 mg calcium (Ca)/kcal and 0.3 IU vita-
            min D  (D)/kcal/diet the other cohort received a high fat diet containing 40% Fat/
                 3
            kcal, 0.11 mg Ca/kcal and 0.05 IU D/kcal per diet. The NTDMG were determined
            at 8, 14 and 20 weeks of diet administration. The authors further demonstrated that
            a diet high in fat and low in both vitamin D and calcium resulted in an increased
            risk for tumorigenesis as demonstrated by the increased NTFMG in mice on the
            high fat diet for 14 and 20 week. Furthermore, the increased NTFMG was also
            associated with increased proliferation in animals on high fat and low vitamin D
            and low calcium diets.
              In addition to examining the effects of vitamin D , Anzano et al. examined the
                                                      3
            chemopreventive nature of the 1,25(OH) D  analog, la,25-dihydroxy-16-ene-23-
                                             2  3     ,
            yne-26,27-hexafluorocholecalciferol  (Ro24–5531)  in  a  carcinogen-induced  rat
            model [14]. The carcinogen-induced N-nitroso-N-methyl urea (NMU) rat model
            used in this study forms invasive mammary adenocarcinoma in rats treated with a
            single intervenous injection of 15 mg/kg NMU [25]. The rats in this study were
            treated with NMU and a week following were put on a diet with either 0, 2.5, or
            1.25  nmol  Ro24–5531/kg.  The  rats  were  followed  for  6  months  and  palpable
            tumors were measured. The rats on the both Ro24–5531 supplemented diets had
            similar effect, in that there was ~24% reduction in tumor incidence compared to the
            diet with no Ro24–5531. Thus, these studies demonstrate a chemopreventive effect
            of Ro24–5531 against breast cancer in this model.
              Murillo et al. also examined the chemopreventive effects associated with a dif-
            ferent vitamin D analog, 1a (OH)D  [26]. The authors sought to not only examine
                                         5
            overall  changes  in  incidence  and  multiplicity,  but  also  examined  stage  specific
            effects of treating animals with 1a (OH)D . To examine tumor incidence and mul-
                                              5
            tiplicity Sprauge–Dawley rats were treated with an intervenous injection of 50 mg/kg
            of  the  carcinogen,  N-methyl-N-nitrosourea  (MNU)  to  induce  mammary  tumors.
            The stage specific studies were conducted in Sprauge–Dawley rats that were treated
            with 15 mg of dimethylbenz(a)anthracene (DMBA) in 1 mL of corn oil intragastri-
            cally.  In  the  tumor  incidence  and  multiplicity  studies,  the  rats  were  given  diets
   189   190   191   192   193   194   195   196   197   198   199