Abstract:
A method is provided for inhibiting the development of colon tumorigenesis in a mammal by administering to the mammal a pharmacologically effective amount of an isothiocyanate selected from the group consisting of sulforaphane and phenethyl isothiocyanate.

Description:
FIELD OF INVENTION  
         [0001]    This invention relates to treatment for the inhibition or reduction of colon tumorigenesis in a mammal by the administration of a pharmaceutical compound.  
         BACKGROUND OF INVENTION  
         [0002]    Evidence from epidemiological studies suggests an association of consumption of cruciferous vegetables and a reduced risk of colon cancer ( 31 ). Although a number of compounds in these vegetables may collectively cause the beneficial effects, there has been a need to identify the exact role of each compound that contributes to the protective effects. Ample data from laboratory animal studies have shown that isothiocyanates (ITCs), one of the major constituents of cruciferous vegetables, are promising chemopreventive agents against cancers at various sites, including lung, esophagus, liver, mammary, and bladder ( 3 , 32 , 33 ). These laboratory results support a potential role of dietary ITCs in reducing risk of certain human cancers. However, it is well known to those of skill in the art that chemopreventive agents affect different tissues differently.  
           [0003]    Previously, for example, it has been reported that while phenylhexyl ITC, a synthetic homologue of PEITC, is a potent inhibitor of lung tumorigenesis, it enhanced colon and esophagus tumorigenesis in rats, possibly due to its tissue cytotoxicity at the dose level studied ( 29 , 30 ). These results illustrate the importance of considering tissue specificity and of choosing the appropriate dose range for specific tissues in chemoprevention studies.  
           [0004]    A recent case-control study reported that broccoli consumption is linked to a lowered risk of colon cancer, and the protective effect is especially evident in individuals with a glutathione transferase (GST) M 1  null genotype ( 1 ). Because GSTs facilitate the conjugation of ITCs resulting in their excretion as the N-acetylcysteine (NAC) conjugates via the mercapturic acid pathway, it has been suggested that the ITC compounds in broccoli may play a role in the protection of human colon cancer ( 2 ). Sulforaphane (SFN) is the predominant ITC found in broccoli which has been studied for its chemopreventive potential due to its activity in the induction of phase II enzymes involved in carcinogen detoxification and elimination ( 3 ). However, so far no animal data is available regarding the effects of SFN on colon tumorigenesis. Several laboratory animal studies have shown that phenethyl ITC (PEITC), a principal constituent in watercress, is a potent chemopreventive agent for cancers of the breast, lung, and esophagus ( 4 , 5 , 6 ). However, there is insufficient data for PEITC on colon cancer.  
           [0005]    Considering the natural abundance of SFN and PEITC in broccoli and watercress, respectively, and their potential as chemopreventive agents, it is surprising that little is known about the effects of these agents on colon tumorigenesis. A lower homologue of PEITC, benzyl ITC (BITC) has been shown to inhibit colon tumor incidence in AOM treated rats during the initiation phase, but not during the post-initiation phase ( 34 ). Another short-term study, however, has reported that both PEITC and BITC given in the diet at similar dose levels were inactive towards ACF formation, in fact, BITC was found to slightly induce ACF formation ( 10 ). By contrast, the present inventors have now demonstrated for the first time that both PEITC and SFN inhibit colonic ACF, independent of whether they are administered before or after carcinogen exposure.  
         SUMMARY OF THE INVENTION  
         [0006]    There is provided in accordance with one embodiment of the invention a method for inhibiting tumor development in a mammal. The method comprises administering to the mammal a pharmacologically effective amount of an isothiocyanate selected from the group consisting of sulforaphane and phenethyl isothiocyanate. The sulforaphane may be isolated from broccoli and the phenethyl isothiocyanate may be isolated from watercress. The isothiocyanate is preferably administered to the mammal as a purified compound, either alone or in a composition with a pharmacologically acceptable carrier, excipient or diluent or with a beverage or foodstuff.  
           [0007]    In a preferred embodiment of the invention, the mammal is a human and the isothiocyanate is administered to the human as a dietary supplement. In a preferred treatment regimen, the isothiocyanate is administered to the human in a dosage of between about 0.5 and 12 mg/kg body weight per day.  
           [0008]    In another embodiment of the invention there is provided a method for treating colon tumor formation in a mammal in need of such treatment. The method comprises administering to the mammal a pharmacologically effective amount of an isothiocyanate selected from the group consisting of sulforaphane and phenethyl isothiocyanate.  
           [0009]    The above and other features and advantages of the invention will be found in the detailed description which follows below. 
       
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS  
       [0010]    [0010]FIG. 1 is a graph showing the body weight over time of rats treated with isothiocyanates in accordance with the invention before (initiation) AOM treatment and rats in a control group; and  
         [0011]    [0011]FIG. 2 is a graph showing the body weight over time of rats treated with isothiocyanates in accordance with the invention after (post-initiation) AOM treatment and rats in control group. 
     
    
     DETAILED DESCRIPTION  
       [0012]    As used herein, the abbreviations have the following meanings: ITCs, isothiocyanates; SFN, sulforaphane; PEITC, phenethyl isothiocyanate; BITC, benzyl isothiocyanate; AFC, aberrant crypt foci; NAC, N-acetylcysteine; AOM, azoxymethane; NNK, -(4-methylnitrosamino)-1-(3-pyridyl)-2-butanone; CYP, cytochrome P450; NDMA, N,N-dimethylnitrosamine. All references cited herein are hereby specifically incorporated into this disclosure by reference.  
         [0013]    The inventors designed a bioassay to examine whether SFN and PEITC can inhibit the formation of aberrant crypt foci (ACF) induced by azoxymethane (AOM) in Fischer rats. ACF has been recognized as an early preneoplastic lesion of colon cancer ( 7 - 9 ) and it is generally observed that agents that inhibit colonic ACF formation would show chemopreventive activity against colon cancer ( 10 ). The inventors also included in this study the NAC conjugates of SFN and PEITC since their previous studies showed that certain ITC-NAC conjugates are promising chemopreventive agents for lung tumorigenesis, probably by a gradual release of the parent ITCs via a dissociation reaction ( 11 , 12 ). The structures of SFN and PEITC and their NAC conjugates are shown below. Two treatment regimens in which SFN and PEITC or their NAC conjugates were administered either after (post-initiation) or before (initiation) AOM treatment were used in the bioassay in order better to define the possible mechanism of action.  
                         
 
         [0014]    Male F344 rats were from Charles River (Kingston, N.Y.). They were fed AIN-76A diet (5% corn oil) and tap water ad libitum. Animals were maintained under standard conditions (12-h light/12-h dark cycle, 50% relative humidity at 21° C.). At six-weeks of age, they were randomly divided into six per groups as shown in Table 1, except for the control groups  10  to  14 , which consist of three animals. PEITC and SFN were purchased from Aldrich Chemical Company (Milwaukee, Wis.) and LTK Labs, Inc. (St. Paul, Minn.), with purity &gt;99% and &gt;97%, respectively. The corresponding NAC conjugates were prepared by a published method ( 13 , 26 ). The purity of the conjugates was greater than 97% as determined by high-performance liquid chromatography. AOM obtained from Ash-Stevens (Detroit, Mich.) was dissolved in saline and administered subcutaneously once a week for two weeks. SFN and PEITC in corn oil and the NAC conjugates in saline (10% DMSO) were given by gavage. Groups  2  to  5  were given 5 μmol SFN or PEITC or 20 μmol of the NAC conjugates, three doses each week for eight weeks, beginning two days after the last dose of AOM. Groups  6  to  9  were treated with three doses of ITC compounds (20 μmol ITC or 50 μmol ITC-NAC) once daily and the last dose was given 2 hr before AOM dosing. This dosing regimen was repeated during the second week of AOM dosing. Groups  10  to  13  were treated with ITCs (5 μmol/dose) or the conjugates (20 μmol/dose) only, three times weekly for eight weeks. Group  14  served as the control group. The bioassay was terminated at week  10  after the second AOM treatment. The colon was processed for microscopic examination and the ACF were recorded using a standard procedure described previously ( 14 ). ACF were distinguished from the surrounding normal crypts by their increased size, significantly increased distance from lamina to basal surface of cells, and the easily discernable pericryptal zone. For statistical analysis, means were compared among the groups using one-way analysis of variance (ANOVA) followed by Fisher&#39;s protected t-test.  
         [0015]    No significant differences in body weights were seen in any of the treated groups compared with the control group, indicating that doses of ITCs and the conjugates used did not cause overt toxicity (see FIGS. 1 and 2). This bioassay showed that post-treatment by oral administration of SFN and PEITC at 5 μmol three doses weekly for eight weeks and their NAC conjugates at 20 μmol by the same regimen inhibited the formation of ACF. These treatments reduced the total ACF from 153 to 100-116 (p&lt;0.01) and multicrypt foci (&gt;4 crypts/focus) from 52 to 27-37 (p&lt;0.04) as shown in Table 1 (Groups  1  to  5 ). Since the ITC conjugates are presumably less toxic than the parent ITCs, the doses of the conjugates were 4 times that of SFN and PEITC ( 15 , 16 ). However, the inventors did not find significant difference in the inhibition of ACF between the ITCs and their NAC conjugates, suggesting the conjugates themselves are not as active. Similar dose-effect relationships were observed previously between parent ITCs and their conjugates towards the inhibition of lung tumorigenesis ( 7 ). These results, together with those from the inventors&#39; earlier studies ( 17 , 18 ), suggest that ITC conjugates render their inhibitory activity in part by the deconjugation to the parent ITCs. Although the mechanism of inhibition of ACF at the post-initiation phase is not currently clear, recent studies have shown that PEITC and related ITCs induce p53-dependent or c-jun kinase-mediated apoptosis in cultured cells ( 19 - 21 ). In addition, NAC produced by deconjugation is a known antioxidant which has been recently shown to inhibit mouse fibroblast cell proliferation by blocking cell in G 1  phase ( 22 ). All these activities could have contributed to the inhibition of ACF formation during the post-initiation of ACF formation.  
         [0016]    Studies by the inventors and others showed that pretreatment of animals with PEITC and other related ITCs blocked chemical-induced tumorigenicity by inhibiting cytochrome p450 (CYP) enzymes responsible for the activation of carcinogens, and consequently reducing DNA damage ( 23 - 25 ). The inventors investigated the effects of pretreatment with SFN and PEITC on the AOM-induced colonic ACF formation in Fischer rats. The results showed that pretreatment with SFN or PEITC significantly decreased total number of ACF from 153 to 109 (p&lt;0.004) or 115 (p&lt;0.01), respectively, and multicrypt foci (&gt;4 crypts) from 52 to 35 (p&lt;0.03) for both compounds (Table 1 below). The inventors have previously shown that PEITC and PEITC-NAC are inhibitors of N,N-dimethylnitrosamine (NDMA) demethylase (CYP2E1) in rat liver microsomes ( 26 ). Like NDMA, AOM is metabolically activated by CYP2E1 to methyazoxymethanol which can yield a DNA methylating species ( 27 ). Thus, inhibition of CYP2E1 by these agents in the rat liver may constitute an important mechanism for the inhibition, since CYP enzyme activity in colonic tissue is low compared to that in liver ( 24 ). SFN-NAC also reduced total AFC to 120 (p&lt;0.02), however, it had no significant effect on multicrypt foci (&gt;4 crypts/focus, 15% inhibition). PEITC-NAC, on the other hand, appeared to enhance ACF formation (total number of ACF is 198, p&lt;0.002; number of multicrypt foci is 74, p&lt;0.008) (Table 1). The adverse effect caused by PEITC-NAC is unexpected in view of the inhibition by its parent ITC. At present, it is not clear as to why there is such a sharp contrast towards ACF formation for PEITC-NAC compared to other ITC compounds studied here.  
                                                                                         TABLE 1                           Effects of SFN and PEITC on the formation of aberrant crypt foci induced by AOM                    Dose of ITC   Average Body               Treatment   Compounds   Weight at   Number of aberrant crypt foci                Group a     (μmol)   Termination   &gt;4 Crypts   Total                        1.   AOM   —   310   52   153       2.   AOM→SFN   5   301   30 (42) b,c     103 (33) d         3.   AOM→SFN-NAC   20   297   31 (40) c     116 (24) c         4.   AOM→PEITC   5   306   27 (48) c     100 (35) d         5.   AOM→PEITC-NAC   20   313   38 (27) f     113 (26) e         6.   SFN→AOM   20   310   35 (33) f     109 (29) c         7.   SFN-NAC→AOM   50   304   44 (15)   120 (22) c         8.   PEITC→AOM   20   307   35 (33) f     115 (25) c         9.   PEITC-NAC→AOM   50   303   74 (−42) c     198 (−29) e         10.   SFN   5   309    0    0       11.   SFN-NAC   20   312    0    0       12.   PEITC   5   333    0    0       13.   PEITC-NAC   20   301    0    0       14.   Control   —   320    0    0                                                                  
 
         [0017]    Preferred Dose Levels and Toxicity Considerations  
         [0018]    In the above study a colon carcinogen, AOM, was used to initiate precancerous lesions in the colon; the dose was considerably higher than the anticipated dose of any carcinogen to which humans would be inadvertently subjected. The chemopreventive agents were administered in two types of treatments. In the first type of treatment, rats were dosed after AOM was given with 5 μmole of either sulforaphane (SFN) [6.3 mg/kg] or phenethyl isothiocyanate (PEITC) [5.8 mg/kg] or 20 μmole of either the N-acetylcysteine conjugate of SFA (SFN-NAC) [48.6 mg/kg] or the N-acetylcysteine conjugate of PEITC (PEITC-NAC) [46.6 mg/kg] three times per week for eight weeks. In the second treatment regimen, the rats received 20 μmole of the respective ITCs or 50 μmole of the N-acetylcysteine conjugates four days per week for two weeks prior to AOM administration once each week. Symptoms of gastrointestinal toxicity or irritation (bloody mucus in feces) were observed very early in the second treatment regimen, suggesting that the dose levels used may have been in excess of a dose safe for human consumption.  
         [0019]    Additional toxicity information regarding PEITC is available from a 90 day study in rats, in which 500, 1500, and 2500 ppm was administered in the diet ( 35 ). Dietary PEITC reduced weight gain in male rats at the high dose level by approximately 9.5% (not significant). In addition, liver weights of male rats ingesting 1500 and 2500 ppm PEITC were significantly elevated. Changes in the epithelial lining of the forestomach of both male and female rats at 2500 ppm were also observed. In another study with Beagle dogs, PEITC was administered daily in gelatin capsules. Diarrhea and vomiting, with gastrointestinal irritation, occurred sporadically at dose levels of 2 mg/kg and higher. Signs of irritation of the mucosa of the urinary bladder were reported at 4 mg/kg/day and higher. Dose related weight loss occurred in both male and female dogs, which became statistically significant in females at 8 mg/kg. No other signs or symptoms of-toxicity were reported ( 36 ).  
         [0020]    In a preliminary study in humans presently being conducted to determine the efficacy of PEITC as a chemopreventive agent for lung cancer in smokers, volunteers have been given 40 mg PEITC (approx. 0.6 mg/kg) in gelatin capsules. No adverse effects from this dose have been observed after repeated dosing every four hours.  
         [0021]    On the basis of existing toxicity information and efficacy data, the inventors suggest the following safe dose ranges for human consumption:  
                                                       PEITC    0.6 to 1.2 mg/kg body weight           PEITC-NAC    6.0 to 12 mg/kg body weight           SFN   0.55 to 1.1 mg/kg body weight           SFN-NAC    5.5 to 11 mg/kg body weight                      
 
         [0022]    The components of the present invention may be administered as a dietary supplement. For example, they may be administered orally, either alone or with water or another beverage or with a foodstuff.  
         [0023]    There may be many modifications and variations of the methods and compounds set forth hereinabove. These modifications and variations will not depart from the scope of the invention, if defined by the following claims and equivalents thereof.  
         [0024]    References  
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