phytosterols and Adenoma

The rate of APC mutations in the intestine increases in middle-age. At the same period of life, plant sterol and stanol enriched functional foods are introduced to diet to lower blood cholesterol. This study examined the effect of plant stanol enriched diet on intestinal adenoma formation in the Apc(Min) mouse. Apc(Min) mice were fed 0.8% plant stanol diet or control diet for nine weeks. Cholesterol, plant sterols and plant stanols were analyzed from the caecum content and the intestinal mucosa. Levels of β-catenin, cyclin D1, epidermal growth factor receptor (EGFR) and extracellular signal-regulated kinase 1/2 (ERK1/2) were measured from the intestinal mucosa by Western blotting. Gene expression was determined from the intestinal mucosa using Affymetrix and the data were analyzed for enriched categories and pathways. Plant stanols induced adenoma formation in the small intestine, however, the adenoma size was not affected. We saw increased levels of nuclear β-catenin, phosphorylated β-catenin (Ser675 and Ser552), nuclear cyclin D1, total and phosphorylated EGFR and phosphorylated ERK1/2 in the intestinal mucosa after plant stanol feeding. The Affymetrix data demonstrate that several enzymes of cholesterol synthesis pathway were up-regulated, although the cholesterol level in the intestinal mucosa was not altered. We show that plant stanols induce adenoma formation by activating Wnt and EGFR signaling. EGFR signaling seems to have promoted β-catenin phosphorylation and its translocation into the nucleus, where the expression of cyclin D1 was increased. Up-regulated cholesterol synthesis may partly explain the increased EGFR signaling in the plant stanol-fed mice.

Topics: Adenoma; Animals; beta Catenin; Cecum; Cholesterol; Cyclin D1; ErbB Receptors; Female; Gene Expression Regulation; Genes, APC; Intestinal Mucosa; Intestinal Neoplasms; Male; Mice; Mice, Inbred C57BL; Mice, Mutant Strains; Mitogen-Activated Protein Kinase 3; Phytosterols; Proto-Oncogene Proteins c-akt; Serine; Sitosterols; Sterol Regulatory Element Binding Protein 2; Up-Regulation; Wnt Signaling Pathway

In this necroscopy study the relation between carriage and size of colorectal polyps was correlated with luminal steroid concentrations in respect to malignant risk. Of the 92 subjects entered into the study, 68 had adenomatous polyps of the large bowel, of which 19 had adenomas > 0.9 cm in diameter (large adenomas), 26 in the range 0.5-0.9 cm in diameter (medium adenomas) and 23 of 0.4 cm or less in diameter (small adenomas). Sixty-three percent of subjects carrying large adenomas and 26% of persons carrying small adenomas had an abnormal ratio (> 1.0) of lithocholic acid to deoxycholic acid in intestinal contents as compared to 17% of the adenoma-free comparison group (n = 24). These findings support the suggestion that the ratio of lithocholic acid to deoxycholic acid as a faecal marker may be a useful adjunct to screening procedures for colorectal cancer.

Topics: Adenoma; Aged; Bile Acids and Salts; Biomarkers, Tumor; Cholestanol; Cholesterol; Cholesterol Esters; Colonic Polyps; Deoxycholic Acid; Feces; Female; Gastrointestinal Contents; Humans; Lithocholic Acid; Male; Middle Aged; Phytosterols; Polyps; Rectal Neoplasms; Steroids; Sterols

Topics: Adenoma; Adult; Aged; Aged, 80 and over; Bile Acids and Salts; Cell Cycle; Cell Division; Chenodeoxycholic Acid; Cholesterol; Cholic Acid; Cholic Acids; Colon; Colonic Neoplasms; Colonic Polyps; Deoxycholic Acid; Feces; Female; Humans; Lithocholic Acid; Male; Middle Aged; Phytosterols; Rectum; Sterols