Journal of Cancer Prevention 2017; 22(3): 135-146
Published online September 30, 2017
© Korean Society of Cancer Prevention
Khalid Asadi1, Lynnette R. Ferguson1,2, Martin Philpott1,*, and Nishi Karunasinghe1
1Auckland Cancer Society Research Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand, 2Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
Correspondence to :
Khalid Asadi, Auckland Cancer Society Research Centre, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand Tel: +64-92743077, Fax: +64-92743077, E-mail: email@example.com, ORCID: Khalid Asadi,
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Anthocyanin-rich foods and preparations have been reported to reduce the risk of life-style related diseases, including cancer. The SL222 sweet potato, a purple-fleshed cultivar developed in New Zealand, accumulates high levels of anthocyanins in its storage root. We examined the chemopreventative properties of the SL222 sweet potato in the C57BL/6J-APC The SL222 sweet potato-supplemented diets reduced the adenoma number in the APCMIN mice. These data have significant implications for the use of this sweet potato variant in protection against colorectal cancer.
Anthocyanin-rich foods and preparations have been reported to reduce the risk of life-style related diseases, including cancer. The SL222 sweet potato, a purple-fleshed cultivar developed in New Zealand, accumulates high levels of anthocyanins in its storage root.
We examined the chemopreventative properties of the SL222 sweet potato in the C57BL/6J-APC
The SL222 sweet potato-supplemented diets reduced the adenoma number in the APCMIN mice.
These data have significant implications for the use of this sweet potato variant in protection against colorectal cancer.
Keywords: Anthocyanins, Sweet potato, Colorectal cancer, APCMIN mice, cancer Protection
Cancer burden, commonly measured in disability adjusted lifestyle years (DALY), is increasing in westernized countries, such as New Zealand.1 The incidence of colorectal cancer (CRC) is lower in Maori, although this population presents with more advanced disease than do non-Maori populations.2,3 In the early 2000s, the comparative rates of adenomas among New Zealand Europeans and Maori were 16.7% and 8.7%, respectively.4 However, National cancer statistics indicate that this gap has more recently closed, with New Zealand Europeans recording an age standardized CRC rate of 42.8 per 100,000 compared to 33.3 per 100,000 among New Zealand Maori, and both populations showing similar death rates due to CRC.5 Indeed, it is of concern that Maori populations have increasing rates of CRCs, and the DALY burden for Maori men is almost equal (99%) to that of Caucasian groups, while that of females is 77% of Caucasian DALY estimates.6 The increase of these rates in recent years may reflect changes in lifestyle and particularly diet.2 The traditional Maori diet follows a pattern different from the current eating habits.7 Among the currently consumed tropical crops is the sweet potato or kumara (
The sweet potato is considered the world’s seventh most important food crop on a fresh-weight basis, after wheat, rice, maize, potato, barley, and cassava. More than 123 million metric tons are produced internationally per year, and Asia is the world’s largest sweet potato producing region.9 The average yearly per capita consumption of fresh roots greatly varies within countries. In Oceania, including New Zealand, this consumption is estimated as 73 kg (very high consumption), in Asia; 18 kg (high consumption), in Latin America, Japan, and Africa: 5, 7 and 9 kg, respectively (moderate consumption) and in USA with 2 kg (low consumption).10 In contrast to potato, the per capita consumption of sweet potato in Canada, Europe, and Australia is limited.11 Of considerable interest are purple-fleshed new sweet potato varieties with enhanced anthocyanin content.12 One such variety, SN 99N1/222 has been developed by Plant and Food Research in New Zealand, and has now been released onto the commercial market (Fig. 1A).
The basic chemical structure of anthocyanins is a diphenylpropanoid–C6 (A-ring)-C3 (C-ring)-C6 (B-ring)–based polyphenolic ring structure with one or more sugar molecules bonded at different 3, 5, and 7 hydroxylated positions of the basic structure (Fig. 1B). The differences between individual anthocyanins are related to the number of hydroxyl groups; the nature, number, and location of sugars attached to the molecule; and the number and nature of aliphatic or aromatic acids attached to the sugar.13 Both chemical structure and cellular location may be important in determining the biological activity of anthocyanins.11
The multistep colorectal carcinogenesis process is complex and characterized by molecular and cellular alterations that result in a particular precursor lesion, i.e., the adenomatous polyp.14 The conversion from normal mucosa to adenoma and consequent progression to carcinoma are extended events, possibly for decades, to develop invasive cancer from normal tissue that provides opportunities for preventive interventions. In principle, CRC can be prevented at the molecular level by impeding carcinogenesis through modification of behavior and diet or by using chemical agents.15 Many presumed chemopreventive compounds have been recognized and generally categorized as ‘cancer-blocking’ or ‘cancer-suppressing’ agents according to the site along the carcinogenesis pathway at which these compounds exert their actions.16 Thus, chemoprevention has the potential to become a major component of CRC control.
Various mouse models are available to test the effects of food components on the risk of CRC.17 Among these models, the multiple intestinal neoplasia (MIN) mouse model, with a point mutation in the adenomatous polyposis coli (APC) gene, is particularly appropriate for studying inflammation-associated intestinal tumors.18,19 APCMIN+/− mutant mice are an inbred strain of C57BL/6J mice carrying an autosomal dominant heterozygous nonsense mutation of the mouse
Mutations in the
SL222 (99N1/222) sweet potato cultivars were kindly supplied by Dr. Steve Lewthwaite of the New Zealand Institute for Crop and Food Research limited (currently Plant and Food), New Zealand.
Four experimental diet groups were prepared: a basal-modified American Institute of Nutrition diet, number 76A (AIN-76TMA) (Bio-Serve Inc., Frenchtown, NJ, USA) containing 35% corn flour in the control and extract diet group, or this same diet with 25% corn flour and the remaining 10% supplied by the flesh or skin of the SL222 purple sweet potato. The AIN-76TMA diet was prepared from the following materials: casein (Alacid; 730-30; Riverlea Dairies, Auckland, New Zealand), corn flour (Edmond Fielder’s corn flour; Bluebird Foods Ltd., Manukau, New Zealand), sugar (Chelsea white sugar pure natural sugar cane; Foodtown Supermarket, Auckland, New Zealand), safflower oil (Healthy Food Shops, Auckland, New Zealand), lard (Lard-kiwi lard; Kiwi Bacon Company Ltd., Auckland, New Zealand), AIN vitamin mix (Bio-Serve-A Holton Industries Co., Frenchtown, NJ, USA), AIN mineral mix (Bio-Serve-A Holton Industries Co., Frenchtown, NJ, USA), DL-Methionine (Sigma-Aldrich Chemie, Gmbh-Steinheim, Germany), Choline bitartrate, approximately 99% (Sigma-Aldrich Chemie), and the fresh purple SL222 (99N1/222) sweet potato cultivar. Table 1 shows the composition of these diets, which were prepared dry. All ingredients were thoroughly mixed together in water (60 mL/kg diet) to generate dough, followed by rolling into small balls (approximately 20 g each) and freezing at −5°C until further required.
The sweet potato storage roots were washed and cooked in a microwave for 10 minutes at 700 W for each 800 g, and 100-g skin samples were collected by light peeling. These samples were mixed with 900 g total of other ingredients listed in Table 1 in a blender. To prepare the flesh diet, the microwaved storage roots without skin were chopped into small pieces, and 100 g of this sample was mixed with 900 g of the other ingredients listed in Table 1 in a blender. The extract diet was prepared by mixing all of the ingredients of the control diet and subsequently, 1.21 g of the dry powder of the anthocyanin-rich extract (ARE) was added to 1 kg of each diet. The amount of ARE added was estimated from the proportional amounts in SL222 storage roots. The caloric intake of the four experimental diets was equivalent, reflecting the substitution of the 100-g carbohydrate source (corn flour) with another carbohydrate source (100 g flesh or skin) in each 1 kg of diet.
The animals were obtained from the Animal Research Unit at the Faculty of Medical and Health Sciences, University of Auckland and the research was conducted with ethical approval of the University of Auckland Animal Ethics Committee, Permit (AEC No. R222). Four heterozygous male C57BL/6J-APC
Laboratory conditions were controlled to maintain a 12-hour light/dark cycle at 50% relative humidity and an environmental temperature of 21°C ± 1°C. The mice were fed the control or different experimental diets until termination of the study, i.e., 18 weeks. The mice were monitored for health and weighed weekly. Food and water were freely available at all times. Breeding trios were maintained on the diet for their breeding life (each female gave birth to 4–6 litters). During the weaning period (~3 weeks), the four APCMIN males were transferred to four new cages and maintained on the control or other experimental diets. The pups at weaning were sexed to normalize the distribution of males and females and avoid the clustering of individual mice from single litters. Because the
SL222 sweet potato was washed, peeled, finely chopped and placed in an extraction thimble (Quickfit; Whatman International Ltd., Maidstone, England). The thimble was placed in a Soxhlet apparatus and methanol containing 1% formic acid boiled under reflux through the Soxhlet, until the solution draining from the extraction thimble was colorless. The methanolic solution-containing compounds extracted from SL222 sweet potato, including anthocyanins pigments, was sequentially filtered through 90 mm #54 hardened filter paper (Whatman International Ltd.), GF/D and GF/F glass microfiber filters (Whatman International Ltd.), followed by rotary evaporation to dryness (Büchi Rotavapor R-200; Büchi Laboratoriums-Technik AG, Flawil, Switzerland) at a constant evaporation temperature of < 60°C.
A C18 silica column (100 g Octadecyl-functionalized silica gel; Sigma-Aldrich, MI, USA) was packed in a 3.5 cm glass column housing to a final (conditioned) height of 19 cm. The column was conditioned by washing under vacuum (Büchi Laboratorium-Technik AG) initially with excess methanol and then with excess Milli-Q H2O.
The dried extract was resuspended in Milli-Q water and loaded onto the preconditioned column until saturation and the eluent began to show coloration. The column was washed with excess Milli-Q H2O and the retained compounds, including the anthocyanin’ pigments, were eluted with methanol containing 1% formic acid until the eluent ran colorless. The eluent was rotary evaporated to dryness as described above and the ARE powder was stored at room temperature.
The ARE extraction procedure was repeated 3 times, processing a total of 170 g of sweet potato, which yielded a total of 1.7 g of ARE. To produce sufficient ARE for the ARE-supplemented diet, the extraction process was repeated multiple times until a total of > 24 g was obtained. This ARE was subsequently added to the AIN-76A control diet at 1.21 g/kg to generate an anthocyanin concentration equivalent to that in the flesh-supplemented diet.
Since 170 g of sweet potato yielded 1.7 g of ARE, this concentration is equivalent to 1.84 μg of anthocyanins extracted from each gram of sweet potato using the Soxhlet method-based high-performance liquid chromatography (HPLC) of an ARE solution. Thus, the extraction efficiency of the Soxhlet method was 82.5%.
HPLC analysis was performed using the Agilent 1100 series instrument equipped with a diode array detector, a thermostated autosampler, and Agilent chemostation software. All solvents were filtered through 0.45-μm Gelman hydrophilic polypropylene membrane filters before HPLC injection. Anthocyanins were separated on a 5-μm Luna C18 (2) analytical column (100 × 4.6 mm; Phenomenex Co., Torrance, CA, USA) fitted with a Luna C18 guard column (Phenomenex Co.). The mobile phase comprised the following solvents: (A) 1% formic acid in water containing 6% acetonitrile. (B) Acetonitrile containing 6% of 1% formic acid in water. Separation was achieved using a flow rate of 1.0 mL/min and the following linear gradient elution protocol: 100% mobile phase A: 0% mobile phase B (0 minutes) → 85% mobile phase; A: 15% mobile phase B (30 minutes) → 15% mobile phase; A: 85% mobile phase B (40 minutes) → 100% mobile phase; and A: 0% mobile phase B (50 minutes). A sample injection volume of 50 μL was used, and spectral information over the wavelength range 190 to 950 nm was collected throughout the separation time.
The first aqueous extract prepared and filtered through 0.2 μm syringe filter and subjected to HPLC analysis. Similarly, 625 μg/mL of ARE was analyzed using the same HPLC protocol (Fig. 2), showing that neither the extraction process nor the storage affected the anthocyanin profile of ARE compared with that of fresh SL222 sweet potato.
At 120 days of age, the mice were anesthetized using halothane, and a blood sample was collected through cardiac puncture for further DNA protection studies to understand the anthocyanin effect in animal models. The mice were subsequently euthanized through cervical dislocation, and the tissues, including the spleen, liver, large and small intestine, were removed for analysis. Gastrointestinal tracts (from the esophagus to the distal rectum) were excised, flushed with PBS and placed in small Petri dishes containing PBS for immediate adenoma enumeration.
The small intestine, caecum, and colon from each mouse were dissected to determine the number and size of adenomatous polyps. Intestinal sections were opened longitudinally using fine iris scissors and extensively rinsed with PBS to remove the intestinal contents. The tissue was spirally rolled around a plastic tube and examined under a dissecting microscope with 5 × magnification to obtain adenomatous polyp counts. These numbers were determined for each intestinal section and classified as small (diameter, ≤ 2 mm) and/or large (diameter, > 2 mm). An individual blinded to the experimental groups and the genetic status of the mice counted the adenomas.
The presence of the mutant allele was detected in the DNA extracted from a tissue sample (2–4 mm from the tail tip), obtained from weaner mice under anesthesia at 5 weeks of age. The genotyping procedure was based on a modified protocol from Jackson Laboratories (Bar Harbor, ME, USA). A short fragment of the APC gene encompassing the site of the APCMIN mutation was PCR amplified using the forward primer: 5′-TCT CGT TCT GAG AAA GAC AGA AGC T-3′ and the reverse primer: 5′-TGA TAC TTC TTC CAA AGC TTT GGC TAT-3′. This fragment was digested with Hind III restriction enzyme, which cuts the fragment only if the mutation is not present. DNA from the restriction digest was subjected to electrophoresis on a 3% agarose gel, and subsequent ethidium bromide staining before imaging under UV light. Therefore, compared with digested fragments from
Male mice weighed more than the female mice, and wild-type mice weighed more than APCMIN mice of the same sex. For the control diet, wild-type males and females weighed 39.5 ± 2.4 g and 27.4 ± 2.6 g, respectively, whereas APCMIN males and females on the control diet weighed 29.1 ± 2.9 g and 21.3 ± 1.3 g (Fig. 3).
This weight loss in APCMIN mice could be partially abrogated in both males and females by the diet containing ARE; compared with APCMIN mice on the control diet and female mice on the flesh-supplemented diet (to a lesser extent,
In wild-type mice, most of the sweet potato supplemented diets did not result in a statistically significant deviation from the weight of mice on the control diet. The exception was the skin-supplemented diet in male wild-type mice, which caused a moderate reduction in body weight (
No adverse clinical signs were observed in the wild-type mice in any of the diet groups throughout the 18-week study. However, melena (occult blood in the feces), frank intestinal hemorrhage and splenomegaly with marked anemia were prominent towards the end of the experiment in APCMIN mice consuming control diets. Data for the body weights of the mice are shown in Figure 3.
No statistically significant differences were observed between male and female APCMIN mice for incidence of adenomatous polyps or size for individual diets (data not shown). Therefore, the results for males and females have been combined for each diet to increase statistical power.
All APCMIN mice maintained on a control diet (n = 20) developed adenomatous polyps, and most of these polyps (> 90%) occurred in the small intestine. On average, these mice developed a total of 35.0 ± 8.2 polyps, with 32.6 ± 8.8 polyps in the small intestine and 2.4 ± 1.5 polyps in the colon (7.4 ± 4.7% of total) (Table 2). Under the dissecting microscope, the polyps in the small intestinal of APCMIN mice were generally sessile, whereas those in the caecum and colon were typically polypoid in appearance (Fig. 4).
Flesh-, skin-, and ARE-supplemented diets caused a significant reduction (
There was no statistically significant difference in total polyp number between animals fed the flesh diet and those fed the skin diet (
The diameters of the adenomas were measured in the small intestine and the colon under the dissecting microscope. Table 3 summarizes the effect of control and flesh-, skin-, and ARE-supplemented diets on polyp size and number in the small intestine and the colon of APCMIN mice. The reduction in polyps ≤ 2 mm in diameter in both the small intestine and colon largely reflects a reduction in total polyp number, with significant reductions in the small intestine of mice on all three supplemented diets and significant reductions in the colon of mice on flesh- and ARE-supplemented diets. The supplemented diets were less effective at reducing the number of polyps > 2 mm in diameter, with significant reductions observed only in the small intestine of APCMIN mice on flesh- and ARE-supplemented diets, and no significant reductions in the number of larger polyps in the colon were observed with any of the supplemented diets.
Previous studies with anthocyanin-rich foods have shown anticancer effects both in tissue culture30 and animal models.18,31,32 Typically, these reports have studied the effects of berry fruits, whereas here, the effects of SL222 purple sweet potato were investigated. Sweet potato is a staple food and thus represents a more viable method of incorporating high levels of anthocyanins into the diet.8 The effect of the SL222 purple sweet potato ARE and anthocyanin-rich diets on polyp numbers in APCMIN mice has been examined.
In this study, breeding pairs consisting of a C57BL/6J wild-type female and an APCMIN male were set up and fed either AIN-76A control diet, or diets supplemented with SL222 sweet potato flesh (10%), skin (10%), or ARE (10%). The resulting offspring were weaned at three weeks of age, and placed on diets corresponding to their respective breeding pairs until 18 weeks of age. SL222 purple sweet potato flesh and skin were separately investigated, as previous studies have reported that the contents of anthocyanin and other potential chemopreventative compounds, such as fiber, are highest in the skin. The ARE-supplemented diet was formulated so that the resulting diet had the same anthocyanin content as the flesh diet.
As expected, at 18 weeks of age, female mice were smaller and weighed less than male mice. The weight of wild-type mice consuming a control diet was higher than that of APCMIN mice fed the same diet, likely reflecting increased demands on body resources resulting from melena, intestinal hemorrhage, and splenomegaly with marked anemia, which are typical in APCMIN mice of this age.18 However, no changes in body weight were observed in wild-type mice of either sex consuming flesh- and ARE-supplemented diets relative to mice consuming control diets, although a moderate reduction was observed in male wild-type mice on skin-supplemented diets. The lack of any increases in the body weights of wild-type mice on supplemented diets over wild-type mice on control diets suggests that potential improvements in the body weights of APCMIN mice on supplemented diets would not reflect increased calories in the supplemented diets or the increased consumption of supplemented diets compared with that of the control diet. In fact, the slight reduction observed in the weight of male wild-type mice on skin-supplemented diets suggests reduced calories in this diet, which is possible as skin lacks much of the starch present in the flesh and displaces starch relative to the control diet, or skin-supplemented diets may be less palatable to the mice, resulting in lower consumption.
Except for the skin-supplemented diet, the lack of weight loss in wild-type mice suggests a lack of toxicity associated with these anthocyanin-rich diets. This finding is supported by a lack of evidence for genotoxic effects (mice were exposed since in utero), generally healthy appearance and activity levels at the end of the experiment, no teratogenic effects and/or apparent abnormalities of the internal organs following dissection and substantial improvement in the melena and intestinal hemorrhage normally observed in APCMIN mice.
The weight loss in APCMIN mice was partially abrogated by flesh and ARE-supplemented diets, likely reflecting the observed reduction in symptoms normally observed in APCMIN at 18 weeks of age. The lack of significant net weight gain in APCMIN mice fed skin-supplemented diet likely reflects a balance between improved symptoms and the weight loss observed in wild-type mice on this diet. Interestingly, the greatest improvements in weight relative to APCMIN mice fed the control diet was observed in APCMIN mice fed the ARE-supplemented diet, indicating that activity was not lost by the removal of the extract from the biological matrix of the purple sweet potato. In fact, improved bioavailability may explain why the greatest effects are observed with the ARE-supplemented diet over those supplemented with the whole food. In addition, the retention or even improvement of activity in the ARE-supplemented diet, where the proportional content of anthocyanins increased relative to other sweet potato constituents, is consistent with anthocyanins as the causative agent, although the possibility that another compound that co-purified with the anthocyanins is responsible for this effect cannot be ruled out. However, similar results on weight gain in APCMIN mice have been reported in response to other anthocyanic foods, including Kang et al.,31 who demonstrated the increased body weight of APCMIN mice consuming tart cherries. Additionally, Bobe et al.33 observed an increase in body weight for APCMIN mice fed tart cherry and sulindac. Comparable effects of red grape pomace extract (oenocyanin) in APCMIN mice have also been recorded.34
The main interest in this study was testing the potential of anthocyanin-rich diets from SL222 sweet potato to inhibit or suppress adenomatous polyp development in APCMIN mice, as has previously reported with flavonoids or anthocyanins from other dietary sources. In the present study, APCMIN mice consuming control diets had many adenomatous polyps. In contrast, all three supplemented diets resulted in significant reductions in total polyp numbers of approximately two-thirds or more. As with body weight, the ARE-supplemented diet showed the greatest improvement in the polyp numbers in both male (reduced by 74.3%) and female (reduced by 75.8%) APCMIN mice. The ability to detect a statistically significant improvement (
A majority of polyps in APCMIN mice were observed in the small intestine, irrespective of diet, and reductions in polyp numbers were observed at both sites in mice on supplemented diets. However, the proportion of polyps in the colon relative to the total was higher in APCMIN mice on supplemented diets, suggesting that the supplemented diets have the greatest effect in the small intestine. Similarly, Kang et al.31 reported that the small intestinal, but not colonic, adenoma numbers in APCMIN mice were influenced by consuming tart cherry anthocyanins, an effect attributed to the degradation of anthocyanins by elevated pH in the intestinal lumen and bacterial metabolism.
The reductions observed in polyp numbers differentiated by size reflect an overall reduction in polyp numbers, except reductions larger than 2 mm in the colon, possibly due to a very low incidence at this site and the insufficient power of this study to detect a difference. However, Kang et al.31 also reported that colonic adenoma volumes in APCMIN mice were not influenced by consuming tart cherry anthocyanins. Therefore, this effect may also be attributed to degradation of anthocyanins by elevated pH in the intestinal lumen and bacterial metabolism. Although, the numbers of polyps of all sizes were decreased, there were proportionally higher numbers of larger polyps in both the small intestine and colon of APCMIN mice fed experimental diets, implying that supplemented diets show a maximal effect in the prevention of polyp formation, rather than polyp growth.
Lim et al.35 showed that a purple-fleshed sweet potato clone, supplemented at levels between 10% and 30% in the diet, significantly suppressed the azoxymethane-induced formation of aberrant crypt foci in the colons of CF-1 mice. These authors also conducted in vitro mechanistic studies, and the results suggested that the anthocyanin-enriched sweet potato P40 may protect against CRC by inducing cell-cycle arrest, antiproliferative, and apoptotic mechanisms. Hagiwara et al.16 showed that anthocyanin-enriched extracts from a purple sweet potato and red cabbage inhibited associated colorectal carcinogenesis in F344/DuCrj rats initiated with 2-dimethylhydrazine and received 2-amino-1-methyl-6-phenylimidazo[4,5-b] pyridine in the diet.15 However, the present study is the first to demonstrate a chemopreventative effect of purple sweet potato in the APCMIN mouse, a model that may be more germane to human CRC, where the
Many studies have reported chemoprevention in the APCMIN mouse with a variety of phenolic- or anthocyanin-rich foods. Kim et al.32 reported that indole-3-carbinol, a constituent of cruciferous vegetables produced an 8.4% reduction in polyp numbers in the small intestine of APCMIN mice, although this effect was not statistically significant, and a 39.3% reduction in polyp numbers in the colons of these mice. Green tea and white tea (1.5% w/v, in drinking water), which are rich in catechins, suppressed intestinal tumorigenesis in APCMIN mice by 45% and 57.5%, respectively,36 and the major tea catechins epigallocatechin-3-gallate (EGCG) (0.16% in drinking water) reduced polyp numbers by 47%.37 Tart cherry anthocyanin extract reduced the number of small intestinal adenomas in APCMIN mice by 28%,31 although the small group sizes used in this study suggest that this difference was not statistically significant.
The effects of continuously administering an ARE from Chinese purple sweet potato were studied on the growth of Sarcoma S180 cells in Institute of Cancer Research (ICR) mice.38 Compared with mice consuming control diets, mice consuming the purple sweet potato extracts formed significantly fewer (69% fewer at the highest concentration) and smaller sarcomas.38
Other studies have investigated chemoprevention in the APCMIN mouse using pharmaceuticals, particularly nonsteroidal anti-inflammatory drugs. Sulindac has been investigated in a number of studies and can produce up to a 50% reduction in polyp numbers in APCMIN mice36,39 and rofecoxib (Vioxx), a COX-2 selective inhibitor, markedly reduced polyp numbers by 55% in APCΔ716 mice.40,41
All the quoted studies were performed under slightly different conditions, with different feeding regimes, control diets and time spans; thus, direct comparisons are not possible. However, notably, all three SL222 purple sweet potato diets resulted in reductions in polyp numbers greater than any others reported in the APCMIN mouse, including pharmaceutical agents. Sulindac has been implicated in the regression of polyps in human patients,42,43 through the trials were carried out based on studies in the APC mutant mouse.44 Bobe et al.33 stated that the dietary combination of tart cherry anthocyanins and sulindac is more protective against colon cancer than sulindac alone.
Vioxx entered clinical trial as a chemopreventative agent for CRC (Adenomatous Polyp Prevention on Vioxx [APPROVe] trial). However, this trial reported associations with thrombotic vascular events.45,46 Therefore, the incorporation of SL222 sweet potato into the diet may represent a viable alternative for CRC prevention in humans, particularly when the
The uniqueness of this study is that the parents were administered control or test diets since three weeks of age, and the offspring were fed the same diets soon after weaning at three weeks. Therefore, theoretically, the offspring have had anthocyanin supplement through maternal feeding until weaning and thereafter with direct test diets for a total of 18 weeks. A more recent soybean-based anthocyanin extract fed to APCMIN mice showed lesion reduction from 41.3 ± 8.14 in control diet to 34.7 ± 14.51 with 0.2% ARE and 28.3 ± 11.50 with 0.5% ARE diets. These mice were monitored from 5 weeks weaning to 7 weeks of testing.47 Comparatively, the present study monitored mice from weaning at three weeks to a total of 18 weeks, which better mimics aged colorectal issues in humans. Cai et al.34 fed APCMIN mice an anthocyanin-rich red grape extract and monitored these mice for 16 weeks, observed that the adenoma numbers were halved. However, in the present study, colonic adenoma volumes showed greater reductions than did small intestinal adenoma volumes; and the medium and large adenomas showed the highest reduction, while smaller adenomas showed worsening with supplementation. These results could suggest that various anthocyanins derived from various sources have different mechanisms of action. Thomasset et al.48 treated 25 CRC patients with a bilberry anthocyanin extract mirtocyan for seven days before surgery. Through surgical specimens these authors detected mirtocyan and methyl and glucuronide metabolites in plasma, colorectal tissue and urine, but not in the liver. The mechanisms associated with anthocyanin benefits includes Ki-67 and Akt reduction34 and a reduction in Insulin-like growth factor 148, providing further evidence of the benefits of these natural ingredients.
Collectively, dietary administration of SL222 purple sweet potato anthocyanin-rich diets, specifically flesh, skin, or ARE diets, significantly reduced the incidence and number of intestinal adenomas in APCMIN mice, suggesting anticancer properties in animal models. In addition, understanding the chemopreventive mechanisms of action of SL222 sweet potato anthocyanins will emphasize the development of preventive and practical strategies towards the design of chemoprevention trials in humans.
We thank Dr. Steve Lewthwaite, Plant and Food Research, for providing the sweet potato (kumara). This work was financially supported by both the Auckland and National Division of the Cancer Society of New Zealand.
Table 1. Composition (g/kg diet) of the experimental diets.
|Ingredient||Control diet||Flesh diet||Skin diet||Extract diet|
|Safflower oil (g)||100||100||100||100|
|AIN vitamin mix (g)||10||10||10||10|
|AIN mineral mix (g)||35||35||35||35|
|Choline bitartrate (g)||2||2||2||2|
|Purple sweet potato (flesh) (g)||-||100||-||-|
|Purple sweet potato (skin) (g)||-||-||100||-|
|Anthocyanin-rich extract (g)||-||-||-||1.21|
Approximately 20 kg of each diet was prepared and consumed by animals over the course of the study..
Table 2. Adenomatous polyp numbers in APCMIN mice detected in total and differentiated by location in the small intestine or colon.
|Variable||Control (n=20)||Flesh (n=21)||Skin (n=21)||Extract (n=20)|
|Small intestinal (n)||32.6 ± 8.8||10.4 ± 2.4***||10.6 ± 2.1***||7.5 ± 1.2***|
|Colon (n)||2.4 ± 1.5||1.2 ± 0.9**||1.6 ± 1.3||1.3 ± 1.0**|
|Colonic proportion (%)||7.4 ± 4.7||11.2 ± 10.0||13.4± 10.5*||14.6± 12.3*|
|Total polyp (n)||35.0 ± 8.2||11.6 ± 1.9***||12.2 ± 1.7***||8.8 ± 1.2***|
|Reduction from control diet (%)||66.9||65.1||74.9|
Values are presented as mean ± SD. Colonic proportion was calculated as the mean of the number of polyps in the colon as a percentage of the total for individual mice. The percentage reduction was calculated from the total polyp number relative to that seen in mice fed on control diet..
Table 3. The influence of SL222 sweet potato anthocyanin-rich diets on tumor size and number in the small intestine and the colon of APCMINmice.
|Tumor size||Control (n=20)||Flesh (n=21)||Skin (n=21)||ARE (n=20)|
|≤2 mm||27.0 ± 11.5||8.6 ± 2.9***||7.6 ± 3.0***||5.3 ± 2.0***|
|>2 mm||5.6 ± 6.0||1.8 ± 1.3**||3.1 ± 1.9||2.2 ± 1.7*|
|≤2 mm||1.9 ± 1.2||0.7 ± 0.9**||1.0 ± 1.5||0.9 ± 0.6**|
|>2 mm||0.6 ± 0.5||0.5 ± 0.5||0.6 ± 0.5||0.4 ± 0.8|
|Average number/group||35.0 ± 8.2||11.6 ± 1.9||12.2 ± 1.7||8.8 ± 1.2|
Values are presented as mean ± SD. ARE, anthocyanin-rich extract..
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