Interventional study of high dose folic acid in gastric carcinogenesis in beagles
- 1Shanghai Institute of Digestive Disease, Shanghai Second Medical University, Renji Hospital, Shanghai 200001, P R China
- 2Department of Gastroenterology, Affiliated No 1 Hospital, Jiangxi Province, P R China
- Correspondence to:
Professor S D Xiao, Shanghai Institute of Digestive Disease, Shanghai Second Medical University Renji Hospital, 145 Shan-Dong Zhong Road, Shanghai 200001, P R China.
- Accepted 29 March 2001
Background: A decrease in folic acid and subsequent DNA hypomethylation may be involved in gastric carcinogenesis. Epidemiological and nutritional studies have indicated that folate status modulates the risk of developing cancers.
Aims: To investigate whether folic acid plays an important role in the chemoprevention of gastric carcinogenesis induced by N-ethyl-N-nitrosoguanidine (ENNG) in beagles.
Methods: Sixteen male beagles were randomly divided into two groups: folic acid treated group and control group. In both groups beagles were fed ENNG 75 mg per day for eight months and in the treated group 20 mg folic acid was given to beagles for 15 months. Gastroscopy and biopsies were performed before and every 2–3 months after administration of ENNG until the end of the experiment. Histopathological lesions were diagnosed with regard to the criteria for human gastric mucosal biopsies. Serum and gastric mucosal tissue folic acid concentrations were measured.
Results: In the control group, all beagles developed gastric cancer (8/8) compared with only 3/8 in the folic acid treated group (p<0.05). Moreover, serum and gastric mucosal tissue folic acid concentrations were markedly elevated 15 months after folic acid administration. The difference was statistically significant between the two groups (p<0.05).
Conclusions: Our results indicate that high dose folic acid plays an important role in the chemoprevention of gastric carcinogenesis induced by a chemical carcinogen ENNG in beagles.