Yin-Cheng He, Jun Cao, Ji-Wei Chen, Ding-Yu Pan, Ya-Kui Zhou, Department of general surgery, Zhongnan Hospital, Wuhan University, Wuhan 430071, China
Supported by Hubei Provincial Health Department, No.W98016 and The Education Department of Hubei Province, China, No.2001A14005
Correspondence to: Dr. Yin-Cheng He, Department of general surgery, Zhongnan Hospital, Wuhan University, Wuhan 430071, China. w030508h@public.wh.hb.cn
Telephone: +86-27-67812963
Received: 2002-10-17 Accepted: 2002-11-16

Abstract
AIM: To investigate the effects of methionine/valine-depleted enteral nutrition (EN) on RNA, DNA and protein metabolism in tumor-bearing (TB) rats.

METHODS: Sprague-Dawlley (SD) rats underwent jejunostomy for nutritional support. A suspension of Walker-256 carcinosarcoma cells was subcutaneously inoculated. 48 TB rats were randomly divided in 4 groups: A, B, C and D. The TB rats had respectively received jejunal feedings supplemented with balanced amino acids, methionine-depleted, balanced amino acids and valine-depleted for 6 days before injection of 740 KBq ³H- methionine/valine via jejunum. The ³H incorporation rate of the radioactivity into RNA, DNA and proteins in tumor tissues at 0.5, 1, 2, 4 h postinjection of tracers was assessed with liquid scintillation counter.

RESULTS: Incorporation of ³H into proteins in groups B and D was (0.500±0.020) % to (3.670±0.110) % and (0.708±0.019) % to (3.813±0.076) % respectively, lower than in groups A [(0.659±0.055) % to (4.492±0.108) %] and C [(0.805±0.098) % to (4.180±0.018) %]. Incorporation of ³H into RNA, DNA in group B was (0.237±0.075) % and (0.231±0.052) % respectively, lower than in group A (P<0.01). There was no significant difference in uptake of 3H by RNA and DNA between group C and D (P>0.05).

CONCLUSION: Protein synthesis was inhibited by methionine/valine starvation in TB rats and nucleic acid synthesis was reduced after methionine depletion, thus resulting in suppression of tumor growth.

He YC, Cao J, Chen JW, Pan DY, Zhou YK. Influence of methionine/valine-depleted enteral nutrition on nucleic acid and protein metabolism in tumor-bearing rats. World J Gastroenterol 2003; 9(4): 771-774
http://www.wjgnet.com/1007-9327/9/771.htm
　

INTRODUCTION
Parenteral nutrition (PN) is now a supportive therapy commonly used for cancer patients. However, some studies have suggested that PN with amino acid balanced solutions may prompt tumor growth^[1-3]. Previous studies have shown that tumor growth was inhibited by a diet or PN lacking in methionine/valine. However, the mechanism is not yet known^[4-15]. In this study, we prepared methionine/valine-free amino acid imbalance solutions to investigate the effects of methionine/valine depleted EN on RNA, DNA and protein metabolism in TB rats.

MATERIALS AND METHODS
Radiopharmaceuticals
³H-methionine (³H-Met, specfic activity of 148 MBq.mg^-1) and ³H-valine (³H-Val, specfic activity of 240 MBq.mg^-1) was purchased from Chinese institute of atomic energy. The radiochemical purity was over 95 %.

Catheterization of jejunostomy
SD rats weighing (160±0) g were purchased from the animal center of Wuhan University, China. They were allowed to acclimate for one week. After fasting for 12 hours, rats were anesthetized with i.p. sodium pentobarbital (40 mg.kg^-1). The animals were undergone catheterization of jejunostomy (day 0). A silicone rubber catheter (2 mm ID, 3 mm OD) was inserted into the proximal jejunum. The catheter passed through a subcutaneous tunnel and emerged between the scapulae. The catheter was sutured to the animal's back to protect the lines and was connected to a swivel so that animals can move without any restrictions in individual metabolic cages. The cannulation system consists of an microinfusion pump, a swivel, rat-harness and a silicone-tube-jejunostomy. Coprophagy was prevented by an own model of faecal collection cup. Animals were fasted for 48 hours after operation but they were provided with water ad libitum, and then given normal rat diets.

Preparation of TB rats
Walker-256 carcinosarcoma cells were obtained from Chinese Center of Culture Preservation. On day 0, the rats were inoculated subcutaneously in the right flank with 10⁷ tumor cells of approximately 0.1 ml of cell suspension. Tumors were palpable in 7 days after transplantation.

Jejunal feeding
Enteral feedings were found to be a safe and cost-effective method for providing nutrition to cancer-bearing patients. On day 8, 48 TB rats were randomly divided into four groups (12 rats per group) and received enteral nutrition (jejunal feeding):
   Group A: TB rats were fed enteral nutrition solutions composed of balanced amino acids for 6 days before injection of 740 KBq ³H-MET.
   Group B: TB rats were fed methionine-depleted enteral nutrition solutions for 6 days before injection of 740 KBq ³H-Met.
   Group C: TB rats were fed enteral nutrition solutions composed of balanced amino acids for 6 days before injection of 740 KBq ³H-Val.
   Group D: TB rats were fed valine-depleted enteral nutrition solutions for 6 days before injection of 740 KBq ³H-Val.
   TB rats received continuous jejunal tube infusion with pump for nutritional support at a daily dose of 330 ml.kg^-1, non-protein calorie was approximately 1160K J.kg-¹. A microinfusion pump was used for constant administration of EN solutions. TB rats were not fed during the entire infusion experiment, however they had free access to water.

Composition of amino acid solutions
Table 1 lists the components of amino acid solutions.

Table 1 Composition of amino acid solutions (g.l^-1)

Nucleic acid and protein analysis
To assess the incorporation of the radioactivity into macromolecular materials, portions of the tumor tissues (70-120 mg) were divided into the acid-soluble fraction (ASF) and the acid-precipitate fraction (APF). Radiolabeled APF was divided into four fractions: lipids, RNA, DNA and proteins. To analyze ³H-Met and ³H-Val metabolites, the tumor tissues were homogenated in 1 ml of ice-cold 0.4 M HClO₄. The homogenate was centrifuged at 3 000 rpm for 5 min. The precipitate was resuspended in 1 ml of 0.4 M HClO₄. This wash was repeated twice. The precipitate was resuspended in 5 ml of CHCl₃: CH₃OH (2:1,V/V). After centrifugation at 3 000 rpm for 10 min, the CHCl₃: CH₃OH phase was separated. This extraction was repeated twice. The combined CHCl₃: CH₃OH fraction contains radiolabeled lipids. The precipitate was dissolved in 1 ml of 0.3 M KOH. After incubation of the solution at 37 ℃ for 1 hour to hydrolyze RNA, 0.32 ml of 3 N HClO₄ was added. The mixture was kept on ice for 5 min. The precipitate was then separated and washed with 1 ml 0.5 M HClO₄ as described above. The combined supernatant was designated as the alkaline-labile fraction containing the RNA hydrolysate. The precipitate was resuspended in 1 ml of 0.5 M HClO₄ and heated at 90 ℃ for 15 min to hydrolyze DNA. The solution was kept on ice for 5 min, and precipitate was separated and washed with 0.4 M HClO₄ twice. The combined supernatant and the final precipitate were assessed as the acid-labile fraction containing hydrolysates of DNA and protein fraction, respectively.
   The radioactivities of fractions were counted by liquid scintillation counter. The tissue radioactivity was expressed as differential uptake ratio (DUR).

^aP<0.05, ^bP<0.01, vs group A or C. ^cNumber of rats=2.

DISCUSSION
Influence of Methionine/Valine-depleted enteral nutrition on protein metabolism in TB rats
Patients with malignant tumors often show severe protein-amino acid metabolism disorder and uncorrectable negative nitrogen balance. Researchers have begun to reconsider the prescription of amino acid imbalance solution for cancer patients. Total parenteral nutrition deprived of methionine or valine cause tumor growth inhibition, but also have no significantly negative influences on the host animals^[16-18].
   Table 3 shows the ³H incorporation rate in tumor tissues at various times after ³H-Met/Val injections. Regardless of Methionine/Valine-depleted enteral nutrition, the radioactivity into nucleic acids and proteins increased with time. In proteins we found an accumulation of the label which was up to 3-10-fold higher than in DNA and RNA. It represents the principle pathway for methionine and valine anabolism. Accumulation of ³H-Met/Val into malignant tissue is thought to be due to amino acid metabolism of cancer cells such as increased active transport and incorporation of amino acid into protein fractions.
   In the complete absence of Methionine or Valine, the ³H incorporation rate of the radioactivity into proteins in tumor tissues was from 75.8 % to 87.9 % of the control value. That is to say, in agreement with Xiao's study^[5], protein synthesis was inhibited by methionine/valine depletion, in this case suppressing tumor growth^[19-26].
   Although essential amino acids are indispensable for physical well-being, the body lacks the ability to synthesize these compounds. Amino acids are an important materials of protein synthesis, amino acid imbalance are considered to principally involving alterations in intracellular protein synthesis, the deprivation of essential amino acids (Met, Val) leads to inhibit activity of tumor growth^[27,28].

Influence of Methionine/Valine-depleted enteral nutrition on RNA and DNA in TB rats
Methionine adenosyltransferase is the enzyme which is responsible for the synthesis of S-adnosyl-L-methionine (SAM) using methionine and adnosine triphosphate (ATP). Most of SAM are used in transmethylation reaction in which methyl groups are added to compounds and SAM is converted to S-adenosylhomocysteine. SAM is the principal biological methyl donor. SAM can easily transfer its methyl group to a large variety of acceptor substrates including rRNA, tRNA, mRNA, DNA, proteins, phospholipides, biological amines, and a long list of small molecules^[29-33]. So ³H-Met is also incorporated into nucleic acids by transmethylation via S-adenosyl-L-methionine. Methionine depleted enteral nutrition can decrease methylation of tumor tissues and lead to further reduction in nucleic acid synthesis and inhibition of cancer growth at molecular levels.
   Table 3 showed that the RNA and DNA incorporation rate in group B was lower than in control group (group A). Based on these findings, cancer cells were known to have lower levels of DNA and RNA synthesis on methionine-depleted enteral nutrition.
   Theoretically, it is considered that ³H-Val is incorporated into proteins but not into other high-molecular materials such as nucleic acids. The incorporation of ³H-Val was detected in nucleic acids at negligible amounts, which possibly reflects contamination by labeled proteins during the experimental processes. However, because no metabolic pathway for the DNA incorporation of ³H-Val is considered, the radioactivity in the acid-labile fraction is probably derived from basic proteins such as chromosomal histones.

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Edited by Xu JY