Liver Cancer Open Access
Copyright ©The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 1, 2004; 10(9): 1268-1275
Published online May 1, 2004. doi: 10.3748/wjg.v10.i9.1268
1α, 25-dihydroxyvitamin D3 prevents DNA damage and restores antioxidant enzymes in rat hepatocarcinogenesis induced by diethylnitrosamine and promoted by phenobarbital
Mahendrakumar Chandrasekharappa Banakar, Suresh Kanna Paramasivan, Mitali Basu Chattopadhyay, Subrata Datta, Prabir Chakraborty, Malay Chatterjee, Division of Biochemistry, Department of Pharmaceutical Technology, Jadavpur University, Kolkata 700032, India
Kalaiselvi Kannan, Elayaraja Thygarajan, Department of Environmental Science, PSG College of Arts and Science, Coimbatore 641014, Tamilnadu, India
Author contributions: All authors contributed equally to the work.
Supported by All India Council for Technical Education (AICTE), Govt of India and Veerasaiva Vidya Vardhaka Sangha (VVS), Bellary Karnataka, India
Correspondence to: Malay Chatterjee, PO 17028, Division of Biochemistry, Department of Pharmaceutical Technology, Jadavpur University, Kolkata-700032, India. mcbiochem@yahoo.com
Telephone: +91-33-24146393 Fax: +91-33-24146393
Received: October 31, 2003
Revised: December 1, 2003
Accepted: December 30, 2003
Published online: May 1, 2004

Abstract

AIM: To investigate the chemopreventive effects of 1α, 25-dihydroxyvitamin D3 in diethylnitrosamine induced, phenobarbital promoted rat hepatocarcinogenesis.

METHODS: The rats were randomly divided into 6 different groups (A-F). Groups A, C and E rats received a single intraperitoneal (i.p) injection of diethylnitrosamine (DEN) at a dose of 200 mg/kg body mass in 9 g/L NaCl solution at 4 wk of age, while group B served as normal vehicle control received normal saline once. After a brief recovery of 2 wk, all the DEN treated rats were given phenobarbital (PB) at 0.5 g/L daily in the basal diet till wk 20. Group A was DEN control. Treatment of 1α, 25-(OH)2D3 in group C was started 4 wk prior to DEN injection and continued thereafter till wk 20 at a dose of 0.3 μg/100 μL propylene glycol per one single dose (os) twice a week. Group E received the treatment of 1α, 25-(OH)2D3 at the same dose mentioned as above for 15 wk. The rats in group D and F received 1α, 25-(OH)2D3 alone as in group C without DEN injection.

RESULTS: The comet assay showed statistically higher mean values for length to width ratios (L: W) of DNA mass and tailed cells (P < 0.01; P < 0.01 respectively) in DEN treated rats as compared to their normal controls. Continuous supplementation of 1α, 25-dihydroxyvitaminD3 showed a significant (P < 0.01) decrease in L:W ratio of DNA mass tailed cells. Furthermore, 1α, 25-(OH)2D3 supplementations elevated the super oxide dismutase (SOD) activity, hepatic malondialdehyde (MDA) level, reduced glutathione (GSH) and glutathione S-transferase (GST) activity (P < 0.01, P < 0.05, P < 0.05 and P < 0.05 respectively). As an endpoint marker histological changes were observed to establish the chemopreventive effects of 1α, 25-dihydroxyvitaminD3.

CONCLUSION: Supplementations of 1α, 25-(OH)2D3 has a marked protection against hepatic nodulogenesis, antioxidant enzymes and DNA damages in DEN induced rat hepatocarcinogenesis promoted by phenobarbital.




INTRODUCTION

1α, 25dihydroxyvitaminD3 plays an important role in reducing the incidence of carcinomas of breast, prostate and colon in human as well as in experimental animals[1,2]. 1α, 25(OH)2D3 has been shown to promote the differentiation of cancer cells and cell lines in vitro[3,4]. Little information is available for the antioxidant property of 1α, 25(OH)2D3 in the inhibition of chemical rat hepatocarcinogenesis[5]. A number of micronutrients, macronutrients and non-nutrients have been reported as the chemopreventive agents in the carcinogenesis[6]. Vitamin D3 treatment of mice with GM-CSF-secreting tumors can interrupt the myelopoiesis-associated immunosuppressor cascade and reduce tumor metastasis[7]. Various new vitamin D analogues are developed with increased growth inhibitory and reduced calcemic activity, but significant antiproliferative and differentiation-inducing agents have now been synthesized and may be used as anticancer drugs[8,9]. Polychlorinated biphenyls, phenobarbital and many other compounds that induce hepatic biotransformation enzymes promote experimental hepatocarcinogenesis in rodents previously exposed to initiating carcinogens[10]. Several mechanisms for liver tumor promotion by PB and other inducing xenobiotics have been documented[11].

Number of methods are available for detecting DNA damage, as opposed to the biological effects of DNA damaging agents (e.g., micronuclei, mutations, structural chromosomal aberrations) have been used to identify substances with genotoxic activity. The alkaline elution assay ignores the critical importance of intercellular differences in DNA damage and requires relatively large numbers of cells. The full approach for assessing DNA damage is the single-cell gel electrophoresis (SCG) or comet assay[12]. Identification of different cell populations can be made by a modified alkaline comet assay[13,14]. Comet assay can be used to identify possible human mutagens and carcinogens[15] and DNA damage of human hepatoma cells irradiated by heavy ions[16]. The alkaline comet assay has been very popular for the analysis of DNA damage caused by various chemical and physical agents[17-20]. The genetic damages in leprosy patients undergoing multidrug treatment are also measured by comet assay[21].

Free radical species are involved in carcinogenesis, superoxide dismutases catalyze the dismutation of super-oxide radical to hydrogen peroxide and oxygen[22]. Chemical induction of liver carcinoma is associated with changes in the oxygen radical metabolism in liver. The changes in hepatic oxygen radical metabolism were demonstrated by measurement of the antioxidant enzymes SOD. Tumour cells have abnormal activities of antioxidant enzymes, and decreased activities of SOD in tumour cells[23,24]. The influence of oxygen-derived free radicals on survival in advanced colonic cancer was assessed in a prospective randomized controlled double-blind trial using the radical scavengers[25]. Compounds that can scavenge excessive free radicals in the body are suggested to hinder the process of carcinogenesis.

The present study was undertaken to investigate the effectiveness of 1α, 25(OH)2D3 on the development of hepatic nodules, the cytogenetic effects of DEN induced rat hepatocarcinogenesis determined by comet assay and the antioxidant enzymes in diethylnitrosamine induced rat hepatocarcinogenesis promoted by phenobarbital.

MATERIALS AND METHODS
Chemicals

All the reagents and biochemicals, unless otherwise mentioned, were obtained from Sigma Chemical Co. (St. Louis, MO, United States).

Animals

Male Sprague-Dawley rats (80-100 g) were purchased from the Indian Institute of Chemical Biology (CSIR), Kolkata, India. They were given the standard laboratory diet purchased from Lipton, India. The animals were housed in an air-conditioned room (22 °C ± 1 °C, relative humidity 50% ± 10%) with a 12-h light/dark cycle in Tarson cages (4 rats per cage) and were acclimatized for 1 wk before the start of the experiment. Guidelines for the care and use of the laboratory animals (National Institute of Health, United States) were followed during the experiment and approved by the Institutional Animal Ethics Committee (IAEC), Jadavpur University, Kolkata.

Experimental regime

The rats were randomly divided into 6 different groups with 10 rats in each as illustrated in Figure 1. Groups A, C and E rats received a single intraperitoneal (i.p) injection of DEN (Sigma) at a dose of 200 mg/kg body mass in 9 g/L NaCl solution at 4 wk of age while group B served as normal vehicle control (received normal saline once). After a brief recovery of 2 wk, all the DEN treated rats were given PB at 0.05% daily in the basal diet till wk 20. Group A was DEN control. Treatment of 1α, 25(OH)2D3 in group C was started 4 wk prior to DEN injection and continued thereafter till wk 20 at a dose of 0.3 μg/100 μL propylene glycol per os (opus sit) twice a week. In group E 1α, 25(OH)2D3 treatment at the same dose mentioned as above was started 1 wk after DEN injection and continued thereafter till the completion of the experiment. The animals of groups D and F served as 1α, 25(OH)2D3 controls for groups C and E that received 1α, 25(OH)2D3 (Sigma, MO, United States) at a dose of 0.3 μg/ 100 μL propylene glycol per os twice weekly for 20 wk. All the treatments were withdrawn at wk 20 and the rats were sacrificed at wk 21 under proper ether anaesthesia.

Figure 1
Figure 1 Basic experimental protocol.
Comet assay

Comet assay was performed on liver tissue under alkaline conditions following the procedure of Ward et al[26], with minor modifications. All the steps of comet assay were conducted under yellow light to prevent the occurrence of additional DNA damage. After sacrifice, liver of either lobe was excised, minced and homogenized in 50 μL of phosphate-buffered saline (PBS; pH 7.5). Briefly, 4 μL of homogenized tissue samples was diluted with 50 μL of PBS and mixed with 150 μL of 10 g/L low melting point agarose (37 °C) prepared in PBS and pipetted onto an 10 g/L normal melting agarose precoated slide, which had been dried overnight, and covered with a coverslip. After the slide was kept on a chilled plate for 10 min, the coverslip was removed and the slide was lowered into freshly made ice-cold lysis solution (2.5 mol/L NaCl, 100 mmol/L EDTA, 10 mmol/L Tris, 100 g/L DMSO, 10 g/L Triton X-100, pH 10) and kept at 4 °C in the dark for 60 min. After draining the lysis solution, the slide was rinsed with distilled water for 15 min. After washed twice in the prepared distilled water, the slide was placed in a horizontal electrophoresis tank containing freshly made buffer (300 mmol/L NaOH and 1 mmol/L EDTA, pH > 13) for 30 min. Electrophoresis was performed in the same buffer for 20 min by applying an electric field of 25 V (0.8 V/cm) and adjusting the current to 300 mA by slowly changing the buffer level in the tray. After electrophoresis the slide was rinsed gently with 0.4 mol/L Tris-Hcl buffer (pH 7.5) for 5 min, this step was again repeated. Then the slide was dried at room temperature and kept in a refrigerator in a sealed container until analysis. Duplicate slides were prepared for all the samples.

The slides were immersed in distilled water for 30 min, then stained with 100 μL of ethidium bromide (5 μg/mL) and read at 250 × using a Zeiss fluorescence microscope equipped with a green excitation filter and a 590 nm barrier filter. All slides were coded and examined blindly. Routinely 100 cells (50 cells/slide) were screened per sample. In selecting cells for measurements, straight line scanning of a slide was begun at an arbitrary point and cells were measured as they came into the field, provided there was no overlap with patterns from other cells. The length and width of the DNA mass were measured using an ocular micrometer disk. Under these conditions a DNA pattern with a ratio of one had a DNA length of -25 μm and a ratio of four had a DNA length of -100 μm. The length: width ratios of the DNA mass and the frequency of tailed (damaged) cells were used in all comparisons.

Morphology and morphometry of liver tissue

After the rats were sacrificed, their livers were excised from all treated and control rats, weighed and examined on the surface for subcapsular macroscopic lesions (hyperplastic nodules; HNs). The nodules with approximate spheres were measured in 2 perpendicular directions to the nearest millimeter into three categories namely ≥ 3, < 3-> 1 and ≤ 1 mm[27].

Histopathological examination

For histopathological examination and morphometric analysis, tissues were fixed in 40 g/L buffered formaldehyde and the fixed paraffin embedded sections were stained with hematoxylin and eosin (H&E).

Histochemical detection of g-glutamyl transpeptidase-positive foci

After sacrifice of the rats, each liver was examined of the right, left and caudate lobes. They were fixed in an ice-cold mixture of dehydrated ethanol and glacial acetic acid (19:1) for 4 h followed by an overnight incubation in 995 mL/L ethanol at 4 °C and then embedded in soft paraffin (melting point 47 °C). Two contiguous paraffin sections were made from each liver section for γ-glutamyl transpeptidase (GGT) histochemistry according to the method of Rutenberg[28]. Quantitative evaluation of GGT-positive foci (lesions smaller than a liver lobule mainly visible microscopically) was performed according to the method of Campbell[29].

Biochemical assays

The animals were sacrificed with proper anaesthesia. Liver of either lobes was minced and homogenized with 0.25 mol/L sucrose and the homogenate was centrifuged at 9000 g (33 000 r/min) for 15 min in refrigerated centrifuge (Megafuge 1.0R). The pellet was discarded and an aliquot of supernatant was kept for the assay of cytosolic enzyme activities. The left portion was recentrifuge at 105000 g for 90 min in refrigerated centrifuge (Megafuge 1.0R). The microsomal fraction was prepared separately from hyperplastic nodule (HNs) and non-nodular surrounding parenchyma (NNSP) liver area and untreated normal control liver. All the operations were done at 0-4 °C.

The activity of superoxide dismutase (SOD) was measured by following the method of Beyer and Fridovich[30]. Hepatic cytosolic enzymatic lipid peroxidation was estimated according to the method of Okhaw et al[31] based on the formation of malondialdehyde (MDA). The reduced glutathione (GSH) level was quantified by the method of Ellman[32]. Hepatic cytosolic glutathione S-transferase (GST) activity was determined with 1-chloro 2,4-dinitrobenzene as the substrate according to the method of Habig et al[33].

Statistical analysis

Data were analyzed statistically for differences between the means using Dunnett’s t-test when more than one group was compared against a control group. P < 0.05 was considered statistically significant.

RESULTS
Dietary intake

Daily food and water intake of all the groups of rats was same. Daily intake of water was measured with a measuring cylinder and it was found that each rat took on an average of 8-10 mL water per day.

Body and liver mass

The effect of 1α, 25(OH)2D3 on body and liver mass of different group of rats sacrificed after 20 wk is shown in Table 1. Body mass of DEN control group rats (group A) were slightly lower (P < 0.05) than that of the normal control rats (group B). Treatment with 1α, 25(OH)2D3 increased the final body mass of the animals in groups C, D, E and F which received 1α, 25(OH)2D3 as compared with group A carcinogen control. This suggested that treatment with 1α, 25(OH)2D3 had no adverse effect on the growth response of rats. Liver masses of rats in various groups showed no significant differences. The relative liver mass of DEN control group rats (group A) was found to be significantly increased (P < 0.01) than that of normal control rats (group B). Treatment with 1α, 25(OH)2D3 significantly (P < 0.05) reduced the relative liver masses of rats in groups C, D, E and F compared with group A. 1α, 25(OH)2D3 supplied rats showed a better resistance against hepatocarcinogenesis.

Table 1 Body and liver masses in each group of rats at end of the study (after 20 wk) (mean ± SE).
GroupNo. of ratsBody mass (g)Liver mass (g)Relative liver mass (g) (Liver/100 g body mass)
A6282.5 ± 15.8a14.6 ± 2.65.16 ± 0.47b
B10338.0 ± 18.310.8 ± 1.93.19 ± 0.21
C8334.3 ± 13.8c12.3 ± 1.83.67 ± 0.36e
D10348.9 ± 21.611.9 ± 1.53.41 ± 0.29
E8308.1 ± 19.113.1 ± 2.24.25 ± 0.45
F10336.6 ± 22.212.1 ± 1.83.59 ± 0.42
Effect of 1α, 25(OH)2D3 on induction of GGT-positive foci

Table 2 shows that GGT-positive foci developed in all the DEN treated groups (Groups A, C and E), while the livers of rats in normal as well as 1α, 25(OH)2D3 control groups (groups B, D and F respectively) were found to be normal in terms of histochemical observations of GGT-positive foci. In group E supplementation of 1α, 25(OH)2D3 inhibited the appearance of GGT-positive foci (45.25%). But 1α, 25(OH)2D3 treatment which was started 4 wk before DEN administration and continued till the end of the experiment minimized the appearance of GGT-positive foci most significantly in group C (68.80%) than in DEN treatment. Thus 1α, 25(OH)2D3 decreased significantly (P < 0.01) GGT-positive foci in group C compared to the DEN control (group A).

Table 2 Effect of 1α, 25(OH)2D3 on inhibition of GGT-positive foci in DEN induced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE).
GroupNo. of ratsNo. of GGT-positive foci/cm2Decrease (%)
A0 626.16±2.16
C0 88.16±0.59b68.8
E0 814.32±1.23d45.25
Effect of 1α, 25(OH)2D3 on hepatic histopathology

Histopathological examination of liver sections from normal untreated group B (Figure 5) revealed normal liver parenchymal cells with granulated cytoplasm and small uniform nuclei radially arranged around the altered cell foci with granulated cytoplasm and small uniform nuclei radially arranged around the central vein. In the DEN treated groups A, C and E, phenotypically altered hepatocytes in altered liver cell foci and nodules at varying extent were noticeable throughout the hepatic parenchyma. The hepatocellular architecture of DEN control (group A) was found to be grossly altered and the hepatocytes became oval in shape. The altered liver cells in foci and nodules were considerably enlarged, vesiculated and binucleated (Figure 4). A substantial irregularity (enlargement) in the shape of nucleus and chromatin pattern (chromatin condensation) were also observed. The nucleo-cytoplasmic ratio was increased in sinuses and greatly dilated with hyperplastic Kupffer cells. The cytoplasm was extensively vacuolated, continued masses of acidophilic material were observed. Supplementation of 1α, 25(OH)2D3 for the entire period study (group C) elicited a maximum protection against DEN induced hepatocarcinogenesis, which was reflected in almost normal hepatocellular architecture. In group C liver cells were found to contain compact cytoplasmic material with only clear cell foci (Figure 6). The nucleocytoplasmic ratio was decreased considerably as compared to group A. The configuration of sinuses appeared normal with normal Kupffer cells. The size of nuclei resembled that of normal cells and binucleated cells were extremely less. A moderate improvement of hepatic histological picture was observed in 1α, 25(OH)2D3 supplemented group C in comparison to group E. A considerable vacuolation was still observed in the cytoplasm and the compactness of hepatocytes was somewhat disturbed in group C. The liver sections from these groups presented a predominance of clear cell foci rather than eosinophilic or basophilic foci. There was a slight decrement in nucleocytoplasmic ratio in the cells with respect to group A with slightly dilated sinuses. The number of binucleated cells was less as compared to group A with normal size nuclei.

Figure 4
Figure 4 Shows the section of the rat liver (group A) showing abnormal hepatic architecture after a single i. p. Injection of DEN (200 mg/kg b.m.) (HE × 325).
Figure 5
Figure 5 Shows the thin section of normal rat liver untreated (group B) showing hepatocellular architecture (HE × 325).
Figure 6
Figure 6 Shows section of rat liver (group C) initiated with DEN and supplemented with 1α, 25(OH)2D3 [0. 3 μg/100 μL propylene glycol per os twice a week for 20 wk] showing almost normal hepatic architecture (HE × 325).
Effect of 1α, 25(OH)2D3 on incidence, number and size of hepatocellular lesions

The carcinogen treated rats showed 100% nodule incidence in group A as compared to the normal control rats (group B). The incidence of HNs was lower in the rats that received 1α, 25(OH)2D3 and DEN in groups C and E (Table 3). The average number of nodules/nodule–bearing livers (nodule multiplicity) was also found to be less in 1α, 25(OH)2D3 supplemented group C (60%) as compared to group A. The result was statically significant (P < 0.01) in group C compared with group A. The total number of nodule 22 and the average nodule bearing livers (3.66 ± 0.68) in group C were compared with the DEN control (group A). Group C rats showed the lowest value in each range compared with the other groups (groups A and E). In the present study the relative size distribution of nodules revealed that supplementation of 1α, 25(OH)2D3 characteristically reduced the appearance of HNs more than 3 mm in size in group C compared to group A.

Table 3 Effect of 1α, 25(OH)2D3 on incidence, number and size of hepatocellular lessions during DEN induced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE).
GroupNo. of rats with nodulesNodule incidence (%)Total No. of noduleAverage No. of nodules per nodule bearing liverRelative size
< 1 mm> 1 mm, < 3 mm> 3 mm
A10/1010016816.80±1.3394 (55.95)48 (28.57)26 (15.47)
C6/1060b223.66±0.8811 (50.0)6 (27.27)05 (22.72)
E8/1080d728.00±1.0528 (38.88)24 (33.33)20 (27.77)
Effect of 1α, 25(OH)2D3 on comet Assay

The results of comet assay based on mean tailed cells (TC) (%) and mean length: width ratios (L: W) in hepatic cells of rats treated with DEN are shown in Table 4. The mean length to width ratio of the DNA mass observed in DEN control rats (group A) was significantly greater (P<0.01) compared with the normal control group B. Similarly, the mean frequency of tailed cells was (84±0.020) in DEN control rats and significantly different (P<0.01) from the normal control (29±0.008). Figures 2 and 3 illustrate the distribution of L: W and TC in DEN control (group A), normal (group B), long term study (group C), and promotion study (group E). For length: width ratio and tailed cells, the median values were higher in DEN control (group A) compared with the normal control (group B). The distribution of damage cells was also wider and the lengths of the boxes were greater in DEN control rats, indicating larger interquartile ranges than that of the normal controls rats. The median line in normal control rats (group B) were tailing towards smaller values. In group C and group E the median lines were in the middle of the boxes, the distribution of TC was more or less symmetrical. In group C 1α, 25(OH)2D3 offered more than 54.09% in the length and width ratio and 53.37% of tailed cells compared to group A.

Figure 2
Figure 2 Box-and-whisker plot of the distribution of DNA damage treated with 1alpha, 25(OH)2D3 in DEN induced rat hepatocarcinogenesis promoted by phenobarbital.
Figure 3
Figure 3 Tailed cells (%) in hepatic cells of rats treated with 1alpha, 25(OH)2D3 in DEN induced rat hepatocarcinogenesis promoted by phenobarbital.
Table 4 Effect of 1α, 25dihydroxyvitamin D3 on DNA damage [based on mean tailed cells (%) and mean length: width ratios ± SEM of DNA pattern] in hepatic cells of rats during DEN in-duced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE, n = 100).
GroupsLength and width ratio of DNA massDecrease (%)Tailed cells (%)Decrease (%)
A2.44±0.068184±0.020
B1.029±0.00529±0.008
C1.12±0.025b54.0939±0.014d53.57
D1.02±0.000529±0.008
E1.63±0.026g33.1962±0.026f26.19
F1.02±0.00529±0.008
Effect of 1α, 25(OH)2D3 on hepatic super oxide dismutase activity

Table 5 depicts the SOD activity. A significant decrease (P < 0.01) was found in SOD activity in HNs and NNSP tissues in DEN control (group A) compared with the normal control (group B). A significant increase (P < 0.05) in SOD level was observed in both HNs and NNSP tissues in group C rats, where 1α, 25(OH)2D3 treatment started 4 wk before DEN administration and continued till the end of the experiment. In group E 1α, 25(OH)2D3 was supplemented only for 15 wk, starting the treatment 1 wk after DEN administration showed no statistical significance in SOD activity.

Table 5 Changes in activities of superoxide dismutase (units/mg protein) in different groups of rats treated with 1α, 25(OH)2D3 during DEN induced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE, n = 5).
GroupsNodulesSurroundingControl
A4.38 ± 0.56b5.28 ± 0.57a8.64 ± 0.87
C6.84 ± 0.81c7.60 ± 0.738.84 ± 0.80
E4.88 ± 0.665.64 ± 0.538.52 ± 0.77
Effect of 1α, 25(OH)2D3 on hepatic cytosolic lipid peroxidation

1α, 25(OH)2D3 had effect on hepatic cytosolic lipid peroxidation (Table 6) in different groups of rats treated with DEN, which was promoted by phenobarbital. A significant increase in the total content of MDA (P < 0.01) was observed in DEN control rats (group A), both HNs and NNSP liver area in group A were compared with normal control. A significant decrease (P < 0.05) in elevated hepatic MDA level was found in group C when compared with DEN control. Supplementation of 1α, 25(OH)2D3 led to a significant reduction in total MDA production in DEN treated rats. The maximum effect was observed in group C rats whose 1α, 25(OH)2D3 treatment was started 4 wk before DEN administration and continued till 20 wk, which offered a better protection in group E, in which 1α, 25(OH)2D3 was supplemented for only 15 wk, starting 1 wk after DEN administration.

Table 6 Changes in total hepatic lipid peroxidation (nmol MDA/100 mg protein) level in different groups of rats treated with 1α, 25(OH)2D3 during DEN induced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE, n = 5).
GroupsNodulesSurroundingControl
A18.72 ± 1.59b17.4 ± 1.34d2.44 ± 0.84
C8.80 ± 1.02a7.6 ± 0.883.16 ± 0.94
E13.16 ± 1.2312.32 ± 1.032.8 ± 0.79
Effect of 1α, 25(OH)2D3 on hepatic cytosolic glutathione

Table 7 shows the glutathione (GSH) content in different experimental groups. GSH content was found to be increased both in HNs and NNSP liver areas (P < 0.01) in DEN control rats (group A) compared with normal control (group B). GSH content was decreased significantly (P < 0.05) in group C. GSH levels were marginally increased in groups D and F when compared with the normal control.

Table 7 Changes in total hepatic reduced glutathione (GSH) (mg/100 g tissue) level in different groups of rats treated with 1α, 25(OH)2D3 during DEN induced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE, n = 5).
GroupsNodulesSurroundingControl
A367.6 ± 25.5b310.0 ± 24.9c226.0 ± 22.5
C268.0 ± 21.5a254.0 ± 20.1248.0 ± 21.7
E303.2 ± 22.5284.0 ± 21.6256.0 ± 22.5
Effect of 1α, 25(OH)2D3 on 1-chloro-2,4-dinitro benzene (CDNB) conjugated hepatic cytosolic glutathione S-transferase activity in different groups

Table 8 depicts the glutathione S-transferase (GST) activity with CDNB in different experimental groups. DEN control rats showed (group A) a significantly increase (P < 0.01) more than 2-fold in NNSP compared with the normal control, but HNs showed a significantly decrease in value. Altered activity of 1α, 25(OH)2D3 was found in group B. Groups C and E also showed higher altered activity of 1α, 25(OH)2D3 than the normal control rats. 1α, 25(OH)2D3 was found to be more effective in the inhibition of rat liver carcinogenesis (P < 0.05) in abating the GST activity. 1α, 25(OH)2D3 control groups (groups D and F) had no statistical significance in the GST activity when compared with normal control.

Table 8 Changes in activity of 1-chloro-2,4-dinitro benzene (CDNB) conjugated (μmol CDNB conjugated/mg protein/mL) hepatic cytosolic glutathione S-transferase (GST) in different groups of rats treated with 1α, 25(OH)2D3 during DEN induced rat hepatocarcinogenesis promoted by phenobarbital (mean ± SE, n = 5).
GroupsNodulesSurroundingControl
A2.52 ± 0.23b1.54 ± 0.23c0.9 ± 0.10
C1.45 ± 0.27a1.24 ± 0.111.12 ± 0.13
E1.76 ± 0.291.48 ± 0.191.10 ± 0.11
DISCUSSION

The results of our present investigation clearly demonstrated that long term supplementation of 1α, 25(OH) 2D3 (at a dose of 0.3 μg/100 μL propylene glycol twice a week) greatly reduced the incidence of hepatic nodulogenesis, antioxidant enzymes and genetic damage in DEN induced rat hepatocarcinogenesis promoted by phenobarbital. Previous studies in our laboratory have shown that long term supplementation of 1α, 25(OH)2D3 in combination with vanadium could effectively inhibit DEN-induced rat liver carcinogenesis[34-36].

DEN is a well-known hepatocarcinogen in rats, forming DNA-carcinogen adducts in the liver and inducing hepatocellular carcinomas without cirrhosis through the development of putative preneoplastic enzyme-altered hepatocellular focal lesions[37]. After limited treatment with DEN, the rats ended up with a large benign hepatomas[35,38], which were equivalent to neoplastic nodules and highly differentiated hepatocarcinomas. The preneoplastic lesions were thought to be the possible precursors of hepatic cancer in experimental animals and humans[39]. Treatment with hepatocarcinogen could result in the proliferation of oval cells. These cells have been shown to have the ability to differentiate into hepatocytes[40]. The results of our present investigation clearly indicated that long term supplementation of 1α, 25(OH)2D3 could reduce the incidence, multiplicity and size of visible HNs more than 3 mm in size. Preneoplasia (γ-glutamyl transpeptidase -positive and glucose 6-phosphate negative) appeared in 1α, 25(OH)2D3 treated animals 1 wk after carcinogen withdrawal, but livers from 1α, 25(OH)2D3 depleted rats exhibited an increase in the number of GGT-positive foci. There was no change in the body masses among the groups under study. This is particularly important because nutritional deprivation causing body mass loss might result in a decrease in tumor volume[41]. Thus 1α, 25(OH)2D3 had the maximum effect in reducing the number and nodule growth, which were not mediated through the impairment of nutritional status in the experimental animals. 1α, 25(OH)2D3 effect observed in this study might be important for cancer prevention. Comet assay is sensitive, a small number of cells and substances are required. It is inexpensive, and easy to apply to any tissues. The tissue selection in our study was based on a recent data analysis of the mice and rats[42]. Comet assay can be applied to any tissues in vivo. In comet assay DNA is organized as loops, retaining the super coils and circular structure that are contained in the nucleosome. Epidemiological studies showed that comet tail was made up of relaxed loops and that the number of loops in the tail could indicate the number of DNA damages and tailed cells consisting of fragments of DNA[43]. This study indicated a significantly higher incidence of DNA damage in the DEN-PB control compared with the normal control. In the present investigation, 1α, 25(OH)2D3 protected against the DNA damage in DEN induced rat hepatocarcinogenesis.

SOD is the first line of defense of the cellular antioxidant system against the oxidative damage mediated by superoxide radicals. Life is continuously exposed to oxidative stress, cells are equipped with gene regulatory mechanism that can sense a high oxidative stress potential and consequently induce higher levels of several enzymes capable of reducing reactive oxygen species and repairing oxidative damage. The antioxidant enzymes are thus a major cell defense against acute oxygen toxicity. Their function is to protect membrane and cytosolic components against damage caused by free radicals. SOD, catalase and glutathione peroxidase (GPx) exemplify some of the most important ones. SOD, catalase could convet oxygen into hydrogen peroxides and water, SOD could diminish the damage caused by superoxide-producing agents as long as the generated hydrogen peroxide was removed by glutathione peroxidase and catalase does not become rate limiting[44,45]. The enzyme GPx and glutathione reductase were then destroyed either by catalase or by enzyme system, these 2 systems could convert hydrogen peroxide into water at the expense of NADPH, using reduced GSH as an electron donor[46]. Differences were found between normal and cancer cell superoxide dismutase activity in the treatment of cancer[47]. The SOD ratio was lower in liver cells, and this might provide an explanation for the higher susceptibility of tumor cells to treatments likely to involve oxygen radicals[48,49]. Our present results showed that 1α, 25(OH)2D3 supplementation in group C inclined towards normal and in group E no change was found. Decreased antioxidant activity could cause the accumulation of free radicals. However, there was no change in SOD activities in group E rats, which might be due to the inactivated gene not reactivated by 1α, 25(OH)2D3 supplementation, the physiological characterization and the genetic mapping of the mutant should identify the gene.

Lipid peroxidation plays an important role in carcinogenesis, treatment with inhibitors of lipid peroxidation, such as vitamins D, E, C, as well as selenium and vanadium and beta-carotene are protective agents[36,50-52]. Stimulation of NADPH- dependent microsomal lipid peroxidation was proposed to be mediated by ADP/Fe2+, NADPH-cytochrome P-450 reductase and cytochrome P-450[53]. Therefore, the increase of one of these modulators in the liver could explain the reduced lipid peroxidation. Previous studies in our laboratory showed that a significant increase in the total content of MDA was observed in DEN control compared to normal control[50,54]. In our present study a significant increase in lipid peroxidation was observed in DEN PB-treated rats (group A) when compared with normal control rats (group B). But it was found in group C most significant (P<0.05) compared to DEN-PB control. Treatment with 1α, 25(OH) 2D3 abated the production of MDA in different DEN-PB treated rats (groups C and E). The ability of 1α, 25(OH)2D3 to inhibit iron dependent lipid peroxidation in liposomes might be important in protecting the membranes of normal cells against free radical induced oxidative damage[55]. Thus, the oxygen radical formation and detoxification, which result in lipid peroxidation and tissue damage, may be prevented.

ACKNOWLEDGMENTS

Mr. Mahendrakumar C.B is highly indebted to All India Council for Technical Education (AICTE), Government of India, and New Delhi for financial assistance to carry out this work and Veerasaiva Vidhya Vardhaka Sangha’s T V M College of Pharmacy (VVS) Bellary, Karnataka, India. Mr. P Suresh Kanna is highly indebted to Department of Science & Technology, Government of India.

Footnotes

Edited by Wang XL, Xu FM

References
1.  Blutt SE, Allegretto EA, Pike JW, Weigel NL. 1,25-dihydroxyvitamin D3 and 9-cis-retinoic acid act synergistically to inhibit the growth of LNCaP prostate cells and cause accumulation of cells in G1. Endocrinology. 1997;138:1491-1497.  [PubMed]  [DOI]  [Cited in This Article: ]
2.  Beaty MM, Lee EY, Glauert HP. Influence of dietary calcium and vitamin D on colon epithelial cell proliferation and 1,2-dimethylhydrazine-induced colon carcinogenesis in rats fed high fat diets. J Nutr. 1993;123:144-152.  [PubMed]  [DOI]  [Cited in This Article: ]
3.  Welsh J. Induction of apoptosis in breast cancer cells in response to vitamin D and antiestrogens. Biochem Cell Biol. 1994;72:537-545.  [PubMed]  [DOI]  [Cited in This Article: ]
4.  Chouvet C, Vicard E, Devonec M, Saez S. 1,25-Dihydroxyvitamin D3 inhibitory effect on the growth of two human breast cancer cell lines (MCF-7, BT-20). J Steroid Biochem. 1986;24:373-376.  [PubMed]  [DOI]  [Cited in This Article: ]
5.  Sardar S, Chakraborty A, Chatterjee M. Comparative effectiveness of vitamin D3 and dietary vitamin E on peroxidation of lipids and enzymes of the hepatic antioxidant system in Sprague--Dawley rats. Int J Vitam Nutr Res. 1996;66:39-45.  [PubMed]  [DOI]  [Cited in This Article: ]
6.  Wattenberg LW. Inhibition of carcinogenesis by minor dietary constituents. Cancer Res. 1992;52:2085s-2091s.  [PubMed]  [DOI]  [Cited in This Article: ]
7.  Young MR, Ihm J, Lozano Y, Wright MA, Prechel MM. Treating tumor-bearing mice with vitamin D3 diminishes tumor-induced myelopoiesis and associated immunosuppression, and reduces tumor metastasis and recurrence. Cancer Immunol Immunother. 1995;41:37-45.  [PubMed]  [DOI]  [Cited in This Article: ]
8.  Vink-van Wijngaarden T, Pols HA, Buurman CJ, van den Bemd GJ, Dorssers LC, Birkenhäger JC, van Leeuwen JP. Inhibition of breast cancer cell growth by combined treatment with vitamin D3 analogues and tamoxifen. Cancer Res. 1994;54:5711-5717.  [PubMed]  [DOI]  [Cited in This Article: ]
9.  James SY, Mackay AG, Binderup L, Colston KW. Effects of a new synthetic vitamin D analogue, EB1089, on the oestrogen-responsive growth of human breast cancer cells. J Endocrinol. 1994;141:555-563.  [PubMed]  [DOI]  [Cited in This Article: ]
10.  Goldsworthy TL, Pitot HC. The quantitative analysis and stability of histochemical markers of altered hepatic foci in rat liver following initiation by diethylnitrosamine administration and promotion with phenobarbital. Carcinogenesis. 1985;6:1261-1269.  [PubMed]  [DOI]  [Cited in This Article: ]
11.  Kolaja KL, Stevenson DE, Walborg EF, Klaunig JE. Dose dependence of phenobarbital promotion of preneoplastic hepatic lesions in F344 rats and B6C3F1 mice: effects on DNA synthesis and apoptosis. Carcinogenesis. 1996;17:947-954.  [PubMed]  [DOI]  [Cited in This Article: ]
12.  Ostling O, Johanson KJ. Microelectrophoretic study of radiation-induced DNA damages in individual mammalian cells. Biochem Biophys Res Commun. 1984;123:291-298.  [PubMed]  [DOI]  [Cited in This Article: ]
13.  Godard T, Gauduchon P, Debout C. A first step in visual identification of different cell populations by a modified alkaline comet assay. Mutat Res. 2002;520:207-211.  [PubMed]  [DOI]  [Cited in This Article: ]
14.  McNamee JP, McLean JR, Ferrarotto CL, Bellier PV. Comet assay: rapid processing of multiple samples. Mutat Res. 2000;466:63-69.  [PubMed]  [DOI]  [Cited in This Article: ]
15.  Anderson D, Yu TW, McGregor DB. Comet assay responses as indicators of carcinogen exposure. Mutagenesis. 1998;13:539-555.  [PubMed]  [DOI]  [Cited in This Article: ]
16.  Qiu LM, Li WJ, Pang XY, Gao QX, Feng Y, Zhou LB, Zhang GH. Observation of DNA damage of human hepatoma cells irradiated by heavy ions using comet assay. World J Gastroenterol. 2003;9:1450-1454.  [PubMed]  [DOI]  [Cited in This Article: ]
17.  Li WJ, Gao QX, Zhou GM, Wei ZQ. Micronuclei and cell survival in human liver cancer cells irradiated by 25MeV/u (40)Ar14(+). World J Gastroenterol. 1999;5:365-368.  [PubMed]  [DOI]  [Cited in This Article: ]
18.  Mohankumar MN, Paul SF, Venkatachalam P, Jeevanram RK. Influence of in vitro low-level gamma-radiation on the UV-induced DNA repair capacity of human lymphocytes--analysed by unscheduled DNA synthesis (UDS) and comet assay. Radiat Environ Biophys. 1998;37:267-275.  [PubMed]  [DOI]  [Cited in This Article: ]
19.  Koppen G, Angelis KJ. Repair of X-ray induced DNA damage measured by the comet assay in roots of Vicia faba. Environ Mol Mutagen. 1998;32:281-285.  [PubMed]  [DOI]  [Cited in This Article: ]
20.  Mayer C, Popanda O, Zelezny O, von Brevern MC, Bach A, Bartsch H, Schmezer P. DNA repair capacity after gamma-irradiation and expression profiles of DNA repair genes in resting and proliferating human peripheral blood lymphocytes. DNA Repair (Amst). 2002;1:237-250.  [PubMed]  [DOI]  [Cited in This Article: ]
21.  Nersesyan AK. Re: Chromosomal aberration, micronucleus and Comet assays on peripheral blood lymphocytes of leprosy patients undergoing multidrug treatment (Mutagenesis, 17, 309-312, 2002). Mutagenesis. 2003;18:307; author reply 309.  [PubMed]  [DOI]  [Cited in This Article: ]
22.  McCord JM, Fridovich I. The utility of superoxide dismutase in studying free radical reactions. I. Radicals generated by the interaction of sulfite, dimethyl sulfoxide, and oxygen. J Biol Chem. 1969;244:6056-6063.  [PubMed]  [DOI]  [Cited in This Article: ]
23.  Halliwell B, Gutteridge JMC.  Free Radicals in Biology and medicine. 2nd ed. Oxford, UK: Clarendon Press 1989; 543.  [PubMed]  [DOI]  [Cited in This Article: ]
24.  Oberley LW, Oberley TD. Free radicals, cancer and aging. In free radicals, aging and denegenerative Diseases. New York: Alan R Liss, Inc 1986; 325-371.  [PubMed]  [DOI]  [Cited in This Article: ]
25.  Salim AS. Scavengers of oxygen-derived free radicals prolong survival in advanced colonic cancer. A new approach. Tumour Biol. 1993;14:9-17.  [PubMed]  [DOI]  [Cited in This Article: ]
26.  Ward TH, Butler J, Shahbakhti H, Richards JT. Comet assay studies on the activation of two diaziridinylbenzoquinones in K562 cells. Biochem Pharmacol. 1997;53:1115-1121.  [PubMed]  [DOI]  [Cited in This Article: ]
27.  Moreno FS, Rizzi MB, Dagli ML, Penteado MV. Inhibitory effects of beta-carotene on preneoplastic lesions induced in Wistar rats by the resistant hepatocyte model. Carcinogenesis. 1991;12:1817-1822.  [PubMed]  [DOI]  [Cited in This Article: ]
28.  Rutenburg AM, Kim H, Fischbein JW, Hanker JS, Wasserkrug HL, Seligman AM. Histochemical and ultrastructural demonstration of gamma-glutamyl transpeptidase activity. J Histochem Cytochem. 1969;17:517-526.  [PubMed]  [DOI]  [Cited in This Article: ]
29.  Campbell HA, Pitot HC, Potter VR, Laishes BA. Application of quantitative stereology to the evaluation of enzyme-altered foci in rat liver. Cancer Res. 1982;42:465-472.  [PubMed]  [DOI]  [Cited in This Article: ]
30.  Beyer WF, Fridovich I. Assaying for superoxide dismutase activity: some large consequences of minor changes in conditions. Anal Biochem. 1987;161:559-566.  [PubMed]  [DOI]  [Cited in This Article: ]
31.  Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem. 1979;95:351-358.  [PubMed]  [DOI]  [Cited in This Article: ]
32.  Ellman GL. Tissue sulfhydryl groups. Arch Biochem Biophys. 1959;82:70-77.  [PubMed]  [DOI]  [Cited in This Article: ]
33.  Habig WH, Pabst MJ, Jakoby WB. Glutathione S-transferases. The first enzymatic step in mercapturic acid formation. J Biol Chem. 1974;249:7130-7139.  [PubMed]  [DOI]  [Cited in This Article: ]
34.  Bishayee A, Chatterjee M. Inhibitory effect of vanadium on rat liver carcinogenesis initiated with diethylnitrosamine and promoted by phenobarbital. Br J Cancer. 1995;71:1214-1220.  [PubMed]  [DOI]  [Cited in This Article: ]
35.  Bishayee A, Chatterjee M. Inhibition of altered liver cell foci and persistent nodule growth by vanadium during diethylnitrosamine-induced hepatocarcinogenesis in rats. Anticancer Res. 1995;15:455-461.  [PubMed]  [DOI]  [Cited in This Article: ]
36.  Basak R, Basu M, Chatterjee M. Combined supplementation of vanadium and 1alpha,25-dihydroxyvitamin D(3) inhibit diethylnitrosamine-induced rat liver carcinogenesis. Chem Biol Interact. 2000;128:1-18.  [PubMed]  [DOI]  [Cited in This Article: ]
37.  Singer B, Crunderger D.  Molecular Biology and Mutagens and Carcinogens. New York: Plenum Press 1984; .  [PubMed]  [DOI]  [Cited in This Article: ]
38.  Scherer E, Van Dijk WF, Emmelot P. The effect of antilymphocytic and normal horse serum on growth of precancerous foci and development of tumours induced by diethylnitrosamine in rat liver. Eur J Cancer. 1976;12:25-31.  [PubMed]  [DOI]  [Cited in This Article: ]
39.  Farber E. Clonal adaptation during carcinogenesis. Biochem Pharmacol. 1990;39:1837-1846.  [PubMed]  [DOI]  [Cited in This Article: ]
40.  Sell S. Is there a liver stem cell? Cancer Res. 1990;50:3811-3815.  [PubMed]  [DOI]  [Cited in This Article: ]
41.  Waitzberg DL, Gonçalves EL, Faintuch J, Bevilacqua LR, Rocha CL, Cologni AM. Effect of diets with different protein levels on the growth of Walker 256 carcinosarcoma in rats. Braz J Med Biol Res. 1989;22:447-455.  [PubMed]  [DOI]  [Cited in This Article: ]
42.  Sasaki YF, Sekihashi K, Izumiyama F, Nishidate E, Saga A, Ishida K, Tsuda S. The comet assay with multiple mouse organs: comparison of comet assay results and carcinogenicity with 208 chemicals selected from the IARC monographs and U.S. NTP Carcinogenicity Database. Crit Rev Toxicol. 2000;30:629-799.  [PubMed]  [DOI]  [Cited in This Article: ]
43.  Collins AR, Dobson VL, Dusinská M, Kennedy G, Stĕtina R. The comet assay: what can it really tell us? Mutat Res. 1997;375:183-193.  [PubMed]  [DOI]  [Cited in This Article: ]
44.  Fridovich I. Superoxide radical: an endogenous toxicant. Annu Rev Pharmacol Toxicol. 1983;23:239-257.  [PubMed]  [DOI]  [Cited in This Article: ]
45.  Fridovich I. Superoxide dismutases. Adv Enzymol Relat Areas Mol Biol. 1986;58:61-97.  [PubMed]  [DOI]  [Cited in This Article: ]
46.  Gaetani GF, Galiano S, Canepa L, Ferraris AM, Kirkman HN. Catalase and glutathione peroxidase are equally active in detoxification of hydrogen peroxide in human erythrocytes. Blood. 1989;73:334-339.  [PubMed]  [DOI]  [Cited in This Article: ]
47.  Oberley LW, Buettner GR. Role of superoxide dismutase in cancer: a review. Cancer Res. 1979;39:1141-1149.  [PubMed]  [DOI]  [Cited in This Article: ]
48.  Bozzi A, Mavelli I, Finazzi A, Strom R, Wolf AM, Mondovi B, Rotilio G. Enzyme defense against reactive oxygen derivatives. II. Erythrocytes and tumor cells. Mol Cell Biochem. 1976;10:11-16.  [PubMed]  [DOI]  [Cited in This Article: ]
49.  Thirunavukkarasu C, Sakthisekaran D. Effect of selenium on N-nitrosodiethylamine-induced multistage hepatocarcinogenesis with reference to lipid peroxidation and enzymic antioxidants. Cell Biochem Funct. 2001;19:27-35.  [PubMed]  [DOI]  [Cited in This Article: ]
50.  Sarkar A, Bishayee A, Chatterjee M. Beta-carotene prevents lipid peroxidation and red blood cell membrane protein damage in experimental hepatocarcinogenesis. Cancer Biochem Biophys. 1995;15:111-125.  [PubMed]  [DOI]  [Cited in This Article: ]
51.  Appel MJ, Roverts G, Woutersen RA. Inhibitory effects of micronutrients on pancreatic carcinogenesis in azaserine-treated rats. Carcinogenesis. 1991;12:2157-2161.  [PubMed]  [DOI]  [Cited in This Article: ]
52.  Eskelson CD, Odeleye OE, Watson RR, Earnest DL, Mufti SI. Modulation of cancer growth by vitamin E and alcohol. Alcohol Alcohol. 1993;28:117-125.  [PubMed]  [DOI]  [Cited in This Article: ]
53.  Cajelli E, Ferraris A, Brambilla G. Mutagenicity of 4-hydroxynonenal in V79 Chinese hamster cells. Mutat Res. 1987;190:169-171.  [PubMed]  [DOI]  [Cited in This Article: ]
54.  Basak R, Bhattacharya R, Chatterjee M. 1 alpha,25-Dihydroxyvitamin D(3) inhibits rat liver ultrastructural changes in diethylnitrosamine-initiated and phenobarbital promoted rat hepatocarcinogenesis. J Cell Biochem. 2001;81:357-367.  [PubMed]  [DOI]  [Cited in This Article: ]
55.  Wiseman H. Vitamin D is a membrane antioxidant. Ability to inhibit iron-dependent lipid peroxidation in liposomes compared to cholesterol, ergosterol and tamoxifen and relevance to anticancer action. FEBS Lett. 1993;326:285-288.  [PubMed]  [DOI]  [Cited in This Article: ]
56.  Fiala S. Intracellular changes in levels of polarographically active sulphydryl groups in rat liver during carcinogenesis. Nature. 1958;182:257-258.  [PubMed]  [DOI]  [Cited in This Article: ]
57.  Neish WJ, Rylett A. Effect of alpha-tocopheryl acetate on liver glutathione of male rats injected with 3'-methyl-4-dimethylaminoazobenzene. Biochem Pharmacol. 1963;12:1147-1150.  [PubMed]  [DOI]  [Cited in This Article: ]
58.  Dijkstra J. The contents of trichloroacetic acid-soluble sulphydryl compounds and ascorbic acid in the liver of rats fed aminoazo dyes: the effect of a single large dose of dye. Br J Cancer. 1964;13:608-617.  [PubMed]  [DOI]  [Cited in This Article: ]
59.  Reiners JJ, Kodari E, Cappel RE, Gilbert HF. Assessment of the antioxidant/prooxidant status of murine skin following topical treatment with 12-O-tetradecanoylphorbol-13-acetate and throughout the ontogeny of skin cancer. Part II: Quantitation of glutathione and glutathione disulfide. Carcinogenesis. 1991;12:2345-2352.  [PubMed]  [DOI]  [Cited in This Article: ]
60.  Boyland E, Chasseaud LF. The role of glutathione and glutathione S-transferases in mercapturic acid biosynthesis. Adv Enzymol Relat Areas Mol Biol. 1969;32:173-219.  [PubMed]  [DOI]  [Cited in This Article: ]
61.  Wang AL, Tew KD. Increased glutathione-S-transferase activity in a cell line with acquired resistance to nitrogen mustards. Cancer Treat Rep. 1985;69:677-682.  [PubMed]  [DOI]  [Cited in This Article: ]
62.  Mimnaugh EG, Dusre L, Atwell J, Myers CE. Differential oxygen radical susceptibility of adriamycin-sensitive and -resistant MCF-7 human breast tumor cells. Cancer Res. 1989;49:8-15.  [PubMed]  [DOI]  [Cited in This Article: ]
63.  Kulkarni AA, Kulkarni AP. Retinoids inhibit mammalian glutathione transferases. Cancer Lett. 1995;91:185-189.  [PubMed]  [DOI]  [Cited in This Article: ]
64.  Fahey RC. Biologically important thiol-disulfide reactions and the role of cyst(e)ine in proteins: an evolutionary perspective. Adv Exp Med Biol. 1977;86A:1-30.  [PubMed]  [DOI]  [Cited in This Article: ]