The me
Vero László
1Institut
2Crysta
3South-
4Depar
5Depar
Corres E-mail
Articl
Accep Availa Keywo skin ca malign produ melan
e effec lanoma
nika Wolh ó Szabó2, A
te of Public He al International -Transdanubia rtment of Occ rtment of Dent
sponding au address: wo
le Info
pted on 28 Ju able online 18
ords:
ancer, melan num, antioxid ucts, preventi
noma cells.
The
t of fla a transp
her1,*, Kata Andor Seb
ealth, Medical l Kft., Eger
n Regional He cupational Hea
tal Public Heal
thor. Tel.:+36 olher.veronika
une 2012 8 June 2012
noma dant ion, B16
Journ
Internationa
Jo
avonoid planted
lin Gombo estyén3, A
School, Pécs U ealth Care Insu
alth, Medical S lth, Medical Sc
72 536 394 a@gmail.com
Abstrac Melanom mortality malignum malignum to full re life age also pla surveys.
also risk substanc In recen product mice m chemop organs investiga flavonoid carcinog
nal of P
al Journal o and
urnal home
d supp d mice
os1, Krisztin ndrás Husz
University, Pécs rance Service chool, Univers chool, Universit
m; (V. Wolher
ct
ma malign y. Although
m is the m m is able to covery of t rises the ris y a crucial Pale skin a k factors. C
ces which a nt experime
was tested melanoma
preventive t of mice ( ated. Based
d product genesis and
Proacti
of cancer pr d epidemio
epage: www
plement
na Juhász zár4, Árpád
s, Hungary , Pécs, Hungar ity of Pécs, Hu ty of Pécs, Hun
r)
Int
kn the ev ex um is resp it can be most seriou o form meta the patient.
sk of melan l role in the and hair col
Chemoprev act as antiox ent the effe d on B16 m
cell line is therapies. T (liver, splee d on recen FeMADN2 d inflammat
ive Me
revention, c logy
w.jproactive
t on m
1, Katalin d Németh5,
ry ngary ngary
troduction Exces nown to cau
e skin, ser ven lead to xposure m ponsible for
effectively us type of astasis in six The prime noma deve e developm lour, elevat ventive stra
xidants to p ect of a h melanoma tr s widely u Twelve type en, lungs, nt investiga affects the tion effectiv
edicine
chemopreve
e.hu
miRNS e
Gőcze1, Is , István Em
ss UV exp use acute s rious sunb
blister form melanin p
r the grea screened a malignant months, bu risk factor i elopment. In
ment of the ed number ategies are prevent cert igh antioxid ransplanted used to inv e of miRNA kidneys) a tion the m e expression vely.
e
ention
expressi
stván Kiss1 mber1
posure of t symptoms burn cause
mation. Few production
t majority and preven t skin canc ut early dete is multiple s n addition, e disease b r of naevus e often ba
tain types o dant conta d mice. Tra
vestigate a As were iso
nd their e ulticompon n of regula
Original
ion in
1, Antal Tib
the skin is like erythe
s pain and w days afte in the of skin ca nted, Melan cer. Melan ection can sunburns in genetic fa based on fa
on the skin ased on a
f skin cance aining flavo
nsplantable antitumour
lated from expression nent antioxi atory miRNA
article
B16
bold1,
s well ma of d can er the skin ancer noma noma lead early actors amily n are
ctive er.
onoid e B16
and vital were idant As of
due thicke pene This depe UV ir elasti forma of the Chro dege cells, mela A nae cases Thou tumo the 8
Inves occu of sk limbs the t frequ other while amon The progr progn The unam clear rate d skin effect Prima preve sugg scree
to repetitiv ening of etration to lo
process is ending on th rradiation a city of the ation of wr e skin.
nic and m enerative al
for exam nocytic nae evus can p
s melano gh it is ors, melano
5% of skin
stigating th r between kin cancer s while in m
torso are uent among
r skin regio e the chanc
ng men.
willingnes rams are h nosis is ofte effect of a mbiguous,
ly show tha decreases.
cancer p tive way arily avoid enting sun ested. Ne ening has t
ve solar e the epide ower layers s a type o he colour o accelerates tissues dec
rinkles and multiple UV
teration of ple sunspo evus.
progress to ma devel less frequ oma malig cancer mo
he mortali the two g in women men the hea affected.
g men. Ma ons and ly ce of visce ss to pa higher amo
en worse a age at sk although e
at after me (4, 6, 7, 8 primary pr to amel ing exces nburns in evertheless
to be emp
V. Wolhe exposure,
rmis to a s of the skin of skin dam of the skin.
s aging of creases, it d increases exposure tissues an ots, freckle melanoma ops from uent than gnant is re ortality.
Table 1. Mor ity severa genders.Th n occur m ad and nec Nodular ty alignant ce ymph node eral metasta
rticipate i ong women among men in cancer epidemiolo
nopause o , 9, 10, 11) revention
liorate mo s solar ex childhood s the im phasized b
er / Journal of for examp
attenuate U n.
mage, that
the skin. T facilitates t s the dryne
can lead d mutation es, lentigine
a, but in mo intact sk benign s esponsible
rtality of mela l differenc e localisat mainly on t ck region a ype is mo lls metasta es in wom asis is high n screen n, that is w n.
prognosis ogical stud overall survi ). Concerni is the mo ortality da
xposure a are stron mportance
ecause mo
f Proactive M ple
UV t is
The the ess to n in es, ost kin.
skin for
Fo thr m Th low wh (10 Se the In ris the to hig wo
anoma malignu ces
ion the and ore ase men her ing why
is ies ival ing ost ata.
and gly of ost
sk dia de An ar ch als So top inf pa ce sy the tum the pr ea re 13
Medicine 1 (2 ormation of rough the
akes mela he incidenc wer than in here the 0/100.000 everal studi
e depletion Hungary th ses every y e year 200 the previ gher and omen (Tab
um in hungary kin tumou
agnosed ermatoscop ntioxidants
e recen hemopreve so treating ome of t pically, bu fluence pr athways, fo ells or mod ystems. Se
e positive e mours yet.
e incidenc omote the ases the sid lapse and 3, 14, 15, 1
012)13-20 f rapid met lymphatic s
noma mali ce of the di Australia a incidence patients/ye
es prove th n of the ozo
he incidenc year. Overa 09 shows a us years.
shows an le 1) (5, 6).
y (1995-2010) rs can b with clin pe.
and antio ntly high ntive strat skin cance these pro t internal rotective m or example dulating int
veral studi effect of an
Antioxidan ce of ce e effect o de effects o
overall pr 6).
tastasis by system an gnant parti sease in C and southe e is 3-4 ear)
hat this diff one layer. (1
ce of melan all tendenc a slight de Mortality n elevation
)
be easily nical insp
oxidant con hlighted
tegies of er.
oducts are administra
mechanism e by mod
ternal antio ies have b ntioxidant c nt administr ertain type of antitumo of drug the
romote he
y spreading nd blood ve icularly har Central-Euro ern states o
times h erence is d 1, 2, 3, 4).
noma malig cy of morta
cline comp among m
n comparin
detected pection o
ntaining pr as part preventing e adminis ation is ab ms by m
ulating im oxidant de been highli consumptio
ration decre es of tum
or medica rapy, decre alth status
g cells essels mful.
ope is of USA higher due to gnum ality in paring men is ng to
and or a
roduct of g and stered ble to ultiple mune efence ghted on on eases mours, ations, eases s. (12,
Hidvegi and coworkers investigated the effect of a benzokinone-containing product on transplanted B16 melanoma growth and metastasis supplementing certain groups with vitamin-C.
Administered orally the product itself and in combination with vitamin-C significantly inhibited metastasis, vitamin-C alone did not exert this effect. In contrast, the administration of vitamin-C one hour after the benzokinone-containing product lead to reduced anti-metastatic effect.
(17).
Many scientist tend to believe that antioxidant supplementation may negatively modify the effect of certain anticancer treatments and able to worsen the prognosis of certain tumours. Heinen and coworkers investigated the association between antioxidant nutrient intake (vitamin C, E, A, other supplements) and the risk ofbasal cell (BCC) and squamous cell carcinomas (SCC) of the skin. According to their results, there is no
obvious and significant connection between antioxidant supplementation, and skin cancer development (18).
The importance of miRNAs, as molecular epidemiological biomarkers of primary tumour prevention is improved in the past few years.
miRNAs are short RNA segments which does not translate to proteins.
The expression patterns of miRNA of malignant melanoma were characterised recently from tissue as well as from blood samples.
There is unambiguous evidence to prove the role of miRNAs as unique biomarkers in melanoma malignant prevention and treatment. A group of concerned miRNAs that are in connection with malignant skin tumours are shown in Table 1.
(19).
Table 1. miRNAs in connection with malignant skin tumours B16 is a transplantable murine melanoma cell
line, which is well known for evaluating the effect of potential anti-tumor and chemopreventive compounds.
Kyoko and Nomeli transplanted C57BL/6J mice with B16 melanoma cell line and lung metastasis were investigated. The mice received ethanol.
Ethanol supplementation inhibited lung metastasis and this inhibition has also affected body weight, insulin and leptin secretion. The expression of Il6, Nf b, Snai1 were decreased,
and the expression level of E-Cadherin, Kiss1, Nm23-m1 and Nm23-m2 were elevated.
Kyoko and Nomeli concluded, that in cell cultures and in animal models ethanol is able to decrease the metastatic ability of B16 cells. (20).
Materials and method
6 week old C57BL/6N male mice (20 g overall bodyweight) were transplanted with B16 melanoma cell line. Each mouse was subcutan injected with 105 B16 cells in the dorsal region of
Epigenetic element Publication year Possible biomarker use Sample Target/pathway
Epigenetic melanoma expression
Function
miR‐29c 2011 Progression, prognosis Tissue DNMT3 Down Tumor suppressor
miR‐214 2011 Diagnosis, progression Cell, tissue TFAP2C Up Oncogene
miR‐205 2011 Detection, progression Cell, tissue E2F1, E2F5 Down Tumor suppressor
miR‐30b/miR‐30d 2011 Progression, prognosis Cell, tissue GALNT7 Up Oncogene
miR‐34b 2011 Progression Cell, tissue Cell adhesion,
migration, motility Down Tumor suppressor miR‐506/miR‐514 2011 Detection, progression Cell, tissue Growth, apoptosis,
invasion Up Oncogene
miR‐21/miR‐155 2011 Detection, prognosis Tissue Proliferation,
metastasis Up Oncogene
miR‐221 2011 Progression Serum
P27Kip1/CDKN1B and C‐Kit (from a
prior study18417445)
Up Oncogene
miR‐375 2011 Detection, progression Cell, tissue Proliferation,
invasion, migration Down Tumor suppressor DNA Methylation
LINE‐1 2011 Prognosis Cell
Surrogate for hypomethylated
TSGs
Up Marker for inactive tumor suppressor DNA Histone
Modifier EZH2 2011 Detection, progression Cell Proliferation Up Oncogene
the n contr receiv libitum antiox Witho mice kidne anim miRN cDNA miRN cDNA μl tr buffe deoxy trans prime PCR PCR Mast Resu Surviv Meie
The flavon highe (p=0 Mean (23 d group
neck. Ther rol and tre
ved tap m.The trea
xidant-cont out any fu was inve ey sample als and m NA Isolation A was obt NAs applyin
A synthesis ranscriptor r, 0,5 μl ynucleotide criptase, 9 er, 2 μl tem amplificati system w er I kit. (Mix
lts
val of the r curves. (F
curve rep noid supp er than th
,025).
n survival o day median p was 27,6
re were 15 eated gro
water an ated grou taining solu urther inter estigated. L
s were co iRNA was n kit (Roche tained by ng Roche T s kit. (Reac reverse protector
e mix, 0,5 9 μl water, mplate miRN
ion were i ith Light C x composit
animals is Fig. 1.)
Figur presents th plemented he survival
of the contr n), and mea 6 days (26 d
V. Wolhe 5-15 male ups.The c nd standa
p received ution and st rvention th Liver, splee
ollected fro isolated w e, Hungary) reverse tra Transcripto ction solutio transcripta
RNase in 5 μl transcr 2 μl rand NA) (Roche implement Cyvler 480
tion: 10 μl M
s presented
re 1. Survival hat the su group is of the c rol group w an survival days media
er / Journal of mice in t control gro rd feed d FeMAD tandard fee e survival en, lung a om perish with High Pu
.
anscription or First Stra on content:
ase react nhibitor, 2 riptor rever om hexam e, Hungary)
ed in LC4 SYBR Gre Master Mix
d on Kapla
of B16 melan urvival of t significan control gro was 23,6 da
of the treat an).
f Proactive M the
oup ad N2 ed.
of and hed ure of and 4 ion μl rse mer . 480 een x, 3
μl tem PC Pr Am
Me
Co Pr pr m 22 St SP
an-
noma-transpla the
ntly oup ays ted
Co m it su
Medicine 1 (2 water, 2
mplate.) CR parame re-incubatio mplification
denat annea extens elting curve denat annea extens ooling 40 C rimers use e- miR-27 iR-143, pre 21.
atistics and PSS Statisti
anted mice (Ka oncerning t
iR-93, miR was rem upplemente
012)13-20 μl sequen eters:
on: 1 cycle : 55 cycles uration at 9 aling at 55 C
sion at 72 C es 1 cycle
uration 95 aling 65 C°, sion 97 C°, C°, 10 secon
d in the e a, pre- mi e- miR-155 d survival c
cs 2.0.
aplan-Meier c the express R-143 and m
arkably d ed then the
nce specif
at 95 C°, 5 s
95 C° for 10 C° for 20 se C° for 15 se C°, 5 secon , 1 minute
0 second.
nds experimen iR-34a, pre 5, pre- miR curves were
curves) sion of miR miR-155 in
ifferent in e control gro
fic primer,
5 minutes 0 seconds
econds econds
nds
t: pre- mi e- miR-93 R-196, pre- e done with
R-27a, miR n tissue sam
the flavo oup (Fig. 1,
5 μl
iR-21, , pre- - miR-
h IBM
R-34a, mples onoid-
, 2).
Figur
Liver Inves and cons supp
Splee Inves miR- contr eleva
re 2. miRNA e
r
stigating the miR-221 iderable
lemented a
en
stigating sp 143 does rast miR-9 ated in the f
expression of grou
e expressio in the changes and the con
Figu
pleen samp not show s 93 and m flavonoid-
the FeMADN up
on of miR- liver the found b ntrol group
re 4. miRNA
ples, the e significant miR-196 e
N2-supplement
-21, miR-3 ere are between t
s.
expression of
expression difference.
expression nted
34a no the
Th m su m su
f the liver of B
of In is
tre Th m sa co
Figure 3.
he elevation iR-196 ex upplemente
iR-27 expr upplemente
B16 melanoma
eated grou he express iR-155 and amples of s ontrol group
. miRNA expr
n of miR-9 xpression ed group. T
ession is s ed animals.
a transplanted
up compar sion of miR
d miR-221 supplement p. (Fig. 6.)
ression of the
93, miR-14 are noti The signific seen in the
. (Fig. 4.)
d mice
ring to the R-21, miR decrease ted mice c
control group
3, miR-155 ceable in cant decrea
liver samp
e control g R-27a, miR ed in the s comparing p
5 and n the
ase of ples of
group.
R-34a, spleen to the
Lung In lun 27a a betwe group is si
Kidne Inves of mi rema
gs
ng samples and miR-22 een the p. The exp gnificantly
eys
stigating the R-21, miR- arkable dec
Figur
s the expre 21 do not s
supplemen pression of
higher in
Figur
e kidney s -143, miR- cline of ex
V. Wolhe
re 5. miRNA e
ession of m show releva
nted and miR-143 n the lung
re 6. miRNA e
samples th -221 and m xpression in
er / Journal of
expression of
miR-21, m ant differen the cont and miR-1 g tissues
expression of
he express miR-155 sho
n the treat
f Proactive M
the spleen of
iR- nce
trol 96 of
Fe gr 93 gr (F
the spleen of
ion ow ted
gr ex (Fi
Medicine 1 (2
N16 melanom
eMADN2-tr oup, where 3 and miR-
oup.
Fig. 7.).
N16 melanom
oup, whil xpressions
ig. 6.)
012)13-20
ma transplante
reated anim eas the exp -155 decre
ma transplante
e the ot did not cha
ed mice
mals than pression of eased in the
ed mice
ther inves anged over
in the c f miR-34a, e supplem
stigated m rly.
control miR- ented
miRNA
Discu Inves crucia In ad chem and m Incon found of chem statis the s supp conta the c Furth wheth supp mela Rema found supp onco signif splee notice of an miR- show splee The onco the in miR- expre lung liver s p53 apop
ussion stigation of
al method dition, the mopreventiv monitored i nsistent res d in scientif antioxidan mopreventio stically sign survival of B lemented aining solu
ontrol grou er investig her the
lementatio noma c arkable ch d in the vit lemented genic p ficant decr en, and eable decli ntioxidant s
221 which wed signific en samples decreasin genic pote nhibition of
155 - al ession sign tissues of samples its
tumour ptotic proce
Figur
f miRNA in the ear efficacy of ve compou in vivo.
ults and dis fic literature nt suppl on. This nificant (p=
B16 melan with Fe tion comp up.
gations ar effect n promote cell were
anges in m tal organ s
animals.
potential, rease of e
kidney s inement we supplemen h also ha cant decre s of the sup ng express
ential can p53 tumou
lso with nificantly de
suppleme s elevated e suppresso esses of ce
re 6. miRNA e
expression ly detection potential a unds can ssimilar op e concernin
ements study m
=0,025) am noma trans
eMADN2 paring to th
re needed of oral ed immune
e directly miRNA exp
samples o miR27a showed expression
amples, ere seen in nted mice.
as oncoge ease of e pplemented sion of m be interpr ur suppress
oncogenic ecreased in ented anim expression or gene ells. miR-34
expression of
n patterns n of tumou anti-tumour be analys inions can ng the ben in canc monitored melioration
planted m antioxida he survival d to explo
FeMAD e functions
y affecte pression we f antioxida
which h statistica in the liv
moreover n lung tissu
miR-21 a enic poten expression d group.
miRNAs w reted throu sor gene.
c function n spleen a mals, while was found affects t 4a might be
the spleen of
is urs.
r or sed be efit cer a in ice ant-
of ore N2 or ed.
ere ant-
has ally ver, a ues and ntial in with ugh – and in d.
the e a
m ap de sp su su on dif of m ex wh de m co su m lun Inf ca inf m sp an ex Th an an Ba m an sig an on m ex an
N16 melanom
olecular li poptotic N ecrease of pleen, lung upplemente uppressor f
n gene exp fferentiation the flavon
iR-93 inc xpression
hereas lu ecreased m
iR-143 has onnection uppressor
iR-143 exp ng samples flammation arcinogenic flammatory iRNA level pleen and
nimals show xpression c he working ntioxidant c nd need fur ased on elanoma tr ntioxidant c
gnificantly b nd in the ncogenic m iR-155) s xpression, nti-tumour p
ma transplante
nk betwe NF B sign miR-34a and kidne ed animal
function, it pression lev
n of cells.
oid treated crease, th
is able to ng and miR-93 exp
s suppresso with Kras genes. Th pression w s of flavono n is in de c proces
y pathways by the ele lung samp wed signifi omparing t g mechan containing s
rther investi our invest ransplanted containing better survi eir vital miRNAs (m showed s which mig processes
ed mice
een apopt nal pathw expression
ey sample ls. miR-9 is in conn vel as well Liver and d group sh he decre o underpin kidney ti ression.
sor function onco- an he significa was detect oid treated eep conne ss. Activa s is sensitiv
evation of ples of Fe icant eleva to the cont nisms of t solution are
igations.
tigation an d mice sup solution,
ival than th organ sa miR-21, miR significant ght be in and prolon
tosis and way. Sign n was fou es of antiox
3 has tu ection with as it affec spleen sam
owed sign ease of n these re
ssues sh and it is a nd p53 tu ant elevatio ted in live mice.
ection with ation of vely indicate
miR-196.
eMADN2-tr ation of miR
rol group.
the investi e not eluci nd results pplemented
FeMADN2 he control g
amples se R-27a, miR
decrease connection
nged lifespa anti-
ificant und in xidant umour h Kras cts the mples ificant Kras esults, howed also in umour on of r and
h the the ed on Liver, reated R-196 gated dated B16 d with , had group, everal R-221, e of n with
an.
V. Wolher / Journal of Proactive Medicine 1 (2012)13-20 References
1. Burton C. Malignant melanoma in the year 2000. CA Cancer J Clin 2000; 50:209-213.
2. Marks R. The changing incidence and mortality of melanoma in Australia. Rec Res Cancer Res 2002; 160:113- 121.
3. Ember I, Kiss I. B rdaganatok. Daganatok és daganatmegel z állapotok molekuláris epidemiológiája 2005;
217-232. (Article in Hungarian)
4. Diepgen T, Mahler V. The epidemiology of skin cancer. Br J Dermatol 2002; 146. 61:1-6.
5.
http://portal.ksh.hu/portal/page?_pageid=37,115776&_dad=po rtal&_schema=PORTAL
6. Ottó Sz, Kásler M. Rákmortalitás és incidencia hazánkban, az európai adatoktükrében. Magyar Onkológia 2002; 46:111- 118. (Article in Hungarian)
7. Rigel D, Carucci J. Malignant melanoma. Prevention, early detection and treatment in the 21 century. Ca Cancer J Clin 2000; 50:215-223a.
8. Schottenfeld D, Fraumeni J, Joseph F. Cancer Epidemiology and Prevention. New York Oxford University Press. 2006; 101–138.
9. Tompa A. A daganatos betegségek el fordulása a hazai és a nemzetközi helyzet ismertetése. Magyar Tudományos Akadémia folyóirata 2011; 172 éf. 11:1333-1346. (Article in Hungarian)
10. Proctor JW, Auclair BG, Stokowski L. Endocrine factors and the growth and spread of B16 melanoma. J Natl Cancer Inst 1976; 57: 1197–8.
11. Ladányi A, Tímár J, Bocsi J et al. Sex-dependent liver metastasis of human melanoma lines in SCID mice.
Melanoma Res. 1995; 5(2):83-6.
12. Dennert G, Zwahlen M, Brinkman M et al. Selenium for preventing cancer. Sao Paulo Medical Journal 2012; 130: 67- 67.
13. Perchellet JP, Perchellet EM. Antioxidants and multistage carcinogenesis in mouse skin. Free Radic Biol Med 1989;
7(4):377-408.
14. Ozten-Kanda N, Bosland MC. Chemoprevention of prostate cancer: Natural compounds, antiandrogens, and antioxidants - In vivo evidence. J Carcinog 2011; 10:27.
15. Rodek E. Táplálkozásunk és a rák. Új Diéta 1999; 1:15-16.
16. Ember I, Kiss I. Táplálkozás és a rák. Új Diéta 2001; 1:4-8.
17. Hidvegi M, Lapis K, Paku S et al. Effect of Avemar and Avemar + vitamin C on tumor growth and metastasis in experimental animals. Anticancer Research Journal 1998;
18(4A):2353-8.
18. Heinen MM, Hughes MC, Ibiebele TI et al. Intake of antioxidant nutrients and the risk of skin cancer. Eur J Cancer 2007; 43(18):2707-16.
19. Greenberg ES, Chong KK, Huynh KT, Tanaka R, Hoon DS.
Epigenetic biomarkers in skin cancer Cancer Lett. 2012.
20. Kyoko K, Nomeli P. Ethanol Inhibits B16-Bl6 Melanoma Metastasis and Cell Phenotypes Associated with Metastasis.
In vivo 2012; 26:47-58.