In human clinical trials it was found that the putative chemopreventive agent
beta-carotene not only failed to protect active smokers against the carcinogenic action of tobacco
smoke, but actually increased their risk of developing
lung cancer. In preclinical animal studies,
beta-carotene had been effective against some chemically induced
cancers, but not against
tumors in the respiratory tract. We exposed male strain A/J mice to tobacco
smoke at a concentration of 140 mg/m(3) of total suspended
particulate matter, 6 h a day, 5 days a week, for either 4 or 5 months, followed by a recovery period in air for 4 or 5 months, or for 9 months without recovery period.
beta-carotene was added in the form of
gelatin beadlets to the AIN-93G diet either during or following tobacco
smoke exposure at concentrations of 0.005, 0.05 and 0.5%. In the supplement-fed animals, plasma and lung levels of
beta-carotene were higher than they were in animals fed control diets. Exposure to tobacco
smoke increased rather than decreased plasma
beta-carotene levels, but had no significant effect on lung levels. After 9 months, lung
tumor multiplicities and incidence were determined. Tobacco
smoke increased both lung
tumor multiplicities and incidences, but
beta-carotene failed to modulate
tumor development under all exposure conditions. Animal studies in a model of tobacco
smoke carcinogenesis would thus have predicted the absence of any beneficial effects of
beta-carotene supplementation in current or former smokers, but would have failed to anticipate the increase in
lung cancer risk.