Curcumin exhibits anti-inflammatory and antitumor activity and is being tested in clinical trials as a chemopreventive agent for
colon cancer.
Curcumin's chemopreventive activity was tested in a transgenic mouse model of
lung cancer that expresses the human Ki-ras(G12C) allele in a
doxycycline (DOX) inducible and lung-specific manner. The effects of
curcumin were compared with the lung
tumor promoter,
butylated hydroxytoluene (
BHT), and the
lung cancer chemopreventive agent,
sulindac. Treatment of DOX-induced mice with dietary
curcumin increased
tumor multiplicity (36.3 +/- 0.9 versus 24.3 +/- 0.2) and progression to later stage lesions, results which were similar to animals that were co-treated with DOX/
BHT. Microscopic examination showed that the percentage of lung lesions that were
adenomas and
adenocarcinomas increased to 66% in DOX/
BHT, 66% in DOX/
curcumin and 49% in DOX/
BHT/
curcumin-treated groups relative to DOX only treated mice (19%). Immunohistochemical analysis also showed increased evidence of
inflammation in DOX/
BHT, DOX/
curcumin and DOX/
BHT/
curcumin mice relative to DOX only treated mice. In contrast, co-treatment of DOX/
BHT mice with 200 p.p.m. [DOSAGE ERROR CORRECTED] of
sulindac inhibited the progression of lung lesions and reduced the
inflammation. Lung tissue from DOX/
curcumin-treated mice demonstrated a significant increase (33%; P = 0.01) in oxidative damage, as assessed by the levels of carbonyl
protein formation, relative to DOX-treated control mice after 1 week on the
curcumin diet. These results suggest that
curcumin may exhibit organ-specific effects to enhance
reactive oxygen species formation in the damaged lung epithelium of smokers and ex-smokers. Ongoing clinical trials thus may need to exclude smokers and ex-smokers in chemopreventive trials of
curcumin.