Tumor suppressor p53 plays a major role in
colorectal cancer development. The present study explores the effects of p53-modulating agent
CP-31398 alone and combined with
celecoxib on
azoxymethane-induced
aberrant crypt foci (ACF) and
colon adenocarcinomas in F344 rats. Maximum tolerated doses were 400 and 3,000 ppm for
CP-31398 and
celecoxib, respectively. ACF and
tumor efficacy endpoints were carried out on
azoxymethane-treated 7-week-old rats (48 per group) fed the control AIN-76A diet. Two weeks after
carcinogen treatment, rats were fed the diets containing 0, 150, or 300 ppm
CP-31398, 300 ppm
celecoxib, or 150 ppm
CP-31398 plus 300 ppm
celecoxib. ACF and
colon adenocarcinomas were determined at 8 and 48 weeks after
azoxymethane treatment, respectively. Dietary
CP-31398 was shown to suppress mean colonic total ACF by 43% and multicrypt ACF by 63%; dietary
CP-31398 at 150 and 300 ppm suppressed
adenocarcinoma incidence by 30.4% (P < 0.02) and 44% (P < 0.005), respectively, and
adenocarcinoma multiplicity by 51% (P < 0.005) and 65% (P < 0.0001), respectively. Dietary
celecoxib suppressed
colon adenocarcinoma incidence (60%; P < 0.0003) and multiplicity (70%; P < 0.0001). Importantly, combination of low-dose
CP-31398 and
celecoxib suppressed
colon adenocarcinoma incidence by 78% and multiplicity by 90%. Rats that were fed the high-dose
CP-31398 or a combination of low-dose
CP-31398 and
celecoxib showed considerable enhancement of p53 and p21(WAF1/CIP) expression, apoptosis, and reduced
tumor cell proliferation in colonic
tumors. These observations show, for the first time, that
CP-31398 possesses significant dose-dependent chemopreventive activity in a well-established
colon cancer model and that a combination of low-dose
CP-31398 and
celecoxib significantly enhanced
colon cancer chemopreventive efficacy.