In an extension of our earlier studies, we examined the inhibitory effects of
N-acetyl-S-(N-2-phenethylthiocarbamoyl)-l-cysteine (
PEITC-NAC), myo-
inositol (MI) and
indole-3-carbinol (I3C) or
3,3'-diindolylmethane (DIM), alone and in combination, on
4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) plus
benzo[a]pyrene (BaP)-induced A/J mouse lung
tumorigenesis and proliferation of A549 cells and human bronchial epithelial cells (HBECs) and relevant potential mechanisms. Mice treated with NNK plus BaP and fed non-supplemented diet had 13.0 + or - 4.1 lung
tumors per mouse. Dietary feeding of mice with
PEITC-NAC (5 mumol/g diet), I3C (5 mumol/g diet) or MI (56 mumol/g diet), beginning at 50% in the
carcinogen treatment phase, significantly reduced
tumor multiplicity to 8.2 + or - 2.0, 8.4 + or - 1.5 and 6.8 + or - 1.7
tumors per mouse, respectively. In mice given combinations of the chemopreventive agents, lung
tumor multiplicity was significantly reduced to 6.3 + or - 2.2, 4.9 + or - 1.8, 4.8 + or - 1.9 and 3.6 + or - 1.4 by
PEITC-NAC plus I3C,
PEITC-NAC plus MI, I3C plus MI or
PEITC-NAC plus I3C plus MI, respectively. Post-
carcinogen administration of combinations of the agents also caused significant but weaker effects. Assessment of the anti-proliferative effects of the individual agents or their combinations showed significant reductions in the proliferation of cigarette
smoke condensate (CSC)-pretreated HBEC (reduction by 30-41% at 48 h and 41-58% at 72 h) and A549 cells (30-43% at 48 h and 40-59% at 72 h), but not in
dimethyl sulfoxide-pretreated HBEC. Combinatorial treatment with the agents also caused marked reductions in the activation of Akt,
extracellular signal-regulated kinase and
nuclear factor-kappaB in lung
tumor tissues, CSC-pretreated HBEC and A549 cells. In conclusion, our studies demonstrated the promise of combinations of
PEITC-NAC, I3C/DIM and MI for the
chemoprevention of lung
carcinogenesis in current and former smokers.