Preclinical and clinical studies suggest that
5-lipoxygenase (5-LOX), such as COX-2, is a potential target for
colon cancer inhibition and, in part, contributes to cardiovascular side effects associated with
COX-2 inhibitors. Experiments were designed to assess the chemopreventive effects of a novel dual 5-LOX/COX inhibitor,
licofelone {[6-(4-chlorophenyl)-2,2-dimethyl-7-phenyl-2,3-dihydro-1H-pyrrolizin-5-yl]
acetic acid}, in APC(Min/+) mouse intestinal
tumorigenesis. Six-week-old male and female APC(Min/+) mice (n = 10 per group) were fed with control American Institute of Nutrition-76A diet or diets containing 150 or 300 ppm
licofelone for 14 weeks (∼100 days), and intestinal
tumors were evaluated for
tumor multiplicity and size.
Licofelone significantly inhibited total intestinal
tumor multiplicity and size in a dose-dependent manner (P < 0.0001; mean
tumors for 0, 150, and 300 ppm: 48.8, 17, and 8, respectively, in male mice; and 34.3, 8.8, and 5.5, respectively, in female mice).
Licofelone at high dose showed more than 83% (P < 0.0001)
tumor inhibition in both genders of mice. One hundred and fifty and 300 ppm
licofelone resulted in 86% to 97% inhibition of
polyps having size greater than 2 mm. One hundred and fifty and 300 ppm
licofelone caused more than 72% and 100% inhibition of colonic
tumors, respectively. Importantly, in mice fed with
licofelone,
tumors showed significantly reduced
proliferating cell nuclear antigen expression (70%, P < 0.0001), increased
terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling-positive cells (75%, P < 0.0001), and there was dose-dependent suppression of serum
triglycerides (71%-83%, P < 0.0001), decreased inflammatory
cytokines; and decreased COX and 5-LOX activities (57%-64%, P < 0.0001). Also, compared with 300 ppm
celecoxib, 300 ppm
licofelone provided better efficacy in suppressing
tumor growth. These observations show that a novel dual 5-LOX/COX inhibitor dramatically suppresses small intestinal and colonic
tumor formation in APC(Min/+) mice.