In experimental animals and humans,
aflatoxin B1 (AFB1) is a potent hepatic toxin and
carcinogen. The synthetic
oleanane triterpenoid 1-[2-cyano-3-,12-dioxooleana-1,9(11)-dien-28-oyl]
imidazole (
CDDO-Im), a powerful activator of Keap1-Nrf2 signaling, protects against AFB1-induced toxicity and preneoplastic lesion formation (GST-P-positive foci). This study assessed and mechanistically characterized the chemoprotective efficacy of
CDDO-Im against AFB1-induced
hepatocellular carcinoma (HCC). A lifetime
cancer bioassay was undertaken in F344 rats dosed with AFB1 (200 μg/kg rat/day) for four weeks and receiving either vehicle or
CDDO-Im (three times weekly), one week before and throughout the exposure period. Weekly, 24-hour urine samples were collected for analysis of AFB1 metabolites. In a subset of rats, livers were analyzed for GST-P foci. The comparative response of a toxicogenomic
RNA expression signature for AFB1 was examined.
CDDO-Im completely protected (0/20) against AFB1-induced
liver cancer compared with a 96% incidence (22/23) observed in the AFB1 group. With
CDDO-Im treatment, integrated level of urinary AFB1-N(7)-guanine was significantly reduced (66%) and
aflatoxin-
N-acetylcysteine, a detoxication product, was consistently elevated (300%) after the first AFB1 dose. In AFB1-treated rats, the hepatic burden of GST-P-positive foci increased substantially (0%-13.8%) over the four weeks, but was largely absent with
CDDO-Im intervention. The toxicogenomic
RNA expression signature characteristic of AFB1 was absent in the AFB1 +
CDDO-Im-treated rats. The remarkable efficacy of
CDDO-Im as an anticarcinogen is established even in the face of a significant
aflatoxin adduct burden. Consequently, the absence of
cancer requires a concept of a threshold for DNA damage for
cancer development.