Synthetic
triterpenoid analogues of
oleanolic acid are potent inducers of the phase 2 response as well as inhibitors of
inflammation. We show that the
triterpenoid, 1-[2-cyano-3-,12-dioxooleana-1,9(11)-dien-28-oyl]
imidazole (
CDDO-Im), is a highly potent chemopreventive agent that inhibits
aflatoxin-induced
tumorigenesis in rat liver. The chemopreventive potency of
CDDO-Im was evaluated by measuring inhibition of formation of putative preneoplastic lesions (
glutathione S-transferase P positive foci) in the liver of rats exposed to
aflatoxin B1.
CDDO-Im produces an 85% reduction in the hepatic focal burden of preneoplastic lesions at 1 micromol/kg
body weight and a >99% reduction at 100 micromol/kg
body weight.
CDDO-Im treatment reduces levels of
aflatoxin-
DNA adducts by approximately 40% to 90% over the range of 1 to 100 micromol/kg
body weight. Additionally, changes in
mRNA levels of genes involved in
aflatoxin metabolism were measured in rat liver following a single dose of
CDDO-Im. GSTA2, GSTA5, AFAR, and EPHX1 transcripts are elevated 6 hours following a 1 micromol/kg
body weight dose of
CDDO-Im. Microarray analysis using wild-type and Nrf2 knockout mice confirms that many phase 2 and
antioxidant genes are induced in an Nrf2-dependent manner in mouse liver following treatment with
CDDO-Im. Thus, low-micromole doses of
CDDO-Im induce cytoprotective genes, inhibit
DNA adduct formation, and dramatically block hepatic
tumorigenesis. As a point of reference,
oltipraz, an established modulator of
aflatoxin metabolism in humans, is 100-fold weaker than
CDDO-Im in this rat antitumorigenesis model. The unparalleled potency of
CDDO-Im in vivo highlights the chemopreventive promise of targeting Nrf2 pathways with
triterpenoids.