NEW COMPOUND MAY PROTECT AGAINST LIVER CANCER

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U.S. Department of Health and Human Services 
NATIONAL INSTITUTES OF HEALTH 
NIH News 
National Institute of Environmental Health Sciences (NIEHS)
http://www.niehs.nih.gov/
National Cancer Institute (NCI)
http://www.cancer.gov/

FOR IMMEDIATE RELEASE: Wednesday, February 15, 2006

CONTACT: John Peterson, 919-541-7860, peterso4@xxxxxxxxxxxxx

NEW COMPOUND MAY PROTECT AGAINST LIVER CANCER

Researchers have identified a new compound called CDDO-Im that protects
against the development of liver cancer in laboratory animals. The
compound appears to stimulate the enzymes that remove toxic substances
from the cells, thereby increasing the cells' resistance to
cancer-causing toxins. The National Institute of Environmental Health
Sciences and the National Cancer Institute, agencies of the federal
National Institutes of Health, provided funding to researchers at the
Johns Hopkins Bloomberg School of Public Health for the two-year study.

The compound's effectiveness at very low doses suggests it may have
similar cancer-fighting properties in humans. Researchers believe it may
be particularly effective in preventing cancers with a strong
inflammatory component, such as liver, colon, prostate and gastric
cancers. The compound could eventually play a preventive role in a wide
range of other illnesses such as neurodegenerative disease, asthma and
emphysema.

The study results are featured on the cover of the February 15, 2006
issue of the journal "Cancer Research".

"The results show that the potency of this compound is more than 100
times as great as that of other chemopreventive agents in protecting
against cancer," said NIEHS Director David A. Schwartz, M.D. "This
protective effect, combined with the compound's anti-inflammatory
properties, make it an exciting avenue for the prevention of other
diseases as well."

CDDO-Im belongs to a class of cancer-fighting compounds called
triterpenoids. It is a synthetic compound derived from oleanolic acid, a
naturally occurring substance found in plants all over the world.
Research with other oleanolic derivatives showed marked anti-tumor
activity in both animals and humans.

To test the effectiveness of CDDO-Im, researchers treated laboratory
rats with either 0.1, 0.3, 1.0, 3.0 or 10 micromole doses of the
compound. Two days after treatment with CDDO-Im, the rats were treated
with aflatoxin, a naturally occurring toxin that causes liver cancer in
animals.

Evaluation of the rat livers showed that the lowest concentration of
CDDO-Im led to an 85 percent reduction in pre-cancerous lesions,
abnormal growths that have a greater likelihood of developing into
actual cancers. "This compound has a much greater effect at a far lower
dose than any other compound currently used for preventing
aflatoxin-induced cancer in humans," said Thomas Kensler, Ph.D., a
cancer biologist with the Johns Hopkins Bloomberg School of Public
Health and lead author on the study.

According to Kensler, CDDO-Im activates a protein called Nrf2 that plays
a central role in protecting the cells against the toxic effects of
environmental agents. "Nrf2 directs certain genes to stimulate the
cell's defense mechanisms," he said. "The protein also stimulates key
enzymes that can detoxify harmful agents like aflatoxin and remove them
from the cell."

Like other compounds derived from oleanolic acid, CDDO-Im also has
strong anti-inflammatory properties that make it ideally suited to the
prevention of certain cancers. "When cells become inflamed, they can
produce reactive molecules called free radicals that can damage DNA and
promote cancer development," said Kensler. "CDDO-Im can also inhibit
cancer formation by interfering with this inflammatory process."

Because it can stimulate the body's cancer-fighting capabilities at such
low doses, Kensler believes that CDDO-Im is an excellent candidate for
cancer prevention use in humans. "If this compound can produce such a
potent and dramatic reduction in the number of pre-cancerous growths, it
should have an equally dramatic impact on the development of actual
cancers," he said.

In addition to serving as a valuable tool in the development of new
cancer prevention interventions, CDDO-Im may offer protection in a wide
range of other disease settings. "We know that the Nrf2 protein plays a
role in regulating many different kinds of genes involved in protecting
the cell from harmful agents," said Kensler. "It follows that activation
of the Nrf2 pathway with CDDO-Im could provide protection against a
number of diseases where environmental agents play important roles in
their causes."

Note: Triterpenoid compounds are currently under development by Dr.
Michael Sporn and colleagues at Dartmouth Medical School.

NIEHS, a component of the National Institutes of Health, supports
research to understand the effects of the environment on human health.
For more information on cancer prevention and other environmental health
topics, please visit the NIEHS website at
http://www.niehs.nih.gov/home.htm.

The National Institutes of Health (NIH) -- "The Nation's Medical
Research Agency" -- includes 27 Institutes and Centers and is a
component of the U. S. Department of Health and Human Services. It is
the primary Federal agency for conducting and supporting basic,
clinical, and translational medical research, and it investigates the
causes, treatments, and cures for both common and rare diseases. For
more information about NIH and its programs, visit http://www.nih.gov.
  
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Reference: M. Yates, M. Kwak, P. Egner, J. Groopman, S. Bodreddigari, T.
Sutter, K. Baumgartner, B. Roebuck, K. Liby, M. Yore, T. Honda, G.
Gribble, M. Sporn and T. Kensler. Potent Protection against
Aflatoxin-Induced Tumorigenesis through Induction of Nrf2-Regulated
Pathways by the Triterpenoid
1-[2-Cyano-3-,12-Dioxooleana-1,9(11)-Dien-28-Oyl]Imidazole. "Cancer
Research" 66(4), February 2006.
-------------------------------------------------------
 
This NIH News Release is available online at:
http://www.nih.gov/news/pr/feb2006/niehs-15.htm.

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