Lung cancer is the leading cause of
cancer deaths worldwide. Expression of the
p53 tumor suppressor protein is frequently altered in tobacco-associated
lung cancers. We studied chemopreventive effects of p53-modulating agents, namely,
CP-31398 and
Prima-1, on
4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK)-induced lung
adenoma and
adenocarcinoma formation in female A/J mice. Seven-week-old mice were treated with a single dose of NNK (10 µmol/mouse) by
intraperitoneal injection and, 3 weeks later, were randomized to mice fed a control diet or experimental diets containing 50 or 100 ppm
CP-31398 or 150 or 300 ppm
Prima-1 for either 17 weeks (10 mice/group) or 34 weeks (15 mice/group) to assess the efficacy against lung
adenoma and
adenocarcinoma. Dietary feeding of 50 or 100 ppm
CP-31398 significantly suppressed (P < .0001)
lung adenocarcinoma by 64% and 73%, respectively, after 17 weeks and by 47% and 56%, respectively, after 34 weeks. Similarly, 150 or 300 ppm
Prima-1 significantly suppressed (P < .0001)
lung adenocarcinoma formation by 56% and 62%, respectively, after 17 weeks and 39% and 56%, respectively, after 34 weeks. Importantly, these results suggest that both p53 modulators cause a delay in the progression of
adenoma to
adenocarcinoma. Immunohistochemical analysis of lung
tumors from mice exposed to p53-modulating agents showed a significantly reduced
tumor cell proliferation and increased accumulation of wild-type p53 in the nucleus. An increase in p21- and apoptotic-positive cells was also observed in lung
tumors of mice exposed to p53-modulating agents. These results support a chemopreventive role of p53-modulating agents in tobacco
carcinogen-induced
lung adenocarcinoma formation.