Consumption of the Putative Chemopreventive Agent Curcumin by Cancer Patients: Assessment of Curcumin Levels in the Colorectum and their Pharmacodynamic Consequences

Curcumin, a constituent of the spice turmeric, has been shown to reduce the adenoma burden in rodent models of colorectal cancer accompanied by a reduction of levels of the oxidative DNA adduct 3-(2-deoxy- β -di-erythro-pentafuranosyl)-pyr[1,2-α]-purin-10(3 H )one (M 1 G) and of expression of the en...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2005-01, Vol.14 (1), p.120-125
Hauptverfasser: GARCEA, Giuseppe, BERRY, David P, JONES, Donald J. L, SINGH, Raj, DENNISON, Ashley R, FARMER, Peter B, SHARMA, Ricky A, STEWARD, William P, GESCHER, Andreas J
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container_issue 1
container_start_page 120
container_title Cancer epidemiology, biomarkers & prevention
container_volume 14
creator GARCEA, Giuseppe
BERRY, David P
JONES, Donald J. L
SINGH, Raj
DENNISON, Ashley R
FARMER, Peter B
SHARMA, Ricky A
STEWARD, William P
GESCHER, Andreas J
description Curcumin, a constituent of the spice turmeric, has been shown to reduce the adenoma burden in rodent models of colorectal cancer accompanied by a reduction of levels of the oxidative DNA adduct 3-(2-deoxy- β -di-erythro-pentafuranosyl)-pyr[1,2-α]-purin-10(3 H )one (M 1 G) and of expression of the enzyme cyclooxygenase-2 (COX-2). We tested the hypothesis that pharmacologically active levels of curcumin can be achieved in the colorectum of humans as measured by effects on levels of M 1 G and COX-2 protein. Patients with colorectal cancer ingested curcumin capsules (3,600, 1,800, or 450 mg daily) for 7 days. Biopsy samples of normal and malignant colorectal tissue, respectively, were obtained at diagnosis and at 6 to 7 hours after the last dose of curcumin. Blood was taken 1 hour after the last dose of curcumin. Curcumin and its metabolites were detected and quantitated by high-performance liquid chromatography with detection by UV spectrophotometry or mass spectrometry. M 1 G levels and COX-2 protein expression were measured by immunoslot blot and Western blotting, respectively. The concentrations of curcumin in normal and malignant colorectal tissue of patients receiving 3,600 mg of curcumin were 12.7 ± 5.7 and 7.7 ± 1.8 nmol/g, respectively. Curcumin sulfate and curcumin glucuronide were identified in the tissue of these patients. Trace levels of curcumin were found in the peripheral circulation. M 1 G levels were 2.5-fold higher in malignant tissue as compared with normal tissue ( P < 0.05 by ANOVA). Administration of curcumin (3,600 mg) decreased M 1 G levels from 4.8 ± 2.9 adducts per 107 nucleotides in malignant colorectal tissue to 2.0 ± 1.8 adducts per 107 nucleotides ( P < 0.05 by ANOVA). COX-2 protein levels in malignant colorectal tissue were not affected by curcumin. The results suggest that a daily dose of 3.6 g curcumin achieves pharmacologically efficacious levels in the colorectum with negligible distribution of curcumin outside the gut.
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Biopsy samples of normal and malignant colorectal tissue, respectively, were obtained at diagnosis and at 6 to 7 hours after the last dose of curcumin. Blood was taken 1 hour after the last dose of curcumin. Curcumin and its metabolites were detected and quantitated by high-performance liquid chromatography with detection by UV spectrophotometry or mass spectrometry. M 1 G levels and COX-2 protein expression were measured by immunoslot blot and Western blotting, respectively. The concentrations of curcumin in normal and malignant colorectal tissue of patients receiving 3,600 mg of curcumin were 12.7 ± 5.7 and 7.7 ± 1.8 nmol/g, respectively. Curcumin sulfate and curcumin glucuronide were identified in the tissue of these patients. Trace levels of curcumin were found in the peripheral circulation. M 1 G levels were 2.5-fold higher in malignant tissue as compared with normal tissue ( P &lt; 0.05 by ANOVA). Administration of curcumin (3,600 mg) decreased M 1 G levels from 4.8 ± 2.9 adducts per 107 nucleotides in malignant colorectal tissue to 2.0 ± 1.8 adducts per 107 nucleotides ( P &lt; 0.05 by ANOVA). COX-2 protein levels in malignant colorectal tissue were not affected by curcumin. 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subjects Administration, Oral
Aged
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - pharmacokinetics
Biological and medical sciences
Biomarkers - metabolism
Biopsy
Blotting, Western
Chemoprevention
Chromatography, High Pressure Liquid
Colorectal Neoplasms - drug therapy
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - pathology
curcumin
Curcumin - administration & dosage
Curcumin - pharmacokinetics
Cyclooxygenase 2
DNA Adducts - metabolism
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Mass Spectrometry
Medical sciences
Membrane Proteins
Middle Aged
pharmacodynamics
Prostaglandin-Endoperoxide Synthases - metabolism
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Consumption of the Putative Chemopreventive Agent Curcumin by Cancer Patients: Assessment of Curcumin Levels in the Colorectum and their Pharmacodynamic Consequences
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