
[Cancer Research 59, 4688-4692, September 1, 1999]
© 1999 American Association for Cancer Research
[Cancer Research 59, 4688-4692, September 15, 1999]
© 1999 American Association for Cancer Research
13-Hydroxyoctadecadienoic Acid Is the Mitogenic Signal for Linoleic Acid-dependent Growth in Rat Hepatoma 7288CTC in Vivo1
Leonard A. Sauer2,
Robert T. Dauchy2,
David E. Blask2,, 3,
Brenda J. Armstrong and
Simone Scalici
Laboratory of Experimental Neuroendocrinology/Oncology, Bassett Research Institute, Cooperstown, New York 13326
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ABSTRACT
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Growth of hepatoma 7288CTC in male Buffalo rats is directly dependent on uptake of linoleic acid (LA) from the arterial blood. One to 5% of the LA taken up is converted to 13-hydroxyoctadecadienoic acid (HODE), an agent that enhances epidermal growth factor-dependent mitogenesis. The role of 13-HODE in LA-dependent growth of solid tumors is not known. In this study, we examined LA uptake and 13-HODE formation on growth of tissue-isolated hepatoma 7288CTC in vivo and on [3H] thymidine incorporation and DNA content during perfusion in situ. Fatty acid uptake and metabolite release were determined from arteriovenous difference measurements. Tumor-bearing and blood donor rats were fed either LA-sufficient or -deficient diets. Hepatoma 7288CTC removed LA from the arterial blood and released 13-HODE [and a small amount of 13-ketooctadecadienoic acid (KODE)] into the venous blood both in vivo and during perfusion. Treatment with the lipoxygenase inhibitor nordihydroguaiaretic acid (10 µM) did not affect tumor LA uptake, but inhibited release of 13-HODE and 13-KODE in vivo and during perfusion, suppressed growth in vivo, and inhibited [3H]thymidine incorporation during perfusion. The addition of 13-HODE to the nordihydroguaiaretic acid-containing whole blood perfusate increased the rate of [3H]thymidine incorporation 10 times and nearly doubled tumor DNA content; the addition of 13-KODE or 9-HODE had no effect. 13-HODE and 13-KODE were not released from tumors growing in rats fed a LA-deficient diet, and the rates of tumor growth in vivo and [3H]thymidine incorporation during perfusion were decreased. The addition of 13-HODE to the LA-deficient blood perfusate promoted tumor 13-HODE uptake and a dose-dependent increase in [3H]thymidine incorporation and tumor DNA content. These results provide strong evidence that 13-HODE is the mitogenic signal responsible for LA-dependent growth in hepatoma 7288CTC in vivo.
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INTRODUCTION
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In rodents, an increased dietary intake of LA4
acts as a promoter of chemical carcinogenesis in colon, pancreas, and breast and as a growth stimulant for transplanted tumors derived from these and other tissues (1)
. Growth of human breast (2)
and prostate cancer (3
, 4)
xenografts in immunodeficient rodents is also stimulated by increased dietary LA intake, suggesting that this fatty acid fulfills an important role in viability and renewal in neoplastic cells in vivo. The mechanism through which dietary LA affects carcinogenesis and tumor growth is not yet clear. LA is an EFA that may be metabolized in the host body and tumor to arachidonic acid and cellular lipids and to lipid mediators derived from both LA and arachidonic acid. One or more of these agents, formed either by host and/or tumor tissues, could have a growth stimulative effect on initiated tumor cells and established tumors. Research in our laboratory has been aimed at defining the mechanism through which LA influences growth in hepatoma 7288CTC, a transplantable rat tumor that has an active growth response to increased dietary LA (5)
. Experiments performed in vivo and during perfusion in situ using tissue-isolated preparations of this tumor showed direct associations between dietary LA intake, host arterial blood LA concentrations, and tumor LA intake and growth rate in vivo (5)
. In perfused tumors the incorporation of [3H]thymidine into tumor DNA (6)
was directly related to the ambient arterial plasma LA concentration and tumor LA uptake. Increased concentrations of plasma arachidonic acid were about one-fourth as effective as LA (6)
, and oleic acid, which stimulates tumor cell growth in vitro (7
, 8)
, was ineffective. Hepatoma 7288CTC converted 15% of the LA removed from the arterial blood to 13-HODE in vivo and during perfusion in situ; formation and release of 13-HODE into the tumor venous blood was directly dependent on tumor LA uptake (5)
. Lesser amounts of 13-KODE and 9-HODE were also released, but no hydroxylated products of arachidonic acid metabolism were detected.
These data suggested that 13-HODE formation is required for LA-dependent growth in hepatoma 7288CTC in vivo. In this study, we examined the role of LA uptake and 13-HODE release on growth in vivo and the effect of 13-HODE on [3H] thymidine incorporation during perfusion in situ. The results, which showed a requirement of 13-HODE for both activities, provide evidence that 13-HODE is the mitogenic factor in LA-dependent growth in hepatoma 7288CTC. This is the first demonstration of a direct mitogenic effect of 13-HODE in a solid tumor.
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MATERIALS AND METHODS
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Materials.
Ingredients used in preparation of the EFA-free diet were purchased from US Biochemical (Cleveland, OH). Methyl esters of rapeseed oil and fatty acid standards were purchased from Supelco (Bellefonte, PA). NDGA, boron trifluoride-methanol, 15-hydroxy-9-oxoprostatrienoic acid, and general biochemical supplies were purchased from Sigma Chemical Co (St. Louis, MO). 9- and 13-HODE and 5-HETE (each as the racemic mixture) and 13-KODE were obtained from Cayman Chemicals (Ann Arbor, MI). [Methyl-3H]thymidine (6.7 Ci/mmol) was purchased from Research Products International (Mt. Prospect, IL). Heptane (HPLC grade), chloroform, methanol (HPLC grade), ethanol, and C18-PrepSep columns were products of Fisher Chemical Co.
Animals, Diets, and Tumor Implantation and Growth.
Male Buffalo (BUF/NCR) rats (45 weeks of age) weighing 35 75 g were purchased from Charles River Laboratories (Kingston, NY). Male Sprague Dawley rats weighing 150200 g were purchased from Harlan Sprague-Dawley (Indianapolis, IN). Except for two rat groups described below, all animals were given free access to water and an EFA-replete diet (Prolab rat, mouse, hamster 1000 formula; Agway, Syracuse, NY). Duplicate determinations of six separate batches showed that this diet contained 4.1 g of total fatty acids/100 g diet composed of 1.3% myristic acid (14:0), 22.7% palmitic acid (C16:0), 2.6% palmitoleic acid (C16:1), 12.3% stearic acid (C18:0), 33.1% oleic acid (C18:1n9), 25.7% LA (C18:2n6), and 0.2% arachidonic acid (C20:4n6). Trace amounts of other unidentified fatty acids accounted for 2.1%. Two groups of Buffalo and Sprague Dawley rats were given free access to water and a semipurified, fat-free, EFAD diet that contained 0.03 g of LA/100 g diet and small amounts of non-EFAs derived from the corn starch component of the diet (5)
. All rats were subjected to alternate 12-h periods of dark and light (6:00 a.m.6:00 p.m.) throughout the experiments. There was no light contamination during the dark phase. Temperature and humidity were maintained at 23°C and 4060%, respectively.
Tissue-isolated Morris hepatoma 7288CTC was implanted in male Buffalo rats on the tip of a vascular stalk formed from the superficial epigastric artery and vein, as described previously (9)
. The tumor implant and vascular stalk were enclosed within a parafilm envelope, placed in the inguinal fossa, and the skin incision was closed. Vascularization of the implant was limited to new vessel connections with the epigastric artery and vein; subsequent tumor growth was s.c. The latent period from implantation to first evidence of tumor growth was recorded, and subsequent tumor size was estimated every 23 days from measurements made through the skin (10)
. These data were converted to weights, as described previously (10)
, and growth rates (g/day) were calculated by linear regression. Tumor-bearing rats were treated with NDGA (10 µ M) supplied in the drinking water.
Tumor Arteriovenous Difference Measurements in Vivo and during Perfusion in Situ.
Arteriovenous difference measurements across tissue-isolated tumors in vivo were performed when the estimated tumor weight was 46 g. Experiments were scheduled between 8:00 a.m. and 10:30 a.m. after a normal nocturnal feeding period. Procedures for anesthesia and heparinization of the host rat, for surgical preparation of the tumor and for collection of arterial and tumor venous blood samples, were performed as described previously (5
, 6
, 9)
. Anesthetized host rats were breathing air unassisted, and body temperature was maintained at 37°C with a heating pad (below) and a heat lamp (above). Blood flow from the tumor vein, which typically ranged from 0.090.12 ml/min, was collected passively. Both arterial and tumor venous blood samples were collected into tubes chilled in ice. Separate samples were collected simultaneously for measurement of hematocrit and for analysis of blood gases and pH.
Detailed descriptions of the surgical and technical procedures for the perfusion of tissue-isolated tumors in situ were described previously (6
, 11, 12, 13)
. Donor blood (about 50 ml) for perfusion was collected between 8:00 a.m. and 10:00 a.m. from heparinized adult male Sprague Dawley rats weighing 250300 g and was filtered through cheesecloth and stored, under mineral oil, in a chilled, stirred reservoir packed in ice. The whole blood perfusate was pumped from the reservoir using a peristaltic pump and passed through a heat-exchanger that warmed the blood to 37°C and then an artificial lung that contained a mixture of air and 5% CO2 saturated with water at 37°C. The proportion of the components and the flow of the gas mixture was adjusted using a dual-flow regulator to maintain pO2, pCO2, and pH values of 130 mm Hg, 30 mm Hg, and 7.4, respectively, in the arterial blood entering the tumor (13)
. The vascular connections (epigastric artery and vein) between tumor and host were severed after attachment of the tumor to the arterial catheter from the reservoir. The host was sacrificed, but the temperature of the hindquarters containing the tumor were monitored and maintained at 37°C during the perfusion (13)
. The peristaltic pump was adjusted to provide a tumor venous blood flow of about 0.1 ml/min. Hemoconcentration of the tumor venous blood occurred across the tumor (9)
to the same extent as that observed in vivo.
Perfusions were typically for 120150 min and were preceded by a 30-min perfusion period (no sample collections) to allow steady-state conditions to be established. Arterial and tumor venous blood for fatty acid, 13-HODE, 13-KODE, and blood gas analyses and hematocrit were collected at 30-min intervals. Depending on the experiment, donor blood was supplemented with 13-HODE, 13-KODE, 9-HODE, or NDGA (10 µM), singly or in combination. 13-HODE, 13-KODE, and 9-HODE were dissolved in plasma obtained by centrifugation of a portion of the pooled donor blood; the cellular fraction was added back before the addition to the reservoir. An aqueous solution of NDGA was added directly to the pooled donor whole blood either before or during the perfusion to give a final concentration of 10 µM in the reservoir. Values for rates of supply, uptake, and release of fatty acids and LA metabolites were calculated as described previously (9)
and are expressed as ng or µ g/min/g wet weight tumor. All procedures involving animals and animal preparations were approved by the Institutional Animal Care and Use Committee.
Incorporation of [3H]thymidine into DNA was performed by injecting 20 µl of a solution containing 2 µCi [methyl-3H]thymidine/g estimated tumor weight into the arterial blood line 20 min before the end of the perfusion (6
, 12)
. The [3H]thymidine made one pass through the tumor; unincorporated radioactivity was washed out of the perfused tumor during the remaining 20 min of perfusion. Radioactivity incorporated into tumor DNA was measured by liquid scintillation using internal standardization and is reported as dpm/µg tumor DNA (6
, 12)
. Tumor DNA was measured in 20% (w/w) homogenates fluorometrically using Hoechst dye 33258 and the procedure described in Technical Bulletin #119, Hoefer Scientific Instruments (San Francisco, CA).
Lipid Extraction and Gas Chromatography.
Plasma and dietary lipids were extracted as described previously (5
, 6)
using the procedure of Folch et al. (14)
. Internal standard (100 µg of heptadecanoic acid) was added before extraction. Lipid extracts were saponified in methanolic-NaOH (0.5 mM) for 5 min at 100°C, and the fatty acids were methylated using boron triflouride reagent (14%) for 2 min at 100°C. Fatty acid methyl esters were measured using a Hewlett-Packard (Palo Alto, CA) gas chromatograph model 5890A equipped with a flame-ionization detector, electronic integrator (model 3396A), and autoinjector (model 7673S). Separations were performed using a 0.25 mm x 30-m capillary column (model 2330; Supelco Inc., Bellefonte, PA) at 190°C with helium as the carrier gas (linear gas rate, 19 cm/sec). Fatty acid methyl esters were identified by their retention times compared with known standards. The values designated for total plasma fatty acids represent the sum of the seven major fatty acids (myristic, palmitic, palmitoleic, stearic, oleic, LA, and arachidonic acids) present as free fatty acids, cholesterol esters, triacylglycerols, phospholipids, and other plasma lipids (15)
and are expressed as µg or mg liter plasma.
Measurement of 13-HODE and 13-KODE.
Arterial and tumor venous blood plasma samples (0.20.6 ml) collected in vivo or during perfusion in situ were analyzed by HPLC (5)
. The internal standard was 1 µg of either (±) 5-HETE or 15-hydroxy-9-oxoprostatrienoic acid for analysis of 13-HODE or 13-KODE, respectively. The sample was acidified with 50 µl glacial acetic acid and extracted on a C18-PrepSep column (Fisher Scientific, Pittsburgh, PA), prewashed with 10 ml of methanol and 10 ml of water. The lipids were eluted with 4 ml of methanol and evaporated to dryness under nitrogen. The residue was taken up in 30% methanol, and the metabolites were separated on a C18Ultrasphere column (5 µm; 4.6 x 250 mm; Altex Scientific, Beckman Instruments, Berkeley, CA) using an ISCO (Lincoln, NE) model 2350 pump with 80% methanol/20% water/0.01% acetic acid as the mobile phase at a flow rate of 1.0 ml/min. The eluent was monitored at 235 nm and 279 nm using an ISCO variable wavelength detector, and the peaks were integrated and quantified using the ISCO ChemResearch software program. The extinction coefficients used were: 9- and 13-HODE, 23,000; 13-KODE, 22,300; and 5-HETE, 27,000. Ultraviolet absorption spectra of samples and standards were recorded using a Hewlett-Packard (Palo Alto, CA) 8452A diode array spectrophotometer with methanol as solvent and blank.
Statistical Analysis.
Results are expressed as mean ± SD. The effects of NDGA, 13-HODE, and 13-KODE alone and in combination on incorporation of [3H]thymidine into tumor DNA were examined by one-way ANOVA. Differences were considered to be significant at P < 0.05. When differences were detected, the means were compared using Student-Newman-Keuls multiple comparison test (16)
.
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RESULTS
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Fatty Acid Uptake, 13-HODE Release, and Growth of Hepatoma 7288CTC in Vivo: Effect of NDGA.
A-V differences for total plasma lipid fatty acids and 13-HODE were measured across 12 tissue-isolated hepatomas 7288CTC growing in male Buffalo rats. All animals were given free access to laboratory chow and water and were subjected to a 12-h light:12-h dark photoperiod. Tumors in animal group 1 (n = 6) received no treatment. At the time of harvest (19 days after implantation), the mean tumor growth rate was 0.7 ± 0.1 g/day and weight was 5.6 ± 0.4 g. A-V differences measured across the tumors showed an uptake of total arterial plasma fatty acids and LA of 3.81 ± 1.4 and 0.73 ± 0.3 µg/min/g, respectively, and a release of 13-HODE (36 ± 5.7 ng/min/g) into the tumor venous blood equivalent to 4.6% of the LA used. Rats in group 2 (n = 6) were treated with NDGA (10 µM), a lipoxygenase inhibitor, that was added to the drinking water. The mean tumor growth rate in rat group 2 was 0.8 ± 0.1 g/day before NDGA treatment, and the estimated tumor weight at the time of treatment was 6.0 ± 0.4 g/day. NDGA caused a marked regression of tumor growth. During the 6 days of NDGA treatment the tumors regressed (mean growth rate = -0.71 ± 0.1 g/day) to a final mean tumor weight of 1.8 ± 0.6 g at the time of harvest. Total fatty acid and LA uptakes were 4.6 ± 1.5 and 1.0 ± 0.3 µg/min/g, respectively, and there was no detectable release of 13-HODE, indicating that tumor fatty acid uptake was not influenced by the presence of NDGA or absence of 13-HODE. These data suggested that formation of 13-HODE from LA was the likely critical event in LA-dependent tumor growth and that uptake of LA itself was a necessary, but penultimate, step.
Fatty Acid Uptake and 13-HODE Release in Hepatoma 7288CTC during Perfusion in Situ: Effects of NDGA.
The techniques for tumor perfusion in situ described in "Methods" were designed to reproduce the in vivo condition as closely as possible. Tumor-bearing and donor rats were given free access to laboratory chow and water, and all experiments were performed between 8:00 a.m. and 10:30 a.m. after a normal overnight feeding period. Perfusions typically lasted 120150 min. Fig. 1
shows the steady-state rates of LA and total fatty acid uptake observed during perfusion in situ of a single hepatoma 7288CTC. Uptakes of total fatty acids and of LA alone were constant during the 150-min perfusion. Release of 13-HODE into the tumor venous blood was steady until the addition of NDGA. 13-HODE is unmeasureably low in arterial blood and is not generated in the perfusion apparatus in the absence of a tumor. The addition of the lipoxygenase inhibitor NDGA (10 µM) to the reservoir donor blood at 60 min abolished 13-HODE release but affected neither LA nor total fatty acid uptake. About 30 min were required for the NDGA-containing reservoir blood to pass through the 37°C water bath, artificial lung, and the tumor.

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Fig. 1. Effect of NDGA on LA and total fatty acid uptake and 13-HODE release in hepatoma 7288CTC during perfusion in situ. Tumor weight was 5.4 g. Host and blood donor rats were fed an EFA-sufficient diet and were fasted for 24 h before the start of the experiment to increase blood lipid levels. Arterial blood flow was 0.13 ml/min. The mean rates of supply of total fatty acids and LA to the tumor were 30.2 ± 0.8, and 6.4 ± 0.2 µg/min/g, respectively. NDGA, sufficient to give a 10 µM concentration in the whole blood perfusate, was added to the reservoir arterial blood at 60 min.
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Effects of 13-HODE on [3H]Thymidine Incorporation and DNA Content of Hepatoma 7288CTC Perfused in Situ.
The role of 13-HODE in the incorporation of [3H] thymidine into tumor DNA and on the DNA content of tumors perfused with EFA-replete arterial blood was examined in the presence (control perfusions) and the absence (perfusions containing NDGA) of endogenous 13-HODE formation. Examples of both of these conditions were shown in Fig. 1
. [3H] thymidine incorporation and DNA contents of control and NDGA-treated tumors grown in and perfused with donor blood from EFA-replete rats and the effects of exogenous 13-HODE, 13-KODE, or 9-HODE are shown in Fig. 2, A and B
. Each experimental group contained three perfused tumors and is designated according to the type of treatment. Perfusions were for 2 h. Tumor uptake of total plasma fatty acids and LA from the arterial blood perfusates among the seven groups were not significantly different, were comparable with those measured in vivo in Buffalo rats given free access to laboratory chow (5
, 15
, 17)
, and were unaffected by the different treatments. The rate of 13-HODE release into the venous blood in the control group accounted for about 2% of LA uptake. Perfusion for 2 h with arterial blood containing exogenous 13-HODE increased the rate of [3H]thymidine incorporation about 10 times and nearly doubled the DNA content of the control tumors, indicating that 13-HODE availability was limiting for tumor DNA synthesis. Perfusion with blood containing 13-KODE, a metabolite of 13-HODE that is released into the tumor venous blood at a rate about one-third of that of 13-HODE, was ineffective alone and did not increase the effectiveness of 13-HODE on either [3H]thymidine incorporation or DNA content. The increased availability of 13-HODE promoted tumor uptake of 13-HODE and about doubled (P < 0.001) the rate of release of 13-KODE (Fig. 2)
. NDGA treatment reduced the rate of [3H]thymidine incorporation and tumor DNA content to about one-third and one-half, respectively, of that observed in untreated tumors (Fig. 2, A and B)
. However the inhibitory effects of NDGA on tumor [3H]thymidine incorporation and DNA content were reversed by treatment with NDGA + 13-HODE during the 2-h perfusion. Tumor uptake of 13-HODE, which occurred in the presence of NDGA, reestablished the rate of [3H]thymidine incorporation and DNA content. 9-HODE, a metabolite of LA present in tumor venous blood in trace amounts (5)
, was ineffective in reversing the inhibitory effects of NDGA.

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Fig. 2. Effect of 13-HODE, 13-KODE, 13-HODE + 13-KODE, NDGA, NDGA + 13-HODE, and NDGA + 9-HODE on tumor [3H] thymidine incorporation (A) and DNA content (B) in hepatoma 7288CTC perfused in situ. Each bar represents the mean ± SD for three tumors perfused for 2 h under the treatments indicated. Rates of tumor supply and uptake of total fatty acids (19.1 ± 1.3 and 7.1 ± 0.9 µg/min/g, respectively) and LA (5.0 ± 0.4 and 2.0 ± 0.3 µg/min/g, respectively) were not different among the seven groups (n = 21). Results for 13-HODE and 13-KODE releases, supplies, and uptakes for individual groups were:
, 13 13-HODE and 13-KODE release, 30.7 ± 1.9 and 6.7 ± 2.7 ng/min/g;
, 13-HODE supply and uptake (0.54 ± 0.07 and 0.29 ± 0.06 µg/min/g) and 13-KODE release (11.9 ± 2.0 ng/min/g);
, 13-KODE supply (142.9 ± 20 ng/min/g), no 13-KODE uptake, 13-HODE release (41.5 ± 3.1 ng/min/g);
, 13-HODE supply and uptake (0.48 ± 0.06 and 0.25 ± 0.05 µg/min/g, respectively) 13-KODE supply and uptake (143.0 ± 12.0 ng/min/g), no 13-KODE uptake;
, no 13-HODE or 13-KODE release; , 13-HODE supply and uptake, (0.55 ± 0.05 and 0.29 ± 0.04 µ g/min/g), 13-KODE release (11.9 ± 1.9 ng/min/g); , no 13-HODE or 13-KODE released, 9-HODE supply and uptake (0.48 ± 0.5 and 0.1 ± 0.05 µg/min/g). A, asterisks indicate statistical differences from control, 13-KODE, NDGA, and NDGA + 9-HODE (P < 0.001). B, bars with different asterisk designations are statistically different (P < 0.001).
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Dose-Response Effects of 13-HODE on [3H] Thymidine Incorporation and DNA Content in Tumors Grown in EFAD Rats.
13-HODE is not released from tumors grown in EFAD rats. The growth rate of hepatoma 7288CTC in vivo in EFAD rats is limited by inadequate amounts of EFA, mainly LA (5
, 6)
, which severely limits tumor 13-HODE release (5)
. Perfusion of EFAD tumors in situ with whole blood perfusates from donor EFAD rats, which contained increasing concentrations of exogenous LA, caused dose-dependent increases in the rates of incorporation of [3H]thymidine into tumor DNA and in DNA content (6)
. [3H] Thymidine incorporation and the DNA content of tumors grown in EFAD rats that were exposed to increased concentrations of exogenous 13-HODE during the perfusion also responded with increased rates of 13-HODE uptake (Fig. 3)
and [3H]thymidine incorporation (Fig. 3A)
and DNA contents (Fig. 3B)
. Because EFAD tumors contain only small amounts of LA and the LA concentration in EFAD donor blood is nearly undetectable (6)
, these data provide strong evidence for the direct mitogenic effect of 13-HODE.

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Fig. 3. Effect of exogenous 13-HODE on [3H] thymidine incorporation (A) and DNA content (B) in hepatoma 7288CTC perfused in situ. Tumors and donor arterial blood were collected from animals fed a fat-free, EFAD diet. Each data point represents the mean ± SD for three different perfused tumors. Mean tumor weight was 4.6 g, and arterial blood flow was 0.124 ± 0.001 ml/min (n = 12 perfusions). The rate of supply and uptake of total fatty acids and LA were not statistically different among the four groups; mean supply rates were 18.7 ± 5.3 and 1.5 ± 0.4 µg/min/g, respectively, and uptake rates were 4.7 ± 1.4 and 0.3 ± 0.1 µg/min/g, respectively. The three tumors () perfused with this blood did not release 13-HODE, incorporated 19.5 ± 4.1 dpm [3H]thymidine/µg DNA, and contained 2.78 ± 0.5 mg DNA/g wet weight tumor. The rates of supply of exogenous 13-HODE in the arterial blood to the four tumor groups were 0.0 (), 0.25 ± 0.04 ( ), 0.45 ± 0.1 ( ), 0.75 ± 0.1 ( ) µg/min/g tumor. Each tumor removed about 60% of the 13-HODE supplied. 13-KODE release was not determined. Values for each group in A and B are statistically different (P < 0.001) from the values of each other group.
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Fig. 3A
shows that the rates of [3H]thymidine incorporation (19.5 ± 4.1 dpm/µg DNA) in untreated EFAD tumors (absence of endogenous LA) were identical to those observed in NDGA-treated tumors grown in rats fed an EFA-replete diet (21.2 ± 3.2 dpm/µg DNA; Fig. 2A
). Therefore, an inhibition of 13-HODE formation resulting either from an absence of LA in the arterial blood or from treatment of the tumor with a lipoxygenase inhibitor decreased [3H]thymidine incorporation to the same extent. LA was present during the 2 h of perfusion in the NDGA-treated tumors, but 13-HODE was not, indicating that 13-HODE not LA itself is required for tumor growth in vivo.
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DISCUSSION
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The results reported here provide strong evidence that the mitogenic factor responsible for LA-dependent growth in hepatoma 7288CTC is 13-HODE, a product of tumor lipoxygenase activity. Formation of 13-HODE was a critical event in tumor growth; LA itself, 13-KODE (a metabolite of 13-HODE) and 9-HODE were inactive. The data shown in Fig. 2
and the dose-response curves shown in Fig. 3,A and B
, provide a biochemical explanation for the relationships among increased LA uptake, 13-HODE release into the tumor venous blood (5)
, [3H] thymidine incorporation and DNA content during perfusion in situ (6)
, and increased growth of hepatoma 7288CTC in vivo (5)
. The time required for the response in [3H]thymidine incorporation to exogenous 13-HODE was surprisingly brief; both NDGA-treated and LA-deficient tumors showed a robust increase in the rate of [3H]thymidine incorporation following a 2-h perfusion with 13-HODE. This fast response time is in good agreement with earlier data showing that perfused tumors exposed to a new, higher steady-state concentration of LA in arterial blood shifted to a new faster rate of [3H]thymidine incorporation after about 3 h of perfusion (12)
. Similarly, perfused tumors exposed to a new, but lower steady-state arterial blood LA concentration required about 3 h of perfusion before the new, slower rate of [3H] thymidine incorporation was established. These 3-h periods included time for changes in LA availability, lipoxygenase activity, and intracellular 13-HODE concentrations. Half-times for activation (or deactivation) of 11.5 h for DNA synthesis in a solid tumor in vivo are short and undoubtedly explain why increases in [3H]thymidine incorporation and DNA content were discernible in vivo a few hours after the plasma lipid concentrations were increased by an acute fast (17)
or induction of acute streptozotocin-induced diabetes (18)
. Considering the complex steps, many of which are unknown, between LA uptake at the cell membrane, 13-HODE production in the cytoplasm, and DNA synthesis in the nucleus, the pathway for LA-dependent growth in hepatoma 7288CTC (and presumably for LA-dependent growth in other rodent and human tumors) is highly efficient, developed, and controlled (see Ref. 19
).
Several recent in vitro studies have shown that lipoxygenase-derived metabolites of LA are important lipid mediators in signaling pathways for cell proliferation. Glasgow and Eling (20)
and Cowlen and Eling (21)
have reported that 13-HODE is a potent stimulator of EGF-dependent mitogenesis in BALB/c 3T3 fibroblasts (20)
and Syrian hamster embryo fibroblasts (21)
. EGF also stimulated the metabolism of LA to 13-HODE in these cell lines. The active LA metabolites formed by lipoxygenase activity in syrian hamster embryo fibroblasts were identified as the (S) enantiomers of 13-HPODE and 13-HODE (22)
. The (13R)-enantiomers were inactive, as were the arachidonate metabolites, (15S)-hydroperoxyeicosatetraenoic acid, and (15S)-HETE (22)
. Lipoxygenase inhibitors 5,8,11,14-eicosatetraynoic acid and NDGA effectively blocked mitogenesis and the conversion of LA to (13S)-HPODE and (13S)-HODE (20
, 21)
. Reddy et al. (23)
reported that [3H] thymidine incorporation in human breast carcinoma BT-20 cells in culture was increased by either transforming growth factor
or EGF. Both of these growth factors increased production of 13-HODE from added LA, and NDGA blocked 13-HODE formation and [3H]thymidine incorporation. Arachidonic acid metabolites of prostaglandin H synthetase were formed in low amounts; 13-HODE formation was not affected by the addition of indomethacin. The effect of 13-HODE on [3H]thymidine incorporation in BT-20 cells in the presence of NDGA was not described (23)
. In a recent study, Glasgow et al. (24)
showed that (13S)-HPODE and (13S)-HODE increased EGF-dependent mitogenesis and up-regulated EGF-dependent tyrosine phosphorylation by inhibiting the dephosphorylation of EGF receptor.
As judged from comparisons of results from the fibroblast and human BT-20 cell lines used in the in vitro experiments described above and results shown in Figs. 1
2
3
, it seems possible that 13-HODE production in hepatoma 7288CTC serves to augment EGF-dependent mitogenesis. EGF receptor is frequently overexpressed in animal and human neoplastic cells (25)
, and EGF stimulated DNA synthesis in primary cultures of human and rat hepatocytes (26)
and in two human hepatoma cell lines (27)
. However, 13(S)-HODE has also been reported to have additional activities. The activation of protein kinase C-
mediated by 12(S)-HETE in murine B16 amelanotic melanoma cells (28)
and activation of protein kinase C in mouse epidermis (29)
are inhibited by (13S)-HODE. Both 9- and 13-HODE were identified as components of oxidized low-density lipoprotein in young and advanced human atherosclerotic lesions (30)
and were shown recently to be endogenous activators and ligands for peroxisome proliferator-activated receptor-
in macrophage foam cells (31)
.
A research goal of this laboratory is to understand the mechanisms through which hormonal, nutritional, and environmental factors control LA-dependent tumor growth. We believe that experiments performed with solid rodent and human (grown in immunodeficient rodents) tumors in vivo or during perfusion in situ will provide biochemical and physiological insights that cannot be duplicated in vitro. Recently, we demonstrated that exposure of tumor-bearing rats to constant light or to low levels of light contamination during the normal dark portion of the photoperiod caused a significant increase in the growth rate of hepatoma 7288CTC (32)
. Increased light exposure during the dark phase decreased secretion of the pineal hormone melatonin, which is suppressed by light, and increased the tumor growth rates. The decreased plasma melatonin levels were associated with an increased fatty acid uptake and 13-HODE formation by hepatoma 7288CTC (32)
. In the companion paper to this study (19)
, we show that melatonin inhibition of fatty acid uptake in hepatoma 7288CTC in vivo and during perfusion in situ occurs via a melatonin receptor-mediated, Gi protein-linked inhibition of fatty acid transport. The decreased uptake of LA abolished 13-HODE formation and, therefore, the mitogenic signal for tumor DNA synthesis and growth described here. The addition of pertussis toxin, forskolin or cAMP analogues to the perfusate restored fatty acid transport, 13-HODE formation, and [3H]thymidine incorporation. Thus, tumor growth that is dependent on LA is regulated by both dietary LA intake and an environmental factor, light, through the neurohormone melatonin.
 |
FOOTNOTES
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Supported by The Stephen C. Clark Research Fund of The Mary Imogene Bassett Hospital and by NIH United States Public Health Service Grant RO1-CA71697 (to D.E.B.). B.J.A. and S.S. are recipients of New York Academy of Science Summer Research Internships. 
2 These authors contributed equally to this research. 
3 To whom requests for reprints should be addressed, at Bassett Research Institute, One Atwell Road, Cooperstown, NY 13326. Phone: (607) 547-3677; E-mail: dblask{at}usa.net 
4 The abbreviations used are: LA, linoleic acid; HODE, hydroxyoctadecadienoic acid; KODE, ketooctadecadienoic acid; HPODE, hydroperoxyoctadecadienoic acid; HETE, hydroxyeicosatetraenoic acid; EFA, essential fatty acid; EFAD, EFA-deficient; NDGA, nordihydroguaiaretic acid; PGB2, 15-hydroxy-9-oxoprostatrienoic acid; HPLC, high-performance liquid chromatography; EGF, epidermal growth factor. 
Received 4/13/99.
Accepted 7/22/99.
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