Abstract

Inadequate dietary Zn consumption increases susceptibility to esophageal and other cancers in humans and model organisms. Since Zn supplementation can prevent cancers in rodent squamous cell carcinoma (SCC) models, we were interested in determining if it could have a preventive effect in a rodent skin cancer model, as a preclinical basis for considering a role for Zn in prevention of human nonmelanoma skin cancers, the most frequent cancers in humans. We used the 7,12‐dimethyl benzanthracene carcinogen/phorbol myristate acetate tumor promoter treatment method to induce skin tumors in Zn‐sufficient wild‐type and Fhit (human or mouse protein) knockout mice. Fhit protein expression is lost in >50% of human cancers, including skin SCCs, and Fhit‐deficient mice show increased sensitivity to carcinogen induction of tumors. We hypothesized that: (1) the skin cancer burdens would be reduced by Zn supplementation; (2) Fhit −/−(Fhit, murine fragile histidine triad gene) mice would show increased susceptibility to skin tumor induction versus wild‐type mice. 30 weeks after initiating treatment, the tumor burden was increased ~2‐fold in Fhit −/− versus wild‐type mice (16.2 versus 7.6 tumors, P < 0.001); Zn supplementation significantly reduced tumor burdens in Fhit −/− mice (males and females combined, 16.2 unsupplemented versus 10.3 supplemented, P = 0.001). Most importantly, the SCC burden was reduced after Zn supplementation in both strains and genders of mice, most significantly in the wild‐type males (P = 0.035). Although the mechanism(s) of action of Zn supplementation in skin tumor prevention is not known in detail, the Zn‐supplemented tumors showed evidence of reduced DNA damage and some cohorts showed reduced inflammation scores. The results suggest that mild Zn supplementation should be tested for prevention of skin cancer in high‐risk human cohorts.

Highlights

  • About 2 million people in the United States are diagnosed and treated for nonmelanoma skin cancer (NMSC) yearly, making it the most common form of cancer [1], and in 2012, there were nearly 100,000 cases registered in Great Britain [2,3,4,5]

  • The results demonstrated that Zn supplementation has chemopreventive efficacy against oral carcinogenesis in nutritionally complete animals, suggesting that Zn supplementation may be efficacious in the chemoprevention of human oral cancer [15]

  • Fhit knockout mice have shown enhanced sensitivity to carcinogen induction of gastric and lung cancers [20,21,22], so we considered that this strain would provide a strong test of the Zn supplementation effect

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Summary

Introduction

About 2 million people in the United States are diagnosed and treated for nonmelanoma skin cancer (NMSC) yearly, making it the most common form of cancer [1], and in 2012, there were nearly 100,000 cases registered in Great Britain [2,3,4,5]. The majority of NMSCs are basal cell carcinomas (BCC) or squamous cell carcinomas (SCCs) [6]. Among humans, both BCC and SCC are more common in males than females, with a wider sex difference for SCC [6]. NMSCs have high cure rates due to visible precancerous lesions, treatment with various surgical methods and follow-u­p histopathological analysis for confirmation of complete excision. We sought to confirm a prevention method that would provide additional protection, for fair-s­kinned and immunosuppressed populations, a method that may prove efficacious for other cancers as well

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