title: Induction of transforming growth factor beta-1 in cervical intraepithelial neoplasia in vivo after treatment with beta-carotene.
abstract: Transforming growth factor (TGF) beta1 is a potent growth inhibitor of epithelial cells. Loss of responsiveness to TGF-beta1 and/or loss of TGF-beta1 itself may be important in the progression of cervical intraepithelial neoplasia to invasive cervical cancer. Retinoids have antiproliferative effects on epithelial cells and have been used as chemopreventive and chemotherapeutic agents for several human cancers. There is evidence that retinoids exert their effects by promoting the induction of TGF-beta. The aim of this study was to determine whether the expression of TGF-beta1 was altered in patients enrolled in a clinical trial designed to test the therapeutic efficacy of beta-carotene, a carotenoid metabolized to retinol, in cervical intraepithelial neoplasia. Using an immunohistochemical technique, tissues were stained with two types of antisera that react with the intracellular and extracellular forms of TGF-beta1. Matched cervical biopsies taken from 10 patients before and after treatment with beta-carotene were immunostained simultaneously to allow direct comparison of relative staining intensity. A significant increase in intracellular TGF-beta1 immunoreactivity was noted in cervical epithelial cells in patients with cervical intraepithelial neoplasia after treatment with beta-carotene (P = 0.003). These results demonstrate regulation of a TGF-beta isoform in vivo in humans in response to beta-carotene administered as a chemopreventive agent.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, NY, USA.
authors.forename: J T
authors.initials: JT
authors.lastname: Comerci
authors.forename: C D
authors.initials: CD
authors.lastname: Runowicz
authors.forename: A L
authors.initials: AL
authors.lastname: Fields
authors.forename: S L
authors.initials: SL
authors.lastname: Romney
authors.forename: P R
authors.initials: PR
authors.lastname: Palan
authors.forename: A S
authors.initials: AS
authors.lastname: Kadish
authors.forename: G L
authors.initials: GL
authors.lastname: Goldberg
mesh_terms: D018890:Chemoprevention; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D016212:Transforming Growth Factor beta / Q000032:analysis / Q000096:biosynthesis*; D002583:Uterine Cervical Neoplasms / Q000378:metabolism* / Q000473:pathology / Q000517:prevention & control; D019207:beta Carotene / Q000627:therapeutic use*; D002578:Uterine Cervical Dysplasia / Q000378:metabolism* / Q000473:pathology / Q000517:prevention & control
chemical_list: D016212:Transforming Growth Factor beta; D019207:beta Carotene