Folic acid (FA) supplementation during carcinogenesis is controversial. Considering the impact of liver cancer as a public health problem and mandatory FA fortification in several countries, the role of FA supplementation in hepatocarcinogenesis should be elucidated. We evaluated FA supplementation during early hepatocarcinogenesis. Rats received daily 0.08 mg (FA8 group) or 0.16 mg (FA16 group) of FA/100 g body weight or water (CO group, controls). After a 2-week treatment, animals were subjected to the ''resistant hepatocyte'' model of hepatocarcinogenesis (initiation with diethylnitrosamine, selection/ promotion with 2-acetylaminofluorene and partial hepatectomy) and euthanized after 8 weeks of treatment. Compared to the CO group, the FA16 group presented: reduced (p < 0.05) number of persistent and increased (p < 0.05) number of remodeling glutathione S-transferase (GST-P) positive preneoplastic lesions (PNL); reduced (p < 0.05) cell proliferation in persistent GST-P positive PNL; decreased (p < 0.05) hepatic DNA damage; and a tendency (p < 0.10) for decreased c-myc expression in microdissected PNL. Regarding all these parameters, no differences (p > 0.05) were observed between CO and FA8 groups. FAtreated groups presented increased hepatic levels of S-adenosylmethionine but only FA16 group presented increased Sadenosylmethionine/S-adenosylhomocysteine ratio. No differences (p > 0.05) were observed between experimental groups regarding apoptosis in persistent and remodeling GST-P positive PNL, and global DNA methylation pattern in microdissected PNL. Altogether, the FA16 group, but not the FA8 group, presented chemopreventive activity. Reversion of PNL phenotype and inhibition of DNA damage and of c-myc expression represent relevant FA cellular and molecular effects.Primary liver cancer is the fifth most common cancer worldwide and the third most common cause of cancer mortality, with an estimated 680,000 deaths occurring in 2007.1 Because of the limited treatment options and poor prognosis of this disease, preventive approaches, notably chemoprevention, have been emphasized.
2The water-soluble B vitamin folate, which is found in a wide variety of foods, particularly vegetables, fruits and liver, has been targeted as a potential chemopreventive agent.3 Previous in vivo studies using folic acid (FA) supplementation during carcinogenesis have reported a time-and dose-dependent as well as an organ-specific chemopreventive effect. During chemically induced colon carcinogenesis, FA supplementation before initiation reduced the number of macroscopic tumors. 4,5 Similarly, in two genetic models of colon cancer in mice, FA supplementation before the establishment of neoplastic foci resulted in dose-dependent chemopreventive activity. 6,7 In contrast, when FA was supplemented postinitiation, it increased the progression of aberrant crypt foci