To evaluate the suppressive effects of nuclear factor kappa B (NF-κ κ κ κB) inhibitors on metastasis, three agents, pentoxifylline (PTX, 0.5% in diet), N-acetyl-L-cysteine (NAC, 0.5% in diet), and aspirin (ASP, 0.5% in diet) were applied in an in vivo highly metastatic rat hepatocellular carcinoma (HCC) model in F344 male rats. Administration of NF-κ κ κ κB inhibitors for 8 weeks after induction of highly metastatic HCC by sequential treatment with diethylnitrosamine and N-nitrosomorpholine did not cause any significant change in survival rate or body weight. The incidence of HCC was 100% at week 23, regardless of treatment with NF-κ κ κ κB inhibitors. PTX, NAC, and ASP did not exert any significant effect on the development or differentiation of HCCs, although PTX tended to decrease the multiplicity of HCC. Although no lung metastasis was observed in the rats killed at the end of the period of carcinogen exposure, lung metastasis was found in 100% of animals in all the groups at the end of the experiment. Multiplicity of lung metastasis was significantly decreased by PTX and NAC, whereas ASP was without significant influence. The size of metastatic nodules was also significantly reduced in the PTX treatment group. Furthermore, the inhibitory κ κ κ κ-B (Iκ κ κ κB) protein level, considered to be a marker for the degree of NF-κ κ κ κB transcription, was significantly suppressed by PTX. mRNA expression in HCC for vascular cell adhesion molecule-1 (VCAM-1), which is considered to play a key role in attachment of cancer cells to the endothelium, was significantly suppressed by PTX. Among the splicing variants of VEGF, VEGF-A120, VEGF-A144, VEGF-A164, and VEGF-A188, suppressed mRNA expression of VEGF-A188 appeared to be correlated with suppression of lung metastasis formation. In conclusion, the present study demonstrated that NF-κ κ κ κB inhibitors have the potential to inhibit lung metastasis from rat HCCs in vivo, and PTX is especially promising. Its mechanism of action may involve suppression of VCAM-1 and VEGF-A188 production. Our previous study demonstrated that aspirin (ASP) has the potential to inhibit lung metastasis by rat HCCs in vivo, although the observed suppressive effect was marginal.2) The mechanism appeared to involve a decrease in the intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1), which play important roles in attachment of tumor cells to the vascular endothelium.
2)Induction of ICAM-1 and VCAM-1 is mediated by the transcription factor nuclear factor-kappa B (NF-κB) [3][4][5][6] and ASP has been shown to inhibit NF-κB-dependent transcription weakly.7) Therefore, a stronger inhibitor of NF-κB might be expected to have a stronger inhibitory effect on lung metastasis formation.In order to evaluate the suppressive effects of NF-κB inhibitors, we examined three examples, pentoxifylline (PTX), 8,9) Nacetyl-L-cysteine (NAC), 10,11) and ASP, 7) in our in vivo lung metastasis model. To evaluate the degree of inhibition of NF-κB transcription, inhibitor of κB (IκB)...