Gonzalez Frank J
Laboratory of Metabolism, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA.
Nutr Rev. 2007 Jun;65(6 Pt 2):S2-6. doi: 10.1111/j.1753-4887.2007.tb00323.x.
The hyperlipidemic fibrate drugs mediate their lipid-lowering effects through binding to and activating the peroxisome proliferator-activated receptor alpha (PPARalpha). PPARalpha ligands are potent hepatocarcinogens in rats and mice; after 11 months of feeding a fibrate drug, there is 100% incidence of adenomas and carcinomas. However, there is no evidence that humans chronically administered fibrates have increased cancer risk. Recent studies on PPARalpha-humanized mice have revealed a potential mechanism for the species differences in response to PPARalpha ligands. These models will be of great value in human risk assessment and in determining the mechanism of hepatocarcinogenesis.
高脂血症贝特类药物通过与过氧化物酶体增殖物激活受体α(PPARα)结合并激活该受体来介导其降脂作用。PPARα配体在大鼠和小鼠中是强效的肝癌致癌物;在给予贝特类药物喂养11个月后,腺瘤和癌的发生率为100%。然而,没有证据表明长期服用贝特类药物的人类患癌风险增加。最近对PPARα人源化小鼠的研究揭示了物种对PPARα配体反应差异的潜在机制。这些模型在人类风险评估和确定肝癌发生机制方面将具有重要价值。