Review Article

Folate and Colorectal Cancer in Rodents: A Model of DNA Repair Deficiency

Table 4

Impact of experimental design on critical colorectal cancer endpoints.

Animal modelCarcinogenCRC-specific endpoints measured

Studies demonstrating beneficial effects of folate on critical colorectal cancer endpoints
Rat
Sprague-Dawley
Male
[83]
DMH
44mg/kg body weight
Weekly × 15 weeks
Percent of rats with colonic tumors:
70% (0 mg/kg folate)
40% (2 mg/kg folate)
10% (8 mg/kg folate)
42% (40 mg/kg folate)
(Similar results for # tumors/rat)

Rat
Fisher 344
Male
[15]
5-week diet prior to DMH
ENU
100mg/kg
Mutant frequency:
8-fold increase (0 mg/kg folate, no antibiotics)
6-fold increase (0 mg/kg folate, with antibiotics)
5-fold increase (2 mg/kg folate)

Rat
Fisher 344
Male
[85]
DMH
25mg/kg body weight
2 weekly injections
Colonic aberrant crypts/aberrant crypt foci:
~150 aberrant crypts, 50 foci (2 mg/kg folate)
~250 aberrant crypts, 75 foci (0 mg/kg folate)

Rat
Albino
Male
[86]
3-week diet prior to DMH
8-week diet after DMH
AOM
30 mg/kg body weight
Aberrant crypt foci:
~65 aberrant crypts (2 mg/kg folate)
~58 aberrant crypts (8 mg/kg folate)
~30 aberrant crypts (40 mg/kg folate)
(note: no deficient group)

Mice
Balb/cAnNCrlBR
Wildtype (from 129)
Backcrossed >10 generations into Balb/c
Sex: not stated [81]
None, diet onlyPercent mice with duodenal tumors:
0% (2 mg/gk folate)
12.5% (0.3 mg/kg folate)
(2/16 mice; adenoma versus adenocarcinoma not specified)

Mice
C57bl/6
Apc1638N,
BAT-LacZ (Wnt reporter mouse)
No. of generations backcrossed N/A
Sex: not stated
[84]
None, diet and genotype only
(Note: diet includes multiple B vitamin manipulations: Riboflavin, B6, B12, and folate)
Gastrointestinal tumor incidence and multiplicity; aberrant crypt foci:
50% incidence  (2 mg/kg folate, adequate Bvitamins)
91% incidence (0 mg/kg folate, B vitamin deficient)
~1.7 tumors/animal  (2 mg/kg folate, adequate Bvitamins)
~2.7 tumors/animal (0 mg/kg folate, B vitamin deficient)
~2 aberrant crypts  (2 mg/kg folate, adequate Bvitamins)
~2.5 aberrant crypts (0 mg/kg folate, B vitamin deficient)

Mice
C57bl/6
Apc1638N
No. of generations backcrossed N/A
Sex: both
[78]
None, diet and genotype only
(Note: diet includes multiple B vitamin manipulations: Riboflavin, B6, B12, and folate; dietary intervention in dams and offspring)
Gastrointestinal tumor incidence (percent) and multiplicity:
~55% incidence (0.5 mg/kg folate, B vitamin deficient)
~58% incidence  (2.0 mg/kg folate, Bvitamin adequate)
~20% incidence (8.0 mg/kg folate, B vitamin supplemented)
~0.6 tumors/animal (0.5 mg/kg folate, B vitamin deficient)
~0.6 tumors/animal  (2.0 mg/kg folate, Bvitamin adequate)
~0.25 tumors/animal (8.0 mg/kg folate, B vitamin supplemented)
(Note: tumor invasiveness significantly worse in deficient group compared to control group)

Mice
C57bl/6
Apcmin
>10 generations backcrossed
Sex: not stated
[68]
None, diet and genotype only
Shmt heterozygous and null genotypes crossed onto Apcmin
Note: choline altered as well as folate
Gastrointestinal tumor number and tumor load (total tumor area/mouse):
Impact of diet seen only in Shmt heterozygous model:
~32 small intestinal tumors (2 mg/kg folate, 2.5 g/kg choline)
 ~60 small intestinal tumors (0 mg/kg folate, 0 g/kg choline)
~40 mm 2 tumor load (2 mg/kg folate, 2.5 g/kg choline)
 ~80mm2 tumor load (0 mg/kg folate, 0 g/kg choline)

Mice
C57bl/6
DNA polymerase β +/−
>10 generations
Sex: Male
[59]
DMH
30mg/kg body weight
Weekly for 6 weeks
Killed after 12 weeks
Total aberrant crypt foci:
~15 aberrant crypts (2 mg/kg folate, wildtype)
~38 aberrant crypts (0mg/kg folate, wildtype)
(Note: this work presents data both in support of protective and detrimental roles for folate; protective presented here, detrimental presented below)

Rat
Sprague-Dawley
Male
[72]
AOM
15mg/kg
Weekly for 3 weeks
Killed after 8 weeks
Total aberrant crypt foci:
~300 aberrant crypts (8mg/kg folate)
~200 aberrant crypts (0mg/kg folate + abx post-AOM)
(Note: no “standard” control group of 2mg/kg folate)

Rat
Sprague-Dawley
Male
[73]
AOM
15 mg/kg/week
Weekly for 3 weeks
Killed after 22 weeks
Number of colon adenocarcinomas:
13 (8mg/kg folate, no abx)
12 (8mg/kg folate, with abx)
4 (0mg/kg folate, no abx)
3 (0mg/kg folate, abx before AOM)
4 (0mg/kg folate, abx after AOM)
(Note: no “standard” control group of 2mg/kg folate)

Rat
Sprague-Dawley
Male
[76]
AOM
2 weekly exposures
(total dosing unclear)
Diet begun 6 weeks post- AOM
Aberrant crypt foci and tumor size (tumor diameter/tumor-bearing animal, cm)
84.6 aberrant crypts (0mg/kg folate)
93.4 aberrant crypts (2 mg/kg folate)
108.1 aberrant crypts (5mg/kg folate)
137.9 aberrant crypts (8mg/kg folate)
0.5 cm (0mg/kg folate)
1.2 cm  (2 mg/kg folate)
1.3 cm (5mg/kg folate)
1.6 cm (8mg/kg folate)

Mice
C57bl/6
APCmin
No. of generations backcrossed N/A
Sex: not stated
[77]
None, diet and genotype only
Two timepoints: 3 and 6 months
Aberrant crypt foci and ileal adenomas:
At 3 months:
 1.3 aberrant crypts (0mg/kg folate)
0.27 aberrant crypts  (2 mg/kg/folate)
 0.20 aberrant crypts (8mg/kg folate)
 0.00 aberrant crypts (20mg/kg folate)
 11.0 ileal adenomas (0mg/kg folate)
7.36 ileal adenomas (2 mg/kg folate)
 7.30 ileal adenomas (8mg/kg folate)
 2.36 ileal adenomas (20mg/kg folate)
At 6 months:
 1.67 ileal adenomas (0 mg/kg folate)
7.09 ileal adenomas (2 mg/kg folate)
 5.33 ileal adenomas (8mg/kg folate)
 4.38 ileal adenomas (20mg/kg folate)

Mice
C57bl/6
DNA polymerase β +/−
>10 generations
Sex: male
[59]
DMH
30mg/kg body weight
Weekly for 6 weeks
Killed after 12 weeks
Total aberrant crypt foci:
~33 aberrant crypts (2 mg/kg folate, heterozygote)
~20 aberrant crypts (0mg/kg folate, heterozygote)
(Note: this work presents data both in support of protective and detrimental roles for folate; detrimental presented here, protective presented above.)

~indicates values are approximated from graphical data; N/A: not available; Shmt: serine hydroxyl methyl transferase.