Most colon carcinomas are preceded by an adenomatous polyp - adenoma-c
arcinoma sequence. Active oxygen species (AOS) can play a role in the
pathogenesis of this process. Antioxidant enzymes (AE) are the primary
defense against the deleterious effect of AOS. Activities of AE in 56
individuals with colorectal adenoma (CA), 29 individuals with colorec
tal carcinoma (CC) and in 24 control subjects were examined. Biopsy sp
ecimens from the non-neoplastic colonic mucosa and from the CA and CC
were taken during colonoscopy for histological and enzymological analy
sis. Activities of following AE were estimated: CuZn-superoxide dismut
ase (CuZn-SOD), catalase (CAT) and glutathione peroxidase (GPx). It wa
s found that individuals with CA and CC were characterized by: (1) inc
reased activities of CAT and GPx in non-neoplastic mucosa, that persis
ted in some of the patients even after removal of tumors; (2) increase
d activities of CuZn-SOD, CAT and PGx in CA and CC tissues. It can be
inferred that the accumulation of peroxides in the non-neoplastic colo
nic mucosa induced higher activities of CAT and GPx. The reasons of hi
gh activities of all AE in the tissues of CA and CC and their relation
to carcinogenesis are not clear and require further studies.