Background-Arylamine N-acetyltransferases in humans (NAT1 and NAT2) ca
talyse the acetylation of arylamines including food derived heterocycl
ic arylamine carcinogens. Other substrates include the sulphonamide 5-
aminosalicylic acid (5-ASA), which is an NAT1 specific substrate; N-ac
etylation of 5-ASA is a major route of metabolism. NAT1 and NAT2 are b
oth polymorphic. Aims-To investigate NAT expression in apparently heal
thy human intestines in order to understand the possible role of NAT i
n colorectal cancer and in the therapeutic response to 5-ASA. Methods-
The intestines of four organ donors were divided into eight sections.
DNA was prepared for genotyping NAT1 and NAT2 and enzymic activities o
f NAT1 and NAT2 were determined in cytosols prepared from each section
. Tissue was fixed for immunohistochemistry with specific NAT antibodi
es. Western blotting was carried out on all samples of cytosol and on
homogenates of separated muscle and villi after microdissection. Resul
ts-NAT1 activity of all cytosols was greater than NAT2 activity. NAT1
and NAT2 activities correlated with the genotypes of NAT1 and NAT2 and
with the levels of NATL staining determined by western blotting. The
ratio of NAT1:NAT2 activities showed interindividual variations from 2
to 70. NAT1 antigenic activity was greater in villi than in muscle. N
AT1 was detected along the length of the villi in the small intestine.
In colon samples there was less NAT1 at the base of the crypts with i
ntense staining at the tips. Conclusions-The interindividual variation
in NAT1 and NAT2 in the colon could affect how individuals respond to
exposure to specific NAT substrates including carcinogens and 5-ASA.