Polyethylene glycol (PEG 8000) is a potent cancer chemopreventive agent. Th
is osmotic laxative polymer markedly suppresses colon cancer in rats. To ex
plain the mechanism, we have tested the in vitro effect of PEG on four huma
n cell lines. Two poorly differentiated adenocarcinoma lines (HT29 and COLO
205), a fetal mucosa line (FHC) and a differentiated line (post-confluent C
aco-2) were incubated with various PEG concentrations for 2-5 days. Results
show that PEG markedly and dose dependently inhibited HT29 and COLO205 cel
l growth. This cytostatic effect was associated with a blocking of the cell
cycle in G0/G1 phase. In addition, PEG decreased the viability of HT29 and
COLO205 adenocarcinoma cells. in contrast, post confluent intestinal-like
Caco-2 cells and normal FHC cells were, respectively, not or little affecte
d by PEG. Moreover, the lactate concentration increased twofold in the medi
um of PEG-treated HT29 cells compared with untreated cells. Microscopic obs
ervations showed that PEG induced cell shrinking, membrane blebbing and the
condensation of nuclear chromatin, However, because no DNA ladder and no a
nnexin staining were detected, we presume that PEG did not induce apoptosis
, PEG increased the osmotic pressure of the culture medium. Hyperosmotic me
dia with added NaCl or sorbitol also inhibited HT29 cell growth, and increa
sed lactate release. These results suggest that PEG may be selectively cyto
static for proliferating cancer cells. This growth inhibition may be due to
the high osmotic pressure induced by PEG in vitro. Because the osmotic pre
ssure is high in feces of PEG-fed rats, it may explain the suppression of c
olon carcinogenesis by PEG. (C) 2001 Wiley-Liss, Inc.