Department of Molecular, Cellular, and Developmental Neurobiology, Instituto Cajal, Consejo Superior de Investigaciones Científicas (CSIC), Madrid, Spain.
Oncogene. 2010 Apr 15;29(15):2165-71. doi: 10.1038/onc.2009.503. Epub 2010 Jan 25.
Cancer and Alzheimer's disease (AD) are commonly found among elderly patients. Chronic inflammation is the characteristic of both diseases. Amyloid-beta peptide is the main inducer of inflammation in AD. Moreover, chronic inflammation promotes cancer, suggesting that AD patients may be more prone to develop cancer than non-demented people. To test this hypothesis, we injected the carcinogen 20-methylcholanthrene in the brain of transgenic mice overexpressing the mutant forms of amyloid precursor protein (APP) and presenilin 1 (PS1), as a model of AD, and their wild-type (WT) littermates. Mutant mice developed tumors faster and with higher incidence than their WT counterparts. Expression of the inflammatory markers interleukin (IL)-1alpha, IL-1beta, IL-6, IP-10 and tumor necrosis factor-alpha (TNF-alpha) was measured in AD and WT mice of 3 and 12 months of age that had not been exposed to the carcinogen. These cytokines were elevated in older AD mice, indicating the existence of a highly inflammatory milieu in these animals. We also found elevated expression of a mutated form of p53 in older AD mice, suggesting an alternative mechanism for the predisposition of AD brains to develop brain tumors. Clinical studies reporting comorbidity of AD and brain cancer are needed to understand whether our observations hold true for humans.
癌症和阿尔茨海默病(AD)在老年患者中很常见。慢性炎症是这两种疾病的特征。β淀粉样肽是 AD 中炎症的主要诱导剂。此外,慢性炎症会促进癌症的发生,这表明 AD 患者比非痴呆患者更容易发展为癌症。为了验证这一假设,我们将致癌剂 20-甲基胆蒽注入过度表达淀粉样前体蛋白(APP)和早老素 1(PS1)突变体的转基因小鼠的大脑中,作为 AD 的模型,以及其野生型(WT)同窝仔鼠。突变型小鼠比 WT 对照组的肿瘤生长更快、发病率更高。对未接触致癌剂的 3 个月和 12 个月大的 AD 和 WT 小鼠的炎症标志物白细胞介素(IL)-1α、IL-1β、IL-6、IP-10 和肿瘤坏死因子-α(TNF-α)的表达进行了测量。这些细胞因子在老年 AD 小鼠中升高,表明这些动物存在高度炎症环境。我们还发现,在老年 AD 小鼠中,一种突变形式的 p53 表达升高,这表明 AD 大脑容易发生脑瘤的另一种机制。需要进行报告 AD 和脑癌合并症的临床研究,以了解我们的观察结果是否适用于人类。