Department of Physiology, School of Medicine, University of Occupational and Environmental Health, Yahatanishi-ku, Kitakyushu, Japan.
Int J Cancer. 2011 May 1;128(9):2215-23. doi: 10.1002/ijc.25535.
Parathyroid hormone-related protein (PTHrP) is a causative factor of humoral hypercalcemia in malignancy. However, it is difficult to explain the mechanism of anorexia/cachexia with PTHrP secretion in detail. Previously, we demonstrated that the expressions of orexigenic peptides increased and anorexigenic peptides decreased under cachectic conditions in rats carrying tumors secreting PTHrP. In this study, we investigated whether such changes in the expression of hypothalamic feeding-regulating peptides can be solely attributed to PTHrP or are a general response under cachectic conditions. Cachectic syndromes were induced in rats by: (i) inoculation of human lung cancer LC-6 cells that secreted PTHrP, (ii) inoculation of human melanoma SEKI cells that secrete not PTHrP but LIF1, (iii) injection of heat-killed Mycobacterium leading to arthritis (AA) and (iv) oral administration of a high dose of 1α,25(OH)(2)D(3) that resulted in hypercalcemia. The LC-6-bearing rats and AA rats were treated with or without anti-PTHrP antibody and indomethacin, respectively, and the expression of the hypothalamic feeding-regulating peptide mRNAs were examined by in situ hybridization histochemistry. The orexigenic peptide mRNAs, such as neuropeptide Y and agouti-related protein, were significantly increased, and that of anorexigenic peptide mRNAs, such as proopiomelanocortin, cocaine- and amphetamine-regulated transcript and corticotropin-releasing hormone were significantly decreased when they developed cachectic syndromes and AA. A high dose of 1α,25(OH)(2)D(3) caused hypercalcemia and body weight loss but did not affect the expression of hypothalamic feeding-regulating peptide mRNAs. The expressions of the hypothalamic feeding-regulating peptides change commonly in different chronic cachectic models without relating to serum calcium levels.
甲状旁腺激素相关蛋白 (PTHrP) 是恶性肿瘤导致体液性高钙血症的一个致病因素。然而,其通过分泌 PTHrP 导致厌食/恶病质的机制仍难以详细阐明。此前,我们发现在分泌 PTHrP 的肿瘤荷瘤大鼠中,厌食症/恶病质状态下摄食肽的表达增加,而厌食肽的表达减少。在本研究中,我们探讨了这些下丘脑摄食调节肽表达的变化是否仅归因于 PTHrP,还是在恶病质状态下的普遍反应。通过以下方法在大鼠中诱导恶病质综合征:(i)接种分泌 PTHrP 的人肺癌 LC-6 细胞,(ii)接种不分泌 PTHrP 但分泌 LIF1 的人黑色素瘤 SEKI 细胞,(iii)注射热灭活分枝杆菌导致关节炎(AA),以及(iv)口服大剂量 1α,25(OH)2D3 导致高钙血症。分别用或不用抗 PTHrP 抗体和消炎痛处理荷 LC-6 细胞的大鼠和 AA 大鼠,并用原位杂交组织化学法检测下丘脑摄食调节肽 mRNA 的表达。当大鼠出现恶病质综合征和 AA 时,食欲肽 mRNA,如神经肽 Y 和 AgRP,显著增加,而厌食肽 mRNA,如 proopiomelanocortin、可卡因和安非他命调节转录物和促肾上腺皮质激素释放激素,显著减少。大剂量 1α,25(OH)2D3 引起高钙血症和体重减轻,但不影响下丘脑摄食调节肽 mRNA 的表达。不同慢性恶病质模型中,下丘脑摄食调节肽的表达普遍发生变化,与血清钙水平无关。