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二甲双胍可降低肥胖对 Walker-256 肿瘤体内生长的刺激作用,并增加肿瘤坏死面积。

Metformin reduces the stimulatory effect of obesity on in vivo Walker-256 tumor development and increases the area of tumor necrosis.

机构信息

Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.

出版信息

Life Sci. 2011 May 9;88(19-20):846-52. doi: 10.1016/j.lfs.2011.03.005. Epub 2011 Mar 31.

DOI:10.1016/j.lfs.2011.03.005
PMID:21439974
Abstract

AIMS

The objective of this study was to analyze the influence of obesity and insulin resistance on tumor development and, in turn, the effect of insulin sensitizing agents.

MAIN METHODS

Male offspring of Wistar rats received monosodium glutamate (400mg/kg) (obese) or saline (control) from the second to sixth day after birth. Sixteen-week-old control and obese rats received 5×10(5) Walker-256 tumor cells, subcutaneously injected into the right flank. Some of the obese and control rats received concomitant treatment with metformin (300mg/kg) by gavage. At the 18th week, obesity was characterized. The percentage of rats that developed tumors, the tumor relative weight and the percentage of cachexia incidence were analyzed. The tumor tissue was evaluated histologically by means of hematoxylin and eosin staining.

KEY FINDINGS

Metformin did not correct the insulin resistance in obese rats. The tumor development was significantly higher in the obese group, whereas metformin treatment reduced it. After pathological analysis, we observed that the tumor tissues were similar in all groups except for adipocytes, which were found in greater quantity in the obese and metformin-treated obese groups. The area of tumor necrosis was higher in the group treated with metformin when compared with the untreated one.

SIGNIFICANCE

Metformin reduced Walker-256 tumor development but not cachexia in obese rats. The reduction occurred independently of the correction of insulin resistance. Metformin increased the area of necrosis in tumor tissues, which may have contributed to the reduced tumor development.

摘要

目的

本研究旨在分析肥胖和胰岛素抵抗对肿瘤发生的影响,以及胰岛素增敏剂的作用。

方法

雄性 Wistar 大鼠后代在出生后第 2 至 6 天接受单谷氨酸钠(400mg/kg)(肥胖组)或生理盐水(对照组)。16 周龄的对照组和肥胖组大鼠接受 5×10(5)Walker-256 肿瘤细胞,皮下注射到右侧肋部。一些肥胖组和对照组大鼠同时给予二甲双胍(300mg/kg)灌胃。在第 18 周,确定肥胖情况。分析肿瘤发生的大鼠百分比、肿瘤相对重量和恶病质发生率。通过苏木精和伊红染色对肿瘤组织进行组织学评估。

主要发现

二甲双胍不能纠正肥胖大鼠的胰岛素抵抗。肥胖组肿瘤的发生明显更高,而二甲双胍治疗降低了肿瘤的发生。经过病理分析,我们观察到除了脂肪细胞外,所有组的肿瘤组织都相似,脂肪细胞在肥胖组和二甲双胍处理的肥胖组中含量更多。与未处理组相比,用二甲双胍处理的组中肿瘤坏死面积更高。

意义

二甲双胍可降低肥胖大鼠的 Walker-256 肿瘤发生,但不能降低恶病质。这种减少与胰岛素抵抗的纠正无关。二甲双胍增加了肿瘤组织的坏死面积,这可能有助于减少肿瘤的发生。

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