Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.
PLoS One. 2012;7(7):e41914. doi: 10.1371/journal.pone.0041914. Epub 2012 Jul 27.
Melanin-concentrating hormone (MCH) is an evolutionary conserved hypothalamic neuropeptide that in mammals primarily regulates appetite and energy balance. We have recently identified a novel role for MCH in intestinal inflammation by demonstrating attenuated experimental colitis in MCH deficient mice or wild type mice treated with an anti-MCH antibody. Therefore, targeting MCH has been proposed for the treatment of inflammatory bowel disease. Given the link between chronic intestinal inflammation and colorectal cancer, in the present study we sought to investigate whether blocking MCH might have effects on intestinal tumorigenesis that are independent of inflammation.
Tumor development was evaluated in MCH-deficient mice crossed to the APCmin mice which develop spontaneously intestinal adenomas. A different cohort of MCH-/- and MCH+/+ mice in the APCmin background was treated with dextran sodium sulphate (DSS) to induce inflammation-dependent colorectal tumors. In Caco2 human colorectal adenocarcinoma cells, the role of MCH on cell survival, proliferation and apoptosis was investigated.
APCmin mice lacking MCH developed fewer, smaller and less dysplastic tumors in the intestine and colon which at the molecular level are characterized by attenuated activation of the wnt/beta-catenin signaling pathway and increased apoptotic indices. Form a mechanistic point of view, MCH increased the survival of colonic adenocarcinoma Caco2 cells via inhibiting apoptosis, consistent with the mouse studies.
In addition to modulating inflammation, MCH was found to promote intestinal tumorigenesis at least in part by inhibiting epithelial cell apoptosis. Thereby, blocking MCH as a therapeutic approach is expected to decrease the risk for colorectal cancer.
黑色素浓缩激素(MCH)是一种进化上保守的下丘脑神经肽,在哺乳动物中主要调节食欲和能量平衡。我们最近通过证明 MCH 缺乏小鼠或用抗 MCH 抗体治疗的野生型小鼠实验性结肠炎减轻,发现了 MCH 在肠道炎症中的新作用。因此,针对 MCH 已被提议用于治疗炎症性肠病。鉴于慢性肠道炎症与结直肠癌之间的联系,在本研究中,我们试图研究阻断 MCH 是否可能对独立于炎症的肠道肿瘤发生具有影响。
评估了与 APCmin 小鼠(自发性发生肠道腺瘤)杂交的 MCH 缺乏小鼠的肿瘤发展。APCmin 背景中的另一批 MCH-/-和 MCH+/+小鼠用葡聚糖硫酸钠(DSS)治疗以诱导炎症依赖性结直肠肿瘤。在 Caco2 人结直肠腺癌细胞中,研究了 MCH 对细胞存活、增殖和凋亡的作用。
缺乏 MCH 的 APCmin 小鼠在肠道和结肠中形成的肿瘤数量更少、更小且异型性更小,其分子水平的特征是 Wnt/β-连环蛋白信号通路的激活减弱和凋亡指数增加。从机制的角度来看,MCH 通过抑制细胞凋亡增加结肠腺癌 Caco2 细胞的存活,这与小鼠研究一致。
除了调节炎症外,MCH 还被发现至少部分通过抑制上皮细胞凋亡来促进肠道肿瘤发生。因此,阻断 MCH 作为一种治疗方法有望降低结直肠癌的风险。