Department of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Neoplasia. 2013 Jan;15(1):23-38. doi: 10.1593/neo.121502.
The molecular effects of obesity are mediated by alterations in the levels of adipocytokines. High leptin level associated with obese state is a major cause of breast cancer progression and metastasis, whereas adiponectin is considered a "guardian angel adipocytokine" for its protective role against various obesity-related pathogenesis including breast cancer. In the present study, investigating the role of adiponectin as a potential inhibitor of leptin, we show that adiponectin treatment inhibits leptin-induced clonogenicity and anchorage-independent growth. Leptin-stimulated migration and invasion of breast cancer cells is also effectively inhibited by adiponectin. Analyses of the underlying molecular mechanisms reveal that adiponectin suppresses activation of two canonical signaling molecules of leptin signaling axis: extracellular signal-regulated kinase (ERK) and Akt. Pretreatment of breast cancer cells with adiponectin protects against leptin-induced activation of ERK and Akt. Adiponectin increases expression and activity of the physiological inhibitor of leptin signaling, protein tyrosine phosphatase 1B (PTP1B), which is found to be integral to leptin-antagonist function of adiponectin. Inhibition of PTP1B blocks adiponectin-mediated inhibition of leptin-induced breast cancer growth. Our in vivo studies show that adenovirus-mediated adiponectin treatment substantially reduces leptin-induced mammary tumorigenesis in nude mice. Exploring therapeutic strategies, we demonstrate that treatment of breast cancer cells with rosiglitazone results in increased adiponectin expression and inhibition of migration and invasion. Rosiglitazone treatment also inhibits leptin-induced growth of breast cancer cells. Taken together, these data show that adiponectin treatment can inhibit the oncogenic actions of leptin through blocking its downstream signaling molecules and raising adiponectin levels could be a rational therapeutic strategy for breast carcinoma in obese patients with high leptin levels.
肥胖的分子效应是通过改变脂肪细胞因子的水平来介导的。与肥胖状态相关的高瘦素水平是乳腺癌进展和转移的主要原因,而脂联素被认为是一种“守护天使脂肪细胞因子”,因为它具有保护作用,可以预防各种与肥胖相关的发病机制,包括乳腺癌。在本研究中,我们研究了脂联素作为潜在的瘦素抑制剂的作用,结果表明脂联素处理可抑制瘦素诱导的集落形成和锚定非依赖性生长。脂联素还可有效抑制瘦素刺激的乳腺癌细胞迁移和侵袭。对潜在分子机制的分析表明,脂联素抑制了瘦素信号轴的两个经典信号分子:细胞外信号调节激酶(ERK)和 Akt 的激活。用脂联素预处理乳腺癌细胞可防止瘦素诱导的 ERK 和 Akt 的激活。脂联素增加了瘦素信号的生理抑制剂蛋白酪氨酸磷酸酶 1B(PTP1B)的表达和活性,PTP1B 是瘦素拮抗剂脂联素功能的重要组成部分。抑制 PTP1B 可阻断脂联素介导的对瘦素诱导的乳腺癌生长的抑制作用。我们的体内研究表明,腺病毒介导的脂联素治疗可显著减少裸鼠瘦素诱导的乳腺肿瘤发生。在探索治疗策略时,我们证明罗格列酮治疗可导致乳腺癌细胞中脂联素表达增加,并抑制迁移和侵袭。罗格列酮治疗还可抑制瘦素诱导的乳腺癌细胞生长。综上所述,这些数据表明,脂联素治疗可通过阻断其下游信号分子来抑制瘦素的致癌作用,提高脂联素水平可能是肥胖患者中高瘦素水平乳腺癌的合理治疗策略。