Ben-Shmuel Sarit, Scheinman Eyal J, Rashed Rola, Orr Zila Shen, Gallagher Emily J, LeRoith Derek, Rostoker Ran
Diabetes and Metabolism Clinical Research Center of Excellence, Clinical Reseasch Institute at Rambam (CRIR), Rambam Medical Center, P.O.B 9602, Haifa 31096, Israel.
Division of Endocrinology, Diabetes and Bone Diseases, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1055, Atran 4-36, New York, NY 10029, USA.
J Endocrinol. 2015 Dec;227(3):143-151. doi: 10.1530/JOE-15-0310. Epub 2015 Sep 17.
Obesity and type 2 diabetes (T2D) are associated with an increased risk of breast cancer incidence and mortality. Common features of obesity and T2D are insulin resistance and hyperinsulinemia. A mammary tumor promoting effect of insulin resistance and hyperinsulinemia was demonstrated in the transgenic female MKR mouse model of pre-diabetes inoculated with mammary cancer cells. Interestingly, in MKR mice, as well as in other diabetic mouse models, males exhibit severe hyperglycemia, while females display insulin resistance and hyperinsulinemia with only a mild increase in blood glucose levels. This gender-specific protection from hyperglycemia may be attributed to estradiol, a key player in the regulation of the metabolic state, including obesity, glucose homeostasis, insulin resistance, and lipid profile. The aim of this study was to investigate the effects of ovariectomy (including the removal of endogenous estradiol) on the metabolic state of MKR female mice and subsequently on the growth of Mvt-1 mammary cancer cells, inoculated into the mammary fat pad of ovariectomized mice, compared with sham-operated mice. The results showed an increase in body weight, accompanied by increased fat mass, elevated blood glucose levels, and hypercholesterolemia, in ovariectomized MKR mice. In addition, mammary tumor growth was significantly higher in these mice. The results suggest that ovarian hormone deficiency may promote impaired metabolic homeostasis in the hyperinsulinemic MKR female mice, which in turn is associated with an increased growth of mammary tumors.
肥胖与2型糖尿病(T2D)与乳腺癌发病率和死亡率的风险增加相关。肥胖和T2D的共同特征是胰岛素抵抗和高胰岛素血症。在接种了乳腺癌细胞的糖尿病前期转基因雌性MKR小鼠模型中,证实了胰岛素抵抗和高胰岛素血症具有促进乳腺肿瘤的作用。有趣的是,在MKR小鼠以及其他糖尿病小鼠模型中,雄性表现出严重的高血糖,而雌性则表现出胰岛素抵抗和高胰岛素血症,血糖水平仅轻度升高。这种对高血糖的性别特异性保护可能归因于雌二醇,它是调节代谢状态(包括肥胖、葡萄糖稳态、胰岛素抵抗和血脂谱)的关键因素。本研究的目的是研究卵巢切除术(包括去除内源性雌二醇)对MKR雌性小鼠代谢状态的影响,以及随后对接种到去卵巢小鼠乳腺脂肪垫中的Mvt-1乳腺癌细胞生长的影响,并与假手术小鼠进行比较。结果显示,去卵巢的MKR小鼠体重增加,同时脂肪量增加、血糖水平升高和高胆固醇血症。此外,这些小鼠的乳腺肿瘤生长明显更高。结果表明,卵巢激素缺乏可能会促进高胰岛素血症的MKR雌性小鼠代谢稳态受损,进而与乳腺肿瘤生长增加有关。