产次史决定自然衰老小鼠对卵巢癌播散的全身炎症反应。
Parity History Determines a Systemic Inflammatory Response to Spread of Ovarian Cancer in Naturally Aged Mice.
作者信息
Urzua Ulises, Chacon Carlos, Lizama Luis, Sarmiento Sebastián, Villalobos Pía, Kroxato Belén, Marcelain Katherine, Gonzalez María-Julieta
机构信息
1Laboratorio de Genómica Aplicada, Facultad de Medicina, Universidad de Chile.
4Programa de Biología Celular y Molecular, ICBM.
出版信息
Aging Dis. 2017 Oct 1;8(5):546-557. doi: 10.14336/AD.2017.0110. eCollection 2017 Oct.
Aging intersects with reproductive senescence in women by promoting a systemic low-grade chronic inflammation that predisposes women to several diseases including ovarian cancer (OC). OC risk at menopause is significantly modified by parity records during prior fertile life. To date, the combined effects of age and parity on the systemic inflammation markers that are particularly relevant to OC initiation and progression at menopause remain largely unknown. Herein, we profiled a panel of circulating cytokines in multiparous versus virgin C57BL/6 female mice at peri-estropausal age and investigated how cytokine levels were modulated by intraperitoneal tumor induction in a syngeneic immunocompetent OC mouse model. Serum FSH, LH and TSH levels increased with age in both groups while prolactin (PRL) was lower in multiparous respect to virgin mice, a finding previously observed in parous women. Serum CCL2, IL-10, IL-5, IL-4, TNF-α, IL1-β and IL-12p70 levels increased with age irrespective of parity status, but were specifically reduced following OC tumor induction only in multiparous mice. Animals developed hemorrhagic ascites and tumor implants in the omental fat band and other intraperitoneal organs by 12 weeks after induction, with multiparous mice showing a significantly extended survival. We conclude that previous parity history counteracts aging-associated systemic inflammation possibly by reducing the immunosuppression that typically allows tumor spread. Results suggest a partial impairment of the M2 shift in tumor-associated macrophages as well as decreased stimulation of regulatory B-cells in aged mice. This long term, tumor-concurrent effect of parity on inflammation markers at menopause would be a contributing factor leading to decreased OC risk.
衰老与女性生殖衰老相互交织,通过促进全身性低度慢性炎症,使女性易患包括卵巢癌(OC)在内的多种疾病。绝经时的OC风险会因既往生育期的产次记录而显著改变。迄今为止,年龄和产次对绝经时与OC发生和进展特别相关的全身性炎症标志物的综合影响仍 largely unknown。在此,我们分析了围绝经期多产与未生育的C57BL/6雌性小鼠体内一组循环细胞因子,并在同基因免疫活性OC小鼠模型中研究了腹腔肿瘤诱导如何调节细胞因子水平。两组血清促卵泡激素(FSH)、促黄体生成素(LH)和促甲状腺激素(TSH)水平均随年龄增加,而多产小鼠的催乳素(PRL)低于未生育小鼠,这一发现先前在经产妇女中也有观察到。血清趋化因子配体2(CCL2)、白细胞介素10(IL-10)、白细胞介素5(IL-5)、白细胞介素4(IL-4)、肿瘤坏死因子-α(TNF-α)、白细胞介素1-β(IL1-β)和白细胞介素12p70水平随年龄增加,与产次状态无关,但仅在多产小鼠中,OC肿瘤诱导后这些水平会特异性降低。诱导后12周,动物出现血性腹水,在网膜脂肪带和其他腹腔器官出现肿瘤植入,多产小鼠的生存期显著延长。我们得出结论,既往产次史可能通过减少通常允许肿瘤扩散的免疫抑制来抵消与衰老相关的全身性炎症。结果表明,老年小鼠肿瘤相关巨噬细胞的M2转变存在部分受损,以及调节性B细胞的刺激减少。产次对绝经时炎症标志物的这种长期、与肿瘤同时存在的影响将是导致OC风险降低的一个促成因素。
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