McQuown B, Burgess K E, Heinze C R
Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Vet Comp Oncol. 2018 Jun;16(2):262-267. doi: 10.1111/vco.12376. Epub 2017 Dec 4.
It is well established that tumour cells have metabolic differences when compared with normal cells. This is particularly true for energy metabolism in which dogs with cancer have been reported to have higher blood insulin and lactate concentrations than control dogs. Moreover, some human and animal studies suggest that the insulin-like growth factor 1 (IGF-1) signalling pathway may play a role in tumorigenesis and tumour progression. At present, IGF-1 has not been evaluated in dogs with multicentric lymphoma. In this prospective, cross-sectional study, blood levels of IGF-1, as well as other markers of energy metabolism-insulin, glucose, lactate, and β-hydroxybutyrate-were measured in 16 dogs with histologically or cytologically confirmed treatment-naïve lymphoma. These results were compared with 16 age-, sex- and weight-matched healthy controls. Dietary histories were collected, and protein, fat and carbohydrate intake were compared between groups. Results demonstrated that IGF-1, insulin, glucose and insulin:glucose ratio were not different between groups. However, lactate and β-hydroxybutyrate were higher in the dogs with lymphoma than that in the control dogs (1.74 ± 0.83 mmoL/L vs 1.08 ± 0.27 and 2.59 ± 0.59 mmol/L vs 0.77 ± 0.38 mmol/L, respectively). Median dietary protein, fat and carbohydrates did not differ between the groups. This preliminary study suggests that higher insulin and IGF-1 levels relative to controls may not be a consistent finding in dogs with lymphoma. The significance of increased β-hydroxybutyrate in dogs with lymphoma warrants further investigation in a larger prospective study.
肿瘤细胞与正常细胞相比具有代谢差异,这一点已得到充分证实。在能量代谢方面尤其如此,据报道,患癌犬的血液胰岛素和乳酸浓度高于对照犬。此外,一些人类和动物研究表明,胰岛素样生长因子1(IGF-1)信号通路可能在肿瘤发生和肿瘤进展中起作用。目前,尚未对多中心淋巴瘤犬的IGF-1进行评估。在这项前瞻性横断面研究中,对16只经组织学或细胞学确诊的未经治疗的淋巴瘤犬测量了IGF-1的血液水平以及能量代谢的其他标志物——胰岛素、葡萄糖、乳酸和β-羟基丁酸。将这些结果与16只年龄、性别和体重匹配的健康对照进行比较。收集饮食史,并比较两组之间的蛋白质、脂肪和碳水化合物摄入量。结果表明,两组之间的IGF-1、胰岛素、葡萄糖和胰岛素:葡萄糖比值没有差异。然而,淋巴瘤犬的乳酸和β-羟基丁酸高于对照犬(分别为1.74±0.83 mmol/L对1.08±0.27和2.59±0.59 mmol/L对0.77±0.38 mmol/L)。两组之间的饮食蛋白质、脂肪和碳水化合物中位数没有差异。这项初步研究表明,与对照相比,淋巴瘤犬的胰岛素和IGF-1水平升高可能并非一致的发现。淋巴瘤犬β-羟基丁酸升高的意义值得在更大规模的前瞻性研究中进一步探讨。