Mackenzie Cancer Research Group, Department of Pathology, University of Otago , Christchurch , New Zealand.
J Appl Physiol (1985). 2018 Apr 1;124(4):938-949. doi: 10.1152/japplphysiol.00738.2017. Epub 2017 Dec 14.
Exercise reduces the risk of breast cancer development and improves survival in breast cancer patients. However, the underlying mechanisms of this protective effect remain to be fully elucidated, and it is unclear whether exercise can attenuate the protumor effects of obesity and related hyperlipidemia on breast cancer growth and development. We hypothesized that exercise attenuates the negative effect of hyperlipidemia through normalization of the tumor microenvironment and improved T cell infiltrate. Hyperlipidemic ApoE mice with orthotopic EO771 breast tumors were randomly assigned to one of two voluntary running groups or sedentary controls, and muscular cytochrome c oxidase subunit IV (COX-IV) expression was used as a biomarker for the level of exercise. Tumors from mice with high muscular COX-IV expression took significantly longer to reach 100 mm ( P = 0.008), but showed no difference in growth rate once the tumor was established. Wheel running appeared to reduce internal metastases, but did not affect T cell infiltrate or the proportion of regulatory and cytotoxic T cells within the tumor. Serum levels of monocyte chemoattractant protein-1 (MCP-1) were significantly increased by tumor burden ( P = 0.02) and correlated with spleen weight ( P < 0.0001, R = 0.65). Furthermore, tumor hypoxia was significantly decreased in mice with high muscular COX-IV expression ( P = 0.01). Taken together, these results indicate that wheel running can slow the establishment of primary and secondary EO771 breast tumors and induce beneficial changes in the breast tumor microenvironment in ApoE mice. NEW & NOTEWORTHY In this first study to investigate the effect of exercise on tumor behavior in a hyperlipidemic model, we hypothesized that wheel running would counteract the protumorigenic environment generated by hyperlipidemia. Wheel running slowed establishment of primary and secondary tumors and reduced tumor hypoxia but did not affect exponential tumor growth in ApoE mice. Overall, voluntary wheel running induced favorable microenvironmental changes in breast tumors.
运动可降低乳腺癌的发病风险并改善乳腺癌患者的生存状况。然而,这种保护作用的潜在机制仍未完全阐明,也不清楚运动是否可以减轻肥胖和相关高脂血症对乳腺癌生长和发展的促肿瘤作用。我们假设,运动通过肿瘤微环境的正常化和 T 细胞浸润的改善来减轻高脂血症的负面影响。高脂血症 ApoE 小鼠带有同源 EO771 乳腺癌肿瘤,被随机分为两组,一组进行自愿跑步,一组为久坐对照,肌肉细胞色素 c 氧化酶亚基 IV(COX-IV)的表达被用作运动水平的生物标志物。具有高肌肉 COX-IV 表达的肿瘤达到 100mm 的时间明显延长(P=0.008),但一旦肿瘤建立,其生长速度没有差异。轮式跑步似乎减少了内部转移,但没有影响肿瘤内的 T 细胞浸润或调节性和细胞毒性 T 细胞的比例。肿瘤负担显著增加单核细胞趋化蛋白-1(MCP-1)的血清水平(P=0.02),并且与脾脏重量相关(P<0.0001,R=0.65)。此外,高肌肉 COX-IV 表达的小鼠肿瘤缺氧显著减少(P=0.01)。总之,这些结果表明,轮式跑步可以减缓原发性和继发性 EO771 乳腺癌肿瘤的建立,并诱导 ApoE 小鼠乳腺肿瘤微环境的有益变化。本研究首次调查了运动对高脂血症模型中肿瘤行为的影响,我们假设轮式跑步将抵消高脂血症产生的促肿瘤环境。轮式跑步减缓了原发性和继发性肿瘤的建立,并降低了肿瘤缺氧,但没有影响 ApoE 小鼠中肿瘤的指数生长。总的来说,自愿轮式跑步诱导了乳腺肿瘤有利的微环境变化。