Department of Thoracic Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
J Immunol Res. 2020 Dec 10;2020:6765474. doi: 10.1155/2020/6765474. eCollection 2020.
Obesity could increase the risk of esophageal squamous cell carcinoma (ESCC) and affect its growth and progression, but the mechanical links are unclear. The objective of the study was to explore the impact of obesity on ESCC growth and progression utilizing in vivo trials and cell experiments in vitro. Diet-induced obese and lean nude mice were inoculated with TE-1 cells, then studied for 4 weeks. Serum glucose, insulin, leptin, and visfatin levels were assayed. Sera of nude mice were obtained and then utilized to culture TE-1. MTT, migration and invasion assays, RT-PCR, and Western blotting were used to analyze endocrine effect of obesity on cell proliferation, migration, invasion, and related genes expression of TE-1. Obese nude mice bore larger tumor xenografts than lean animals, and were hyperglycemic and hyperinsulinemic with an elevated level of leptin and visfatin in sera, and also were accompanied by a fatty liver. As for the subcutaneous tumor xenograft model, tumors were more aggressive in obese nude mice than lean animals. Tumor weight correlated positively with mouse body weight, liver weight of mice, serum glucose, HOMA-IR, leptin, and visfatin. Obesity prompted significant TE-1 cell proliferation, migration, and invasion by endocrine mechanisms and impacted target genes. The expression of AMPK and p-AMPK protein decreased significantly ( < 0.05); MMP9, total YAP, p-YAP, and nonphosphorylated YAP protein increased significantly ( < 0.05) in the cells cultured with conditioned media and xenograft tumor from the obese group; the mRNA expression of AMPK decreased significantly ( < 0.05); YAP and MMP9 mRNA expression increased significantly ( < 0.05) in the cells exposed to conditioned media from the obese group. In conclusion, the altered adipokine milieu and metabolites in the context of obesity may promote ESCC growth in vivo; affect proliferation, migration, and invasion of ESCC cells in vitro; and regulate MMP9 and AMPK-YAP signaling pathway through complex effects including the endocrine effect.
肥胖可能会增加食管鳞状细胞癌(ESCC)的风险,并影响其生长和进展,但机械联系尚不清楚。本研究的目的是利用体内试验和体外细胞实验探讨肥胖对 ESCC 生长和进展的影响。将诱导肥胖和瘦的裸鼠接种 TE-1 细胞,然后进行 4 周研究。检测血清葡萄糖、胰岛素、瘦素和内脂素水平。收集裸鼠血清,然后用于培养 TE-1。MTT、迁移和侵袭试验、RT-PCR 和 Western blot 用于分析肥胖对 TE-1 细胞增殖、迁移、侵袭和相关基因表达的内分泌影响。肥胖裸鼠的异种移植肿瘤比瘦鼠大,且血糖和胰岛素升高,血清瘦素和内脂素水平升高,同时伴有脂肪肝。对于皮下肿瘤异种移植模型,肥胖裸鼠的肿瘤比瘦鼠更具侵袭性。肿瘤重量与小鼠体重、小鼠肝重、血清葡萄糖、HOMA-IR、瘦素和内脂素呈正相关。肥胖通过内分泌机制促使 TE-1 细胞显著增殖、迁移和侵袭,并影响靶基因。AMPK 和 p-AMPK 蛋白的表达明显下降(<0.05);MMP9、总 YAP、p-YAP 和非磷酸化 YAP 蛋白在肥胖组培养的条件培养基和异种移植肿瘤中的表达明显增加(<0.05);AMPK 的 mRNA 表达明显下降(<0.05);YAP 和 MMP9 的 mRNA 表达在肥胖组条件培养基暴露的细胞中明显增加(<0.05)。总之,肥胖时改变的脂肪因子环境和代谢物可能促进体内 ESCC 的生长;影响体外 ESCC 细胞的增殖、迁移和侵袭;并通过包括内分泌作用在内的复杂影响调节 MMP9 和 AMPK-YAP 信号通路。