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实验动物中的癌症恶病质、营养不良与组织蛋白质周转

Cancer cachexia, malnutrition, and tissue protein turnover in experimental animals.

作者信息

Tessitore L, Costelli P, Bonetti G, Baccino F M

机构信息

Dipartimento di Medicina ed Oncologia Sperimentale, Università di Torino, Italy.

出版信息

Arch Biochem Biophys. 1993 Oct;306(1):52-8. doi: 10.1006/abbi.1993.1479.

Abstract

The role of malnutrition in the development of cachexia in rats bearing the Yoshida ascites hepatoma AH-130 was investigated by comparing the changes in tissue protein turnover in these animals with those observed in pair-fed controls. The tumor elicited in rats an early and conspicuous loss of body weight and tissue waste. Protein loss was particularly prominent for the gastrocnemius muscle and the heart and less pronounced for the soleus, while the diaphragm was little affected. Liver, kidneys, and spleen transiently increased in weight then regressed and eventually atrophied, while adrenals were enlarged over the whole experimental period. Protein waste was mainly due to acceleration of tissue protein breakdown, this protein hypercatabolic state being associated with increased cathepsin D activity in liver and gastrocnemius. In pair-fed animals the liver showed a marked protein loss resulting from enhanced catabolism, while the sharp decrease of heart protein content and the less prominent waste of the gastrocnemius were due to a reduction in protein synthesis. The total plasmatic concentration of free amino acids in AH-130-bearing rats was decreased at Day 4, when the tumor was actively proliferating, and returned to control values at Day 10, when the tumor had reached a stationary state. On the contrary, in pair-fed animals total plasma amino acids decreased over the whole experimental period. Plasma branched-chain amino acids were unchanged or even decreased in tumor hosts, while the Gly/Pro ratio was elevated in pair-fed rats. The intracellular concentration of free amino acids was higher in stationary than in exponentially- growing tumors, reflecting the enhanced proteolytic rates observed in stationary tumor cells. On the whole, the results suggest that reduced food uptake and metabolic competition by the tumor are not sufficient to justify the marked hypercatabolism in host tissues during the AH-130 hepatoma growth. The profound differences between tumor-bearing and pair-fed animals suggest that, if malnutrition undoubtedly played a role in this model of cancer cachexia, its effects were overwhelmed and subverted in the frame of the tumor-host interplay that dictated a distinctively peculiar syndrome.

摘要

通过比较吉田腹水肝癌AH - 130大鼠与配对喂养对照大鼠的组织蛋白质周转变化,研究了营养不良在该模型大鼠恶病质发生中的作用。肿瘤使大鼠早期出现明显体重减轻和组织消耗。腓肠肌和心脏的蛋白质损失尤为显著,比目鱼肌的损失则较小,而膈肌受影响较小。肝脏、肾脏和脾脏重量短暂增加后又回归并最终萎缩,而肾上腺在整个实验期间都肿大。蛋白质消耗主要是由于组织蛋白质分解加速,这种蛋白质高分解代谢状态与肝脏和腓肠肌中组织蛋白酶D活性增加有关。在配对喂养的动物中,肝脏因分解代谢增强而出现明显的蛋白质损失,而心脏蛋白质含量的急剧下降和腓肠肌不太明显的消耗则是由于蛋白质合成减少。荷AH - 130大鼠在第4天(肿瘤活跃增殖时)血浆游离氨基酸总浓度降低,在第10天(肿瘤达到静止状态时)恢复到对照值。相反,在配对喂养的动物中,血浆总氨基酸在整个实验期间都降低。肿瘤宿主的血浆支链氨基酸不变甚至降低,而配对喂养大鼠的甘氨酸/脯氨酸比值升高。静止期肿瘤细胞内游离氨基酸浓度高于指数生长期肿瘤细胞,这反映了静止期肿瘤细胞中观察到的蛋白水解率增强。总体而言,结果表明,食物摄取减少和肿瘤的代谢竞争不足以解释AH - 130肝癌生长过程中宿主组织明显的高分解代谢。荷瘤动物与配对喂养动物之间的显著差异表明,尽管营养不良在这种癌症恶病质模型中无疑起了作用,但其影响在肿瘤 - 宿主相互作用的框架中被压倒并被颠覆,从而导致了一种独特的综合征。

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