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Obesity influence on bladder inflammation and cancer: a cystitis model
Cristiano Trindade de Andrade1, Guilherme Zweig Rocha1, Marina Zamuner1
1UroScience, Urology Division, Department of Surgery, State University of Campinas (UNICAMP) Campinas, SP, Brazil.
International Journal of Clinical and Experimental Pathology
|October 14, 2022
Summary
Obesity induced by a high-fat diet exacerbates bladder inflammation and promotes pre-malignant changes. This study highlights how diet impacts inflammatory pathways and urothelial health in a cystitis model.
Area of Science:
- Urology
- Inflammation Research
- Obesity Studies
Background:
- Obesity is increasingly linked to chronic inflammation and higher morbidity.
- Subclinical inflammation's role in obesity is a growing area of research.
- High Body Mass Index (BMI) is associated with increased health risks.
Purpose of the Study:
- To compare inflammatory pathway activation in obese versus non-obese mice exposed to a bladder carcinogen.
- To investigate the effects of a high-fat diet on bladder tissue in a cystitis model.
Main Methods:
- 16 female mice were divided into standard diet (CONTROL) and high-fat diet (OBESE) groups for 8 weeks.
- Both groups received intravesical N-Nitroso-N-methylurea (MNU) instillation.
- Bladder tissues were analyzed for histopathology, protein markers of inflammation (JNK, NFκB, c-JUN, IKK), proliferation, and apoptosis.
Main Results:
- High-fat diet mice exhibited moderate to intense chronic active inflammation with dysplasia.
- Obese mice showed increased urothelial proliferation and apoptosis compared to controls.
- Inflammatory pathway proteins (NFκB, IKKβ, JNK, c-JUN) were significantly upregulated in the urothelium of obese mice.
Conclusions:
- A high-fat diet intensifies bladder inflammation, increases urothelial cell turnover, and promotes dysplasia.
- Obesity-induced inflammation in the bladder may lead to pre-malignant alterations.
- Dietary factors significantly influence inflammatory responses and bladder tissue changes.

