内分泌外分泌信号が肥満に関連した臓管内腺癌を誘発する
Katherine Minjee Chung1, Jaffarguriqbal Singh2, Lauren Lawres2
1Koch Institute for Integrative Cancer Research at MIT, Cambridge, MA 02139, USA.
Cell
|April 19, 2020
まとめ
肥満は新しい変異ではなく,微小環境の変化によって臓がん (PDAC) の進行を促進します. 体重減少は,この効果を逆転させ,癌の発症における小島細胞のシグナリングを強調します.
科学分野:
- 腫瘍学
- 内分泌学
- 代謝疾患の研究
背景:
- 肥満は臓管腺がん (PDAC) の重要なリスク因子です.
- 肥満がPDACの進行に影響する正確なメカニズムとタイミングは不明である.
研究 の 目的:
- 肥満とPDACの早期進行との因果関係を解明する.
- 肥満がPDAC腫瘍形成に及ぼす影響を媒介する分子および微環境的要因を特定する.
主な方法:
- 初期のPDACの発達を研究するために本土のマウスモデルを使用した.
- ヒトとマウスのサンプルを 分子分析した.
- 肥満に関連するPDACにおける臓小島細胞の適応とペプチドホルモン発現の役割を調査した.
主要な成果:
- 早期PDAC腫瘍形成の促進における肥満の因果と逆転の役割が示された.
- 遺伝子や食事によって引き起こされる 体重減少が 癌の発症を効果的に阻害することを示しました
- 肥満における異常なベータ細胞発現 (Cck) が確認され,これはKras主導のPDACを促進する.
- 肥満に関連した微小環境の変化が PDACの進行を誘導する事が分かりました
結論:
- 肥満は局所的な腫瘍の微小環境の変化によってPDACの進行を著しく促進する.
- 肥満に起因するPDACにおいて 異常な小島細胞シグナル伝達,特にCckは重要な役割を果たします.
- インスリン以外の内分泌外分泌信号はPDACの発現に関与しており,潜在的な治療標的を提供している.
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