Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer

Abstract Background Obesity and adult weight gain are linked to increased breast cancer risk and poorer clinical outcomes in postmenopausal women, particularly for hormone-dependent tumors. Menopause is a time when significant weight gain occurs in many women, and clinical and preclinical studies ha...

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Main Authors: Elizabeth A. Wellberg, Karen A. Corleto, L. Allyson Checkley, Sonali Jindal, Ginger Johnson, Janine A. Higgins, Sarina Obeid, Steven M. Anderson, Ann D. Thor, Pepper J. Schedin, Paul S. MacLean, Erin D. Giles
Format: Article
Language:English
Published: BMC 2022-06-01
Series:Breast Cancer Research
Subjects:
Online Access:https://doi.org/10.1186/s13058-022-01535-x
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author Elizabeth A. Wellberg
Karen A. Corleto
L. Allyson Checkley
Sonali Jindal
Ginger Johnson
Janine A. Higgins
Sarina Obeid
Steven M. Anderson
Ann D. Thor
Pepper J. Schedin
Paul S. MacLean
Erin D. Giles
author_facet Elizabeth A. Wellberg
Karen A. Corleto
L. Allyson Checkley
Sonali Jindal
Ginger Johnson
Janine A. Higgins
Sarina Obeid
Steven M. Anderson
Ann D. Thor
Pepper J. Schedin
Paul S. MacLean
Erin D. Giles
author_sort Elizabeth A. Wellberg
collection DOAJ
description Abstract Background Obesity and adult weight gain are linked to increased breast cancer risk and poorer clinical outcomes in postmenopausal women, particularly for hormone-dependent tumors. Menopause is a time when significant weight gain occurs in many women, and clinical and preclinical studies have identified menopause (or ovariectomy) as a period of vulnerability for breast cancer development and promotion. Methods We hypothesized that preventing weight gain after ovariectomy (OVX) may be sufficient to prevent the formation of new tumors and decrease growth of existing mammary tumors. We tested this hypothesis in a rat model of obesity and carcinogen-induced postmenopausal mammary cancer and validated our findings in a murine xenograft model with implanted human tumors. Results In both models, preventing weight gain after OVX significantly decreased obesity-associated tumor development and growth. Importantly, we did not induce weight loss in these animals, but simply prevented weight gain. In both lean and obese rats, preventing weight gain reduced visceral fat accumulation and associated insulin resistance. Similarly, the intervention decreased circulating tumor-promoting growth factors and inflammatory cytokines (i.e., BDNF, TNFα, FGF-2), with greater effects in obese compared to lean rats. In obese rats, preventing weight gain decreased adipocyte size, adipose tissue macrophage infiltration, reduced expression of the tumor-promoting growth factor FGF-1 in mammary adipose, and reduced phosphorylated FGFR indicating reduced FGF signaling in tumors. Conclusions Together, these findings suggest that the underlying mechanisms associated with the anti-tumor effects of weight maintenance are multi-factorial, and that weight maintenance during the peri-/postmenopausal period may be a viable strategy for reducing obesity-associated breast cancer risk and progression in women.
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spelling doaj.art-fe059f40f7664debab0869772fb8b4942022-12-22T02:38:16ZengBMCBreast Cancer Research1465-542X2022-06-0124111310.1186/s13058-022-01535-xPreventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancerElizabeth A. Wellberg0Karen A. Corleto1L. Allyson Checkley2Sonali Jindal3Ginger Johnson4Janine A. Higgins5Sarina Obeid6Steven M. Anderson7Ann D. Thor8Pepper J. Schedin9Paul S. MacLean10Erin D. Giles11Department of Pathology, Harold Hamm Diabetes Center, and Stephenson Cancer Center, University of Oklahoma Health Sciences CenterDepartment of Nutrition, Texas A&M UniversityDivisions of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical CampusDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science UniversityDivisions of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical CampusDepartment of Pediatrics, Endocrinology Section, University of Colorado Anschutz Medical CampusDepartment of Nutrition, Texas A&M UniversityDepartment of Pathology, University of Colorado Anschutz Medical CampusDepartment of Pathology, University of Colorado Anschutz Medical CampusDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science UniversityDivisions of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical CampusSchool of Kinesiology, University of MichiganAbstract Background Obesity and adult weight gain are linked to increased breast cancer risk and poorer clinical outcomes in postmenopausal women, particularly for hormone-dependent tumors. Menopause is a time when significant weight gain occurs in many women, and clinical and preclinical studies have identified menopause (or ovariectomy) as a period of vulnerability for breast cancer development and promotion. Methods We hypothesized that preventing weight gain after ovariectomy (OVX) may be sufficient to prevent the formation of new tumors and decrease growth of existing mammary tumors. We tested this hypothesis in a rat model of obesity and carcinogen-induced postmenopausal mammary cancer and validated our findings in a murine xenograft model with implanted human tumors. Results In both models, preventing weight gain after OVX significantly decreased obesity-associated tumor development and growth. Importantly, we did not induce weight loss in these animals, but simply prevented weight gain. In both lean and obese rats, preventing weight gain reduced visceral fat accumulation and associated insulin resistance. Similarly, the intervention decreased circulating tumor-promoting growth factors and inflammatory cytokines (i.e., BDNF, TNFα, FGF-2), with greater effects in obese compared to lean rats. In obese rats, preventing weight gain decreased adipocyte size, adipose tissue macrophage infiltration, reduced expression of the tumor-promoting growth factor FGF-1 in mammary adipose, and reduced phosphorylated FGFR indicating reduced FGF signaling in tumors. Conclusions Together, these findings suggest that the underlying mechanisms associated with the anti-tumor effects of weight maintenance are multi-factorial, and that weight maintenance during the peri-/postmenopausal period may be a viable strategy for reducing obesity-associated breast cancer risk and progression in women.https://doi.org/10.1186/s13058-022-01535-xDietObesityAnimal modelsCancer interceptionInflammationCytokines
spellingShingle Elizabeth A. Wellberg
Karen A. Corleto
L. Allyson Checkley
Sonali Jindal
Ginger Johnson
Janine A. Higgins
Sarina Obeid
Steven M. Anderson
Ann D. Thor
Pepper J. Schedin
Paul S. MacLean
Erin D. Giles
Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
Breast Cancer Research
Diet
Obesity
Animal models
Cancer interception
Inflammation
Cytokines
title Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
title_full Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
title_fullStr Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
title_full_unstemmed Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
title_short Preventing ovariectomy-induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
title_sort preventing ovariectomy induced weight gain decreases tumor burden in rodent models of obesity and postmenopausal breast cancer
topic Diet
Obesity
Animal models
Cancer interception
Inflammation
Cytokines
url https://doi.org/10.1186/s13058-022-01535-x
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