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Evidence for a tumor promoting effect of high-fat diet independent of insulin resistance in HER2/Neu mammary carcinogenesis

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Abstract

The mechanism of the association between breast cancer and obesity remains unknown. To investigate this mice over-expressing HER2/Neu in the mammary gland (MMTV-HER2/Neu) were fed either a high-fat diet (45% of calories) (HFD) or low-fat diet (10%) (LFD) from 4 weeks of age and followed for up to 1 year, or sacrificed when a mammary tumor reached 1.5 cm. There was a small but significant increase in body weight on HFD (P < 0.05) and the HFD mice displayed a greater fat mass determined by MRI (P < 0.01). Mild glucose intolerance was observed from 3 months of age on HFD, but insulin levels were not elevated. While the time of onset of a first tumor and tumor growth rates were not altered, mice on HFD had an earlier onset of a second tumor and a twofold greater incidence (LFD 25%, HFD 54%) and a greater absolute number of multiple tumors (tumors/mouse, LFD 1.5 ± 0.25 vs. HFD 2.7 ± 0.23, P < 0.01). Consistent with a lack of hyperinsulinemia, immunoblotting of skeletal muscle lysates from mice injected with insulin showed no insulin resistance determined by the phosphorylation of Akt/PKB. Similarly, there was no difference in basal or maximum insulin-stimulated phosphorylation of IRS-1/2, Akt/PKB, or p70 S6K in tumor cell lysates from HFD and LFD groups. Immunohistochemistry revealed no difference in tumor tissue staining for the proliferative marker, Ki67, between diets. These data indicate that HFD, in the absence of significant insulin resistance, mediates a tumor promoting, but not a tumor growth effect in this model of mammary carcinogenesis.

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References

  1. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ (2009) Cancer statistics, 2009. CA Cancer J Clin [Epub ahead of print]. doi:10.3322/caac.20006

  2. Armstrong K, Eisen A, Weber B (2000) Assessing the risk of breast cancer. N Engl J Med 342:564–571

    Article  CAS  PubMed  Google Scholar 

  3. King MC, Marks JH, Mandell JB (2003) Breast and ovarian cancer risks due to inherited mutations in BRCA1 and BRCA2. Science 302:643–646

    Article  CAS  PubMed  Google Scholar 

  4. McTiernan A (1997) Exercise and breast cancer—time to get moving? N Engl J Med 336:1311–1312

    Article  CAS  PubMed  Google Scholar 

  5. Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348:1625–1638

    Article  PubMed  Google Scholar 

  6. Cleary MP, Maihle NJ (1997) The role of body mass index in the relative risk of develo** premenopausal versus postmenopausal breast cancer. Proc Soc Exp Biol Med 216:28–43

    CAS  PubMed  Google Scholar 

  7. Dupont WD, Page DL (1985) Risk factors for breast cancer in women with proliferative breast disease. N Engl J Med 312:146–151

    Article  CAS  PubMed  Google Scholar 

  8. Senie RT, Rosen PP, Rhodes P, Lesser ML, Kinne DW (1992) Obesity at diagnosis of breast carcinoma influences duration of disease-free survival. Ann Intern Med 116:26–32

    CAS  PubMed  Google Scholar 

  9. Manjer J, Kaaks R, Riboli E, Berglund G (2001) Risk of breast cancer in relation to anthropometry, blood pressure, blood lipids and glucose metabolism: a prospective study within the Malmo Preventive Project. Eur J Cancer Prev 10:33–42

    Article  CAS  PubMed  Google Scholar 

  10. Expert Panel on Detection, evaluation, and Treatment of High Blood Cholesterol in Adults (2001) Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 285:2486–2497

    Article  Google Scholar 

  11. Alberti KG, Zimmet P, Shaw J, IDF Epidemiology Task Force Consensus Group (2005) The metabolic syndrome. A new worldwide definition. Lancet 366:1059–1062

    Article  PubMed  Google Scholar 

  12. Meigs JB (2003) Epidemiology of the insulin resistance syndrome. Curr Diabetes Rep 3:73–79

    Article  Google Scholar 

  13. Sinagra D, Amato C, Scarpilta AM, Briganda M, Amato M, Saura G, Latteri MA, Caimi G (2002) Metabolic syndrome and breast cancer risk. Eur Rev Med Pharmacol Sci 6:55–59

    CAS  PubMed  Google Scholar 

  14. Xue F, Michels KB (2007) Diabetes, metabolic syndrome, and breast cancer: a review of the current evidence. Am J Clin Nutr 86:s823–s835

    PubMed  Google Scholar 

  15. Michels KB, Solomon CG, Hu FB, Rosner BA, Hankinson SE, Colditz GA, Manson JE (2003) Type 2 Diabetes and subsequent incidence of breast cancer in the nurses’ health study. Diabetes Care 26:1752–1758

    Article  PubMed  Google Scholar 

  16. Lipscombe LL, Goodwin PJ, Zinman B, McLaughlin JR, Hux JE (2006) Increased prevalence of prior breast cancer in women with newly diagnosed diabetes. Breast Cancer Res Treat 98:303–309

    Article  PubMed  Google Scholar 

  17. DelGiudice ME, Fantus IG, Ezzat S, McKeown-Eyssen G, Page D, Goodwin PJ (1998) Insulin and related factors in premenopausal breast cancer risk. Breast Cancer Res Treat 47:111–120

    Article  CAS  Google Scholar 

  18. Goodwin PJ, Ennis M, Pritchard KI, Trudeau ME, Koo J, Madarnas Y, Hartwick W, Hoffman B, Hood N (2002) Fasting insulin and outcome in early-stage breast cancer: results of a prospective cohort study. J Clin Oncol 20:42–51

    Article  CAS  PubMed  Google Scholar 

  19. Borugian MJ, Sheps SB, Kim-Sing C, VanPatten C, Potter JD, Dunn B, Gallagher RP, Hislop TG (2004) Insulin, macronutrient intake, and physical activity: are potential indicators of insulin resistance associated with mortality from breast cancer? Cancer Epidemiol Biomarkers Prev 13:1163–1172

    CAS  PubMed  Google Scholar 

  20. Lawlor DA, Smith GD, Ebrahim S (2004) Hyperinsulinaemia and increased risk of breast cancer: findings from the British Women’s Heart and Health Study. Cancer Causes Control 15:267–275

    Article  PubMed  Google Scholar 

  21. Milazzo G, Sciacca L, Papa V, Goldfine ID, Vigneri R (1997) ASPB10 insulin induction of increased mitogenic responses and phenotypic changes in human breast epithelial cells: evidence for enhanced interactions with the insulin-like growth factor-1 receptor. Mol Carcinog 18:19–25

    Article  CAS  PubMed  Google Scholar 

  22. Carroll KK, Braden LM (1984) Dietary fat and mammary carcinogenesis. Nutr Cancer 6:254–259

    Article  CAS  PubMed  Google Scholar 

  23. Braden LM, Carroll KK (1986) Dietary polyunsaturated fat in relation to mammary carcinogenesis in rats. Lipids 21:285–288

    Article  CAS  PubMed  Google Scholar 

  24. Hakkak R, Holley AW, Macleod SL, Simpson PM, Fuchs GJ, Jo CH, Kieber-Emmons T, Korourian S (2005) Obesity promotes 7, 12-dimethylbenz(a)anthracene-induced mammary tumor development in female zucker rats. Breast Cancer Res 7:R627–R633

    Article  CAS  PubMed  Google Scholar 

  25. Rose DP, Hatala MA, Connolly JM, Rayburn J (1993) Effect of diets containing different levels of linoleic acid on human breast cancer growth and lung metastasis in nude mice. Cancer Res 53:4686–4690

    CAS  PubMed  Google Scholar 

  26. Nunez NP, Perkins SN, Smith NC, Berrigan D, Berendes DM, Varticovski L, Barrett JC, Hursting SD (2008) Obesity accelerates mouse mammary tumor growth in the absence of ovarian hormones. Nutr Cancer 60:534–541

    Article  CAS  PubMed  Google Scholar 

  27. Nunez NP, Oh WJ, Rozenberg J, Perella C, Anver M, Barrett JC, Perkins SN, Berrigan D, Moitra J, Varticovski L, Hursting SD, Vinson C (2006) Accelerated tumor formation in a fatless mouse with type 2 diabetes and inflammation. Cancer Res 66:5469–5476

    Article  CAS  PubMed  Google Scholar 

  28. Bouchard L, Lamarre L, Tremblay PJ, Jolicoeur P (1989) Stochastic appearance of mammary tumors in transgenic mice carrying the MMTV/c-neu oncogene. Cell 57:707–712

    Article  Google Scholar 

  29. Siegel PM, Dankort DL, Hardy WR, Muller WJ (1994) Novel activating mutations in the neu proto-oncogene involved in induction of mammary tumors. Mol Cell Biol 14:7068–7077

    CAS  PubMed  Google Scholar 

  30. Guy CT, Webster MA, Schaller M, Parsons TJ, Cardiff RD, Muller WJ (1992) Expression of the neu protooncogene in the mammary epithelium of transgenic mice induces metastatic disease. Proc Natl Acad Sci USA 89:10578–10582

    Article  CAS  PubMed  Google Scholar 

  31. Wachsberger PR, Burd R, Marero N, Daskalakis C, Ryan A, McCue P, Dicker AP (2005) Effect of the tumor vascular-damaging agent, ZD6126, on the radioresponse of U87 glioblastoma. Clin Cancer Res 11:835–842

    CAS  PubMed  Google Scholar 

  32. Anai M, Funaki M, Ogihara T, Kanda A, Onishi Y, Sakoda H, Inukai K, Nawano M, Fukushima Y, Yazaki Y, Kikuchi M, Oka Y, Asano T (1999) Enhanced insulin-stimulated activation of phosphatidylinositol 3-kinase in the liver of high-fat-fed rats. Diabetes 48:158–169

    Article  CAS  PubMed  Google Scholar 

  33. Wolf G, Trub T, Ottinger E, Groninga L, Lynch A, White MF, Miyazaki M, Lee J, Shoelson SE (1995) PTB domains of IRS-1 and Shc have distinct but overlap** binding specificities. J Biol Chem 270:27407–27410

    Article  CAS  PubMed  Google Scholar 

  34. Hu CC, Qing K, Chen Y (2004) Diet-induced changes in stearoyl-CoA desaturase 1 expression in obesity-prone and -resistant mice. Obes Res 12:1264–1270

    Article  CAS  PubMed  Google Scholar 

  35. Perreault M, Marette A (2001) Targeted disruption of inducible nitric oxide synthase protects against obesity-linked insulin resistance in muscle. Nat Med 7:1138–1143

    Article  CAS  PubMed  Google Scholar 

  36. Stoll BA (1998) Western diet, early puberty, and breast cancer risk. Breast Cancer Res Treat 49:187–193

    Article  CAS  PubMed  Google Scholar 

  37. MacMahon B, Trichopoulos D, Brown J, Andersen AP, Cole P, deWaard F, Kauraniemi T, Polychronopoulou A, Ravnihar B, Stormby N, Westlund K (1982) Age at menarche, urine estrogens and breast cancer risk. Int J Cancer 30:427–431

    Article  CAS  PubMed  Google Scholar 

  38. Stoll BA, Vatten LJ, Kvinnsland S (1994) Does early physical maturity influence breast cancer risk? Acta Oncol 33:171–176

    Article  CAS  PubMed  Google Scholar 

  39. Clavel-Chapelon F, Launoy G, Auquier A, Gairard B, Bremond A, Piana L, Lansac J, Renaud R (1995) Reproductive factors and breast cancer risk. Effect of age at diagnosis. Ann Epidemiol 5:315–320

    Article  CAS  PubMed  Google Scholar 

  40. Stoll BA (1998) Teenage obesity in relation to breast cancer risk. Int J Obes Relat Metab Disord 22:1035–1040

    Article  CAS  PubMed  Google Scholar 

  41. Gee JM, Robertson JF, Gutteridge E, Ellis IO, Pinder SE, Rubini M, Nicholson RI (2005) Epidermal growth factor receptor/HER2/insulin-like growth factor receptor signalling and oestrogen receptor activity in clinical breast cancer. Endocr Relat Cancer 12:S99–S111

    Article  CAS  PubMed  Google Scholar 

  42. Stoll BA (1998) Essential fatty acids, insulin resistance, and breast cancer risk. Nutr Cancer 31:72–77

    Article  CAS  PubMed  Google Scholar 

  43. Cleary MP, Grande JP, Maihle NJ (2004) Effect of high fat diet on body weight and mammary tumor latency in MMTV-TGF-alpha mice. Int J Obes Relat Metab Disord 28:956–962

    Article  CAS  PubMed  Google Scholar 

  44. Cleary MP, Grande JP, Juneja SC, Maihle NJ (2004) Diet-induced obesity and mammary tumor development in MMTV-neu female mice. Nutr Cancer 50:174–180

    Article  PubMed  Google Scholar 

  45. Lorincz AM, Sukumar S (2006) Molecular links between obesity and breast cancer. Endocr Relat Cancer 13:292–379

    Article  CAS  Google Scholar 

  46. Papa V, Costantino A, Belfiore A (1997) Insulin receptor what role in breast cancer? Trends Endocrinol Metab 8:306–312

    Article  CAS  PubMed  Google Scholar 

  47. Hardy S, Langelier Y, Prentki M (2000) Oleate activates phosphatidylinositol 3-kinase and promotes proliferation and reduces apoptosis of MDA-MB-231 breast cancer cells, whereas palmitate has opposite effects. Cancer Res 60:6353–6358

    CAS  PubMed  Google Scholar 

  48. Saadatian-Elahi M, Norat T, Goudable J, Riboli E (2004) Biomarkers of dietary fatty acid intake and the risk of breast cancer: a meta-analysis. Int J Cancer 111:584–591

    Article  CAS  PubMed  Google Scholar 

  49. Lee MM, Lin SS (2000) Dietary fat and breast cancer. Annu Rev Nutr 20:221–248

    Article  CAS  PubMed  Google Scholar 

  50. Pollak M (2008) Insulin, insulin-like growth factors and neoplasia. Best Pract Res Clin Endocrinol Metab 22:625–638

    Article  CAS  PubMed  Google Scholar 

  51. Somasundar P, Yu AK, Vona-Davis L, McFadden DW (2003) Differential effects of leptin on cancer in vitro. J Surg Res 113:50–55

    Article  CAS  PubMed  Google Scholar 

  52. Goodwin PJ, Ennis M, Fantus IG, Pritchard KI, Trudeau ME, Koo J, Hood N (2005) Is leptin a mediator of adverse prognostic effects of obesity in breast cancer? J Clin Oncol 23:6037–6042

    Article  CAS  PubMed  Google Scholar 

  53. Ukkola O, Santaniemi M (2002) Adiponectin: a link between excess adiposity and associated comorbidities? J Mol Med 80:696–702

    Article  CAS  PubMed  Google Scholar 

  54. Mantzoros C, Petridou E, Dessypris N, Chavelas C, Dalamaga M, Alexe DM, Papadiamantis Y, Markopoulos C, Spanos E, Chrousos G, Trichopoulos D (2004) Adiponectin and breast cancer risk. J Clin Endocrinol Metab 89:1102–1107

    Article  CAS  PubMed  Google Scholar 

  55. Wang Y, Lam JB, Lam KSL, Liu J, Lam MC, Hoo RLC, Wu D, Cooper GJS, Xu A (2006) Adiponectin modulates the glycogen synthase kinase-3beta/beta-catenin signaling pathway and attenuates mammary tumorigenesis of MDA-MB-231 cells in nude mice. Cancer Res 66:11462–11470

    Article  CAS  PubMed  Google Scholar 

  56. Wang Y, Lam JB, Xu A (2007) Adiponectin as a negative regulator in obesity-related mammary carcinogenesis. Cell Res 17:280–282

    Article  CAS  PubMed  Google Scholar 

  57. Warburg O (1956) Origin of cancer cells. Oncologia 9:75–83

    Article  CAS  PubMed  Google Scholar 

  58. Young CD, Anderson SM (2008) Sugar and fat—that’s where it’s at: metabolic changes in tumors. Breast Cancer Res 10:202

    Article  PubMed  CAS  Google Scholar 

  59. DeBerardinis RJ, Lum JJ, Hatzivassiliou G, Thompson CB (2008) The biology of cancer: metabolic reprogramming fuels cell growth and proliferation. Cell Metab 7:11–20

    Article  CAS  PubMed  Google Scholar 

  60. Heiden MG, Cantley CC, Thompson CB (2009) Understanding the Warburg effect: the metabolic requirements of cell proliferation. Science 324:1029–1033

    Article  CAS  Google Scholar 

  61. DeSchrijver E, Brusselmansk K, Heyns W, Verhoeven G, Swinnen JV (2003) RNA interference-mediated silencing of the fatty acid synthase gene attenuates growth and induces morphological changes and apoptosis of LNCaP prostate cancer cells. Cancer Res 63:3799–3804

    CAS  Google Scholar 

  62. Chajes V, Cambot M, Moreau K, Lenoir GM, Joulin V (2006) Acetyl-CoA carboxylase α is essential to breast cancer cell survival. Cancer Res 66:5287–5294

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This work was funded by a Canadian Breast Cancer Research Alliance and Canadian Institutes of Health Research Translational Acceleration Research Grant (TAG) # 016512 to IGF. SK was supported by the TAG and in part by the Marvelle Koffler Breast Cancer Research Centre, Mount Sinai Hospital.

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Correspondence to I. George Fantus.

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Khalid, S., Hwang, D., Babichev, Y. et al. Evidence for a tumor promoting effect of high-fat diet independent of insulin resistance in HER2/Neu mammary carcinogenesis. Breast Cancer Res Treat 122, 647–659 (2010). https://doi.org/10.1007/s10549-009-0586-8

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