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Dietary fat stimulates pancreatic cancer growth and promotes fibrosis of the tumor microenvironment through the cholecystokinin receptor.

American journal of physiology. Gastrointestinal and liver physiology
November 1, 2018
Sandeep Nadella et al. (10 authors)
Journal ArticleResearch Support, N.I.H., ExtramuralAnimal StudyMolecular Study
Study Details

Study Goal

The researchers aimed to determine whether a high-saturated-fat diet promotes pancreatic cancer growth via the CCK-receptor pathway, independent of obesity.

Results Summary

The study found that a high-saturated-fat diet significantly increased pancreatic cancer growth and metastasis, mediated by the CCK-receptor pathway, and that CCK-receptor antagonist therapy reduced tumor fibrosis, altered metalloprotease expression, and increased tumor suppressor genes.

Population

Syngeneic murine models (mice) before obesity onset and genetically engineered CCK peptide knockout mice.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
a diet high in saturated fat
increase
growth and metastasis of pancreatic cancer
syngeneic murine models
-
significantly increased
#1
the CCK-receptor antagonist proglumide
decrease
the stimulatory effect of high-fat diet on pancreatic cancer
syngeneic murine models
-
blocked
#2
dietary fat
no change
cancer growth
pancreatic cancer cells with CCK receptor knockout
-
was unable to stimulate
#3
dietary fat
no change
pancreatic cancer xenograft growth
genetically engineered CCK peptide knockout mice
-
failed to influence
#4
CCK-receptor antagonist therapy
decrease
tumor-associated fibrosis
pancreatic cancer microenvironment
-
significantly decreased
#5
The CCK-receptor antagonist proglumide
neutral
tumor metalloprotease expression
-
-
altered
#6
The CCK-receptor antagonist proglumide
increase
tumor suppressor genes
-
-
increased
#7
Diets high in long-chain saturated fats
increase
growth of pancreatic cancer
-
-
promote
#8
Therapy with a CCK-receptor antagonist
neutral
the tumor microenvironment
-
-
altered
#9
Therapy with a CCK-receptor antagonist
decrease
fibrosis
tumor microenvironment
-
reducing
#10
Therapy with a CCK-receptor antagonist
increase
cluster of differentiation 8+ lymphocytes
tumor microenvironment
-
increasing
#11
Therapy with a CCK-receptor antagonist
increase
tumor suppressor genes
-
-
increasing
#12
Therapy with a CCK-receptor antagonist
decrease
metastases
-
-
decreasing
#13
Abstract

The gastrointestinal peptide cholecystokinin (CCK) is released from the duodenum in response to dietary fat to aid in digestion, and plasma CCK levels are elevated with the consumption of high-fat diets. CCK is also a trophic peptide for the pancreas and has also been shown to stimulate growth of pancreatic cancer. In the current investigation, we studied the influence of a diet high in saturated fat on the growth of pancreatic cancer in syngeneic murine models before the mice became obese to exclude the confounding factors associated with obesity. The high-fat diet significantly increased growth and metastasis of pancreatic cancer compared with the control diet, and the stimulatory effect was blocked by the CCK-receptor antagonist proglumide. We then selectively knocked out the CCK receptor on the pancreatic cancer cells using clustered regularly interspaced short palindromic repeats technology and showed that without CCK-receptors, dietary fat was unable to stimulate cancer growth. We next demonstrated that dietary fat failed to influence pancreatic cancer xenograft growth in genetically engineered CCK peptide knockout mice. The tumor-associated fibrosis that is so prevalent in the pancreatic cancer microenvironment was significantly decreased with CCK-receptor antagonist therapy because fibroblasts also have CCK receptors. The CCK-receptor antagonist proglumide also altered tumor metalloprotease expression and increased tumor suppressor genes by a PCR array. Our studies confirm that a diet high in saturated fat promotes growth of pancreatic cancer and the action is mediated by the CCK-receptor pathway. NEW & NOTEWORTHY Diets high in long-chain saturated fats promote growth of pancreatic cancer independent of obesity. The mechanism through which dietary fat promotes cancer is mediated through the cholecystokinin (CCK) receptor pathway. Therapy with a CCK-receptor antagonist altered the tumor microenvironment by reducing fibrosis, increasing cluster of differentiation 8+ lymphocytes, increasing tumor suppressor genes, and thus decreasing metastases. Use of CCK-receptor antagonist therapy with standard chemotherapy for pancreatic cancer may improve response by altering the tumor microenvironment.

Medical Subject Headings (MeSH)
AnimalsAntineoplastic AgentsCell Line, TumorDietary FatsFemaleFibrosisMaleMiceMice, Inbred C57BLPancreatic NeoplasmsProglumideReceptors, CholecystokininTumor Microenvironment
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations35
Citations/Year5.0
Relative Citation Ratio1.35
NIH Percentile61.2%
Research Impact Scores
APT Score0.50
Weight Score1.19
Normalized Score0.72
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