Dietary fat stimulates pancreatic cancer growth and promotes fibrosis of the tumor microenvironment through the cholecystokinin receptor.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.