HCC development is associated to peripheral insulin resistance in a mouse model of NASH

NAFLD is the most common liver disease worldwide but it is the potential evolution to NASH and eventually to hepatocellular carcinoma (HCC), even in the absence of cirrhosis, that makes NAFLD of such clinical importance. we aimed to create a mouse model reproducing the pathological spectrum of NAFLD...

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Veröffentlicht in:PloS one 2014-05, Vol.9 (5), p.e97136
Hauptverfasser: De Minicis, Samuele, Agostinelli, Laura, Rychlicki, Chiara, Sorice, Gian Pio, Saccomanno, Stefania, Candelaresi, Cinzia, Giaccari, Andrea, Trozzi, Luciano, Pierantonelli, Irene, Mingarelli, Eleonora, Marzioni, Marco, Muscogiuri, Giovanna, Gaggini, Melania, Benedetti, Antonio, Gastaldelli, Amalia, Guido, Maria, Svegliati-Baroni, Gianluca
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creator De Minicis, Samuele
Agostinelli, Laura
Rychlicki, Chiara
Sorice, Gian Pio
Saccomanno, Stefania
Candelaresi, Cinzia
Giaccari, Andrea
Trozzi, Luciano
Pierantonelli, Irene
Mingarelli, Eleonora
Marzioni, Marco
Muscogiuri, Giovanna
Gaggini, Melania
Benedetti, Antonio
Gastaldelli, Amalia
Guido, Maria
Svegliati-Baroni, Gianluca
description NAFLD is the most common liver disease worldwide but it is the potential evolution to NASH and eventually to hepatocellular carcinoma (HCC), even in the absence of cirrhosis, that makes NAFLD of such clinical importance. we aimed to create a mouse model reproducing the pathological spectrum of NAFLD and to investigate the role of possible co-factors in promoting HCC. mice were treated with a choline-deficient L-amino-acid-defined-diet (CDAA) or its control (CSAA diet) and subjected to a low-dose i.p. injection of CCl4 or vehicle. Insulin resistance was measured by the euglycemic-hyperinsulinemic clamp method. Steatosis, fibrosis and HCC were evaluated by histological and molecular analysis. CDAA-treated mice showed peripheral insulin resistance at 1 month. At 1-3 months, extensive steatosis and fibrosis were observed in CDAA and CDAA+CCl4 groups. At 6 months, equal increase in steatosis and fibrosis was observed between the two groups, together with the appearance of tumor. At 9 months of treatment, the 100% of CDAA+CCl4 treated mice revealed tumor versus 40% of CDAA mice. Insulin-like Growth Factor-2 (IGF-2) and Osteopontin (SPP-1) were increased in CDAA mice versus CSAA. Furthermore, Immunostaining for p-AKT, p-c-Myc and Glypican-3 revealed increased positivity in the tumors. the CDAA model promotes the development of HCC from NAFLD-NASH in the presence of insulin resistance but in the absence of cirrhosis. Since this condition is increasingly recognized in humans, our study provides a model that may help understanding mechanisms of carcinogenesis in NAFLD.
doi_str_mv 10.1371/journal.pone.0097136
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Since this condition is increasingly recognized in humans, our study provides a model that may help understanding mechanisms of carcinogenesis in NAFLD.</description><subject>Age Factors</subject><subject>AKT protein</subject><subject>Amino acids</subject><subject>Analysis</subject><subject>Animals</subject><subject>Biocompatibility</subject><subject>Biology and Life Sciences</subject><subject>Biomedical materials</subject><subject>c-Myc protein</subject><subject>Carbon tetrachloride</subject><subject>Carcinogenesis</subject><subject>Carcinogens</subject><subject>Carcinoma, Hepatocellular - etiology</subject><subject>Choline</subject><subject>Choline Deficiency</subject><subject>Cirrhosis</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Disease Models, Animal</subject><subject>Endocrinology</subject><subject>Fibrosis</subject><subject>Food, Formulated</subject><subject>Gastroenterology</subject><subject>Growth factors</subject><subject>Heparan sulfate 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Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Minicis, Samuele</au><au>Agostinelli, Laura</au><au>Rychlicki, Chiara</au><au>Sorice, Gian Pio</au><au>Saccomanno, Stefania</au><au>Candelaresi, Cinzia</au><au>Giaccari, Andrea</au><au>Trozzi, Luciano</au><au>Pierantonelli, Irene</au><au>Mingarelli, Eleonora</au><au>Marzioni, Marco</au><au>Muscogiuri, Giovanna</au><au>Gaggini, Melania</au><au>Benedetti, Antonio</au><au>Gastaldelli, Amalia</au><au>Guido, Maria</au><au>Svegliati-Baroni, Gianluca</au><au>Bartosch, Birke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HCC development is associated to peripheral insulin resistance in a mouse model of NASH</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-05-22</date><risdate>2014</risdate><volume>9</volume><issue>5</issue><spage>e97136</spage><pages>e97136-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>NAFLD is the most common liver disease worldwide but it is the potential evolution to NASH and eventually to hepatocellular carcinoma (HCC), even in the absence of cirrhosis, that makes NAFLD of such clinical importance. we aimed to create a mouse model reproducing the pathological spectrum of NAFLD and to investigate the role of possible co-factors in promoting HCC. mice were treated with a choline-deficient L-amino-acid-defined-diet (CDAA) or its control (CSAA diet) and subjected to a low-dose i.p. injection of CCl4 or vehicle. Insulin resistance was measured by the euglycemic-hyperinsulinemic clamp method. Steatosis, fibrosis and HCC were evaluated by histological and molecular analysis. CDAA-treated mice showed peripheral insulin resistance at 1 month. At 1-3 months, extensive steatosis and fibrosis were observed in CDAA and CDAA+CCl4 groups. At 6 months, equal increase in steatosis and fibrosis was observed between the two groups, together with the appearance of tumor. At 9 months of treatment, the 100% of CDAA+CCl4 treated mice revealed tumor versus 40% of CDAA mice. Insulin-like Growth Factor-2 (IGF-2) and Osteopontin (SPP-1) were increased in CDAA mice versus CSAA. Furthermore, Immunostaining for p-AKT, p-c-Myc and Glypican-3 revealed increased positivity in the tumors. the CDAA model promotes the development of HCC from NAFLD-NASH in the presence of insulin resistance but in the absence of cirrhosis. Since this condition is increasingly recognized in humans, our study provides a model that may help understanding mechanisms of carcinogenesis in NAFLD.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24853141</pmid><doi>10.1371/journal.pone.0097136</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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1932-6203
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry
subjects Age Factors
AKT protein
Amino acids
Analysis
Animals
Biocompatibility
Biology and Life Sciences
Biomedical materials
c-Myc protein
Carbon tetrachloride
Carcinogenesis
Carcinogens
Carcinoma, Hepatocellular - etiology
Choline
Choline Deficiency
Cirrhosis
Diabetes
Diet
Disease Models, Animal
Endocrinology
Fibrosis
Food, Formulated
Gastroenterology
Growth factors
Heparan sulfate proteoglycans
Hepatocellular carcinoma
Hepatology
Inflammation
Insulin
Insulin resistance
Insulin Resistance - physiology
Insulin-Like Growth Factor II - metabolism
Insulin-like growth factors
Liver
Liver cancer
Liver cirrhosis
Liver diseases
Liver Neoplasms - etiology
Medicine and Health Sciences
Metabolic disorders
Metabolic syndrome
Mice
Non-alcoholic Fatty Liver Disease - complications
Non-alcoholic Fatty Liver Disease - physiopathology
Nutrient deficiency
Obesity
Osteopontin
Osteopontin - metabolism
Pathogenesis
Physiology
Proto-Oncogene Proteins c-myc - metabolism
Research and Analysis Methods
Rodents
Steatosis
Tumors
title HCC development is associated to peripheral insulin resistance in a mouse model of NASH
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