REDOX-DEPENDENT MECHANISMS OF INFLAMMATION IN ADIPOSE TISSUE OF PATIENTS WITH RECTAL CANCER
Keywords:
superoxide radicals, mitochondria, nitric oxide, adipose tissue, rectum cancer.Abstract
Summary. The study of tumor involvement in metabolism changes adjacent to the tumor fatty tissue (ATFT)
are important for understanding the complex relationships between the tumor and fatty tissue (FT) that contribute to the progression of the disease. The source of the
damaging effects on FT can be mitochondrial superoxide
radicals (SR) and NO˙ of tumors, which may contribute to the progression of the latter due to the activation
it redox-dependent pathways. Given the fact that FT
is an important energy source for tumor cells, understanding the mechanism of metabolic symbiosis in tumor
cells from FT can be the basis to create new therapeutic approaches. Objective: to carry out the redox-dependent mechanisms in normal fatty tissue (NFT) obtained
from patients without oncological disease, ATFT at a
distance of 3 cm from the ATFT, the activity of metalloproteinases (MMP-2, -9) in this tissues and the effect of TNF-α in it. Object and Methods: the study was
conducted on 46 samples of ATFT patients with rectal
cancer (RC) II–III stages (pT2–3pN0–2pM0) and 26
samples FT. As control was used the FT of 11 healthy
men, taken after performing liposuction in a specialized medical center, in observance of sterility. Among
the examined patients the number of women and men
was 21 and 25, respectively, and the average age was of
64.0 ± 1.6 years. The used methods were electron paramagnetic resonance at the temperature of liquid nitrogen and the technology Spin Traps, sonograph in polyacrylamide gels, biochemical, and statistical methods.
Results: influencing electron transport chain (ETC) of
mitochondria ATFT, particularly for Complex 1, the
tumor causes an increase in the speed of generating the
SR and, accordingly, oxidative modifications of DNA
in ATFT. The level of generation of SR, and the oxidation-induced DNA mutations in the mitochondria of
the latter, were respectively at 6.1 and 5.8 times higher
in comparison with NFT (p < 0.05, p < 0.05) and 3.7
and 3.5 times higher than those in distant FT (p < 0.05,
p < 0.05). Gelatinase activity of MMP-2, -9 ATFT was
significantly higher than in distant FT. There was a significant effect of in vitro TNF-α on mitochondria ATFT
and distant FT (but not NFT), which is manifested by
increase in cellular hypoxia, speed of generating the SR,
gelatinase activity. Conclusions: under the influence of
factors of a malignant tumor the protumor phenotype is
formed of ATFT, which is characterized by high levels
of SR, oxidative modifications of DNA and activity of
MMP. Incubation of NFT, distant FT and ATFT with
proinflamation cytokine TNF-α causes changes in the
redox state of the mitochondria and activation of several
inflammatory factors (SR, NO˙, MMP) in the tissues,
where there was already reprogramming of metabolism
under the influence of the tumor — in ATFT and, to a
lesser extent, distant FT
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