PMID- 26901856 OWN - NLM STAT- MEDLINE DCOM- 20160718 LR - 20220408 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 2 DP - 2016 TI - The Activation of ERK1/2 and JNK MAPK Signaling by Insulin/IGF-1 Is Responsible for the Development of Colon Cancer with Type 2 Diabetes Mellitus. PG - e0149822 LID - 10.1371/journal.pone.0149822 [doi] LID - e0149822 AB - Previous studies showed that type 2 diabetes mellitus (T2DM) is linked to increased risk of developing colon cancer. Insulin and insulin-like growth factor 1 (IGF-1) are increased in patients with T2DM. The increased insulin and IGF-1 may be responsible for the developing of colon cancer. In this study, we investigated the effects and mechanisms of insulin and IGF-1 in colon cancer development in vitro and in vivo. Insulin and IGF-1 alone or together elevated proliferation and reduced apoptosis in colon cancer MC38 cells. Meanwhile, insulin and IGF-1 promoted the phosphorylation of extracellular-signal regulated kinase 1/2 (ERK1/2) and c-Jun N-terminal kinase (JNK). Treatment with ERK1/2 or JNK inhibitor in the presence of insulin and IGF-1 significantly decreased B-cell lymphoma 2 (Bcl-2) and increased Bcl-2-associated X protein (Bax) expression and finally increased apoptosis and inhibited the proliferation. Accelerative colon tumor growth was found in a mouse model of T2DM with db/db mice which got high level of endogenous insulin and IGF-1. Furthermore, the inhibition of ERK1/2 or JNK suppressed the development of colon tumor in vivo. These results suggest that the activation of ERK1/2 and JNK signaling by insulin and IGF-1, at least in part, is responsible for the development of colon cancer with T2DM. FAU - Teng, Jia-An AU - Teng JA AD - Department of Cadre Medicine, Division of Endocrinology and Metabolism, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Wu, San-Gang AU - Wu SG AD - Department of Radiation Oncology, Xiamen Cancer Center, the First affiliated Hospital of Xiamen University, Xiamen, China. FAU - Chen, Jia-Xin AU - Chen JX AD - Department of Radiation Oncology of Clinical Cancer Center, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Li, Qiang AU - Li Q AD - Organ Transplantation Center, Department of Surgery, the Second Xiangya Hospital, Central South University, Changsha, China. FAU - Peng, Fang AU - Peng F AD - Department of Radiation Oncology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Zhu, Zhou AU - Zhu Z AD - Department of Gastrointestinal and Peripheral Vascular Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Qin, Jian AU - Qin J AD - Department of Radiation Oncology of Clinical Cancer Center, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - He, Zhen-Yu AU - He ZY AD - Sun Yat-sen University Cancer Center, State Key laboratory of Oncology in South China, Department of Radiation Oncology, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160222 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (bcl-2-Associated X Protein) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.7.11.24 (JNK Mitogen-Activated Protein Kinases) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Blood Glucose/drug effects MH - Cell Cycle/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Colonic Neoplasms/*etiology/*metabolism MH - Diabetes Mellitus, Type 2/genetics/metabolism MH - Insulin/metabolism/*pharmacology MH - Insulin-Like Growth Factor I/metabolism/*pharmacology MH - JNK Mitogen-Activated Protein Kinases/genetics/*metabolism MH - MAP Kinase Signaling System/drug effects MH - Male MH - Mice MH - bcl-2-Associated X Protein/genetics/metabolism PMC - PMC4763097 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2016/02/24 06:00 MHDA- 2016/07/19 06:00 PMCR- 2016/02/22 CRDT- 2016/02/23 06:00 PHST- 2015/04/27 00:00 [received] PHST- 2016/02/04 00:00 [accepted] PHST- 2016/02/23 06:00 [entrez] PHST- 2016/02/24 06:00 [pubmed] PHST- 2016/07/19 06:00 [medline] PHST- 2016/02/22 00:00 [pmc-release] AID - PONE-D-15-18224 [pii] AID - 10.1371/journal.pone.0149822 [doi] PST - epublish SO - PLoS One. 2016 Feb 22;11(2):e0149822. doi: 10.1371/journal.pone.0149822. eCollection 2016.