PMID- 29222347 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20200723 IS - 1940-6215 (Electronic) IS - 1940-6207 (Print) IS - 1940-6215 (Linking) VI - 11 IP - 4 DP - 2018 Apr TI - Pioglitazone Inhibits Periprostatic White Adipose Tissue Inflammation in Obese Mice. PG - 215-226 LID - 10.1158/1940-6207.CAPR-17-0296 [doi] AB - Obesity is associated with an increased incidence of high-grade prostate cancer and poor prognosis for prostate cancer patients. Recently, we showed that obesity-related periprostatic white adipose tissue (WAT) inflammation, characterized by crown-like structures (CLS) consisting of dead or dying adipocytes surrounded by macrophages, was associated with high-grade prostate cancer. It is possible, therefore, that agents that suppress periprostatic WAT inflammation will alter the development or progression of prostate cancer. Pioglitazone, a ligand of PPARgamma, is used to treat diabetes and possesses anti-inflammatory properties. Here, our main objectives were to determine whether pioglitazone inhibited obesity-related periprostatic WAT inflammation in mice and then to elucidate the underlying mechanism. Treatment with pioglitazone reduced the density of CLS in periprostatic fat and suppressed levels of TNFalpha, TGFbeta, and the chemokine monocyte chemoattractant protein-1 (MCP-1). Importantly, the ability of pioglitazone to suppress periprostatic WAT inflammation was abrogated in MCP-1 knockout mice. Pioglitazone caused dose-dependent induction of both adiponectin, an anti-inflammatory adipokine, and its receptor AdipoR2 in cultured 3T3-L1 cells and in periprostatic WAT of obese mice. Pioglitazone blocked TNFalpha-mediated induction of MCP-1 in 3T3-L1 cells, an effect that was attenuated when either adiponectin or AdipoR2 were silenced. Taken together, pioglitazone-mediated induction of adiponectin suppressed the elevation in MCP-1 levels, thereby attenuating obesity-related periprostatic WAT inflammation. These findings strengthen the rationale for future efforts to determine whether targeting the PPARgamma-adiponectin-MCP-1 axis will decrease periprostatic adipose inflammation and thereby reduce the risk of high-grade prostate cancer or improve outcomes for men with prostate cancer. Cancer Prev Res; 11(4); 215-26. (c)2017 AACR. CI - (c)2017 American Association for Cancer Research. FAU - Miyazawa, Miki AU - Miyazawa M AD - Department of Medicine, Weill Cornell Medical College, New York, New York. FAU - Subbaramaiah, Kotha AU - Subbaramaiah K AD - Department of Medicine, Weill Cornell Medical College, New York, New York. FAU - Bhardwaj, Priya AU - Bhardwaj P AD - Department of Medicine, Weill Cornell Medical College, New York, New York. FAU - Zhou, Xi Kathy AU - Zhou XK AD - Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York. FAU - Wang, Hanhan AU - Wang H AD - Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York. FAU - Falcone, Domenick J AU - Falcone DJ AD - Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, New York. FAU - Giri, Dilip D AU - Giri DD AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Dannenberg, Andrew J AU - Dannenberg AJ AD - Department of Medicine, Weill Cornell Medical College, New York, New York. ajdannen@med.cornell.edu. LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States GR - P50 CA092629/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20171208 PL - United States TA - Cancer Prev Res (Phila) JT - Cancer prevention research (Philadelphia, Pa.) JID - 101479409 RN - 0 (Chemokine CCL2) RN - 0 (Hypoglycemic Agents) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Adipose Tissue, White/*drug effects/immunology/metabolism/pathology MH - Animals MH - Cells, Cultured MH - Chemokine CCL2/*physiology MH - Diet, High-Fat/adverse effects MH - Hypoglycemic Agents/*pharmacology MH - Inflammation/*drug therapy/etiology/metabolism/pathology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Mice, Obese MH - Pioglitazone/*pharmacology MH - Prostate/*drug effects/immunology/metabolism/pathology PMC - PMC5882568 MID - NIHMS926475 COIS- Disclosures: None of the authors disclosed potential conflicts of interest. EDAT- 2017/12/10 06:00 MHDA- 2019/06/14 06:00 PMCR- 2019/04/01 CRDT- 2017/12/10 06:00 PHST- 2017/09/15 00:00 [received] PHST- 2017/10/27 00:00 [revised] PHST- 2017/12/01 00:00 [accepted] PHST- 2017/12/10 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2017/12/10 06:00 [entrez] PHST- 2019/04/01 00:00 [pmc-release] AID - 1940-6207.CAPR-17-0296 [pii] AID - 10.1158/1940-6207.CAPR-17-0296 [doi] PST - ppublish SO - Cancer Prev Res (Phila). 2018 Apr;11(4):215-226. doi: 10.1158/1940-6207.CAPR-17-0296. Epub 2017 Dec 8.