PMID- 30025403 OWN - NLM STAT- MEDLINE DCOM- 20190110 LR - 20190110 IS - 1423-0194 (Electronic) IS - 0028-3835 (Linking) VI - 107 IP - 3 DP - 2018 TI - Chemoprevention with Enalapril and Aspirin in Men1(+/T) Knockout Mouse Model. PG - 257-266 LID - 10.1159/000492224 [doi] AB - Pancreatic neuroendocrine neoplasias (pNEN) are the most common cause of death in adult patients with multiple endocrine neoplasia type 1 (MEN1). So far, only few chemopreventive strategies (e.g., with somatostatin analogues) have been evaluated for MEN1 associated pNENs. In this experimental study on 75 Men1(+/T) knockout mice, the effect of aspirin (n = 25) and an inhibitor of angiotensin-I converting enzyme (enalapril, n = 25) compared to controls (n = 25) were evaluated as single chemopreventive strategies for pNENs after 6, 9, 12, 15, and 18 months. After each study period, mice were sacrificed and the resected pancreata were evaluated by histopathological analysis, immunostaining, and real-time PCR. PNEN size and number was measured. Aspirin and enalapril lead to a pNEN size reduction of 80% (167,518 vs. 838,876 microm2, p < 0.001) and 79% (174,758 vs. 838,876 microm2, p < 0.001) compared to controls. Furthermore, aspirin and enalapril treatment resulted in a significant reduction of the number of pNENs by 33%, (p = 0.04) and 41% (p = 0.002) respectively. The apoptosis marker caspase 3 revealed a higher positive expression in pNEN of treated Men1(+/T) mice. Immunostaining of VEGF in pNEN detected a downregulation of its expression in treated Men1(+/T) mice compared to the control group. REL A transcript was significantly downregulated in 18-months treated enalapril Men1(+/T) mice, but not in aspirin-treated Men1(+/T) mice. There was no significant difference in the Ki-67 index. Using a transgenic mouse model that imitates human MEN1, this study provides first evidence that aspirin and enalapril are effective chemopreventive agents that aid in the progression of pNENs. CI - (c) 2018 S. Karger AG, Basel. FAU - Manoharan, Jerena AU - Manoharan J AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germanyjerena_manoharan@outlook.com. FAU - Fendrich, Volker AU - Fendrich V AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Di Fazio, Pietro AU - Di Fazio P AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Bollmann, Carmen AU - Bollmann C AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Roth, Silvia AU - Roth S AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Joos, Barbara AU - Joos B AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Mintziras, Ioannis AU - Mintziras I AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Albers, Max B AU - Albers MB AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Ramaswamy, Annette AU - Ramaswamy A AD - Department of Pathology, Philipps University Marburg, Marburg, Germany. FAU - Bertolino, Philippe AU - Bertolino P AD - Centre de Recherche en Cancerologie de Lyon, Inserm U1052, CNRS UMR5286, Universite Lyon 1, Lyon, France. FAU - Zhang, Chang X AU - Zhang CX AD - Centre de Recherche en Cancerologie de Lyon, Inserm U1052, CNRS UMR5286, Universite Lyon 1, Lyon, France. FAU - Slater, Emily P AU - Slater EP AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Bartsch, Detlef K AU - Bartsch DK AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. FAU - Lopez-Lopez, Caroline L AU - Lopez-Lopez CL AD - Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany. LA - eng PT - Journal Article DEP - 20180719 PL - Switzerland TA - Neuroendocrinology JT - Neuroendocrinology JID - 0035665 RN - 0 (Men1 protein, mouse) RN - 0 (Proto-Oncogene Proteins) RN - 69PN84IO1A (Enalapril) RN - R16CO5Y76E (Aspirin) SB - IM MH - Animals MH - Aspirin/*therapeutic use MH - Chemoprevention/*methods MH - Enalapril/*therapeutic use MH - Mice MH - Mice, Knockout MH - Multiple Endocrine Neoplasia Type 1/genetics/*pathology MH - Neuroendocrine Tumors/genetics/pathology/*prevention & control MH - Pancreatic Neoplasms/genetics/pathology/*prevention & control MH - Proto-Oncogene Proteins/*genetics OTO - NOTNLM OT - Aspirin OT - Chemoprevention OT - Enalapril OT - Multiple endocrine neoplasia type 1 EDAT- 2018/07/20 06:00 MHDA- 2019/01/11 06:00 CRDT- 2018/07/20 06:00 PHST- 2018/03/26 00:00 [received] PHST- 2018/07/18 00:00 [accepted] PHST- 2018/07/20 06:00 [pubmed] PHST- 2019/01/11 06:00 [medline] PHST- 2018/07/20 06:00 [entrez] AID - 000492224 [pii] AID - 10.1159/000492224 [doi] PST - ppublish SO - Neuroendocrinology. 2018;107(3):257-266. doi: 10.1159/000492224. Epub 2018 Jul 19.