PMID- 30099827 OWN - NLM STAT- MEDLINE DCOM- 20181012 LR - 20210109 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 109 IP - 10 DP - 2018 Oct TI - Fatty pancreas: A possible risk factor for pancreatic cancer in animals and humans. PG - 3013-3023 LID - 10.1111/cas.13766 [doi] AB - Obesity, type 2 diabetes mellitus (T2DM) and aging are associated with pancreatic cancer risk, but the mechanisms of pancreatic cancer development caused by these factors are not clearly understood. Syrian golden hamsters are susceptible to N-nitrosobis(2-oxopropyl)amine (BOP)-induced pancreatic carcinogenesis. Aging, BOP treatment and/or a high-fat diet cause severe and scattered fatty infiltration (FI) of the pancreas with abnormal adipokine production and promote pancreatic ductal adenocarcinoma (PDAC) development. The KK-A(y) mouse, a T2DM model, also develops severe and scattered FI of the pancreas. Treatment with BOP induced significantly higher cell proliferation in the pancreatic ducts of KK-A(y) mice, but not in those of ICR and C57BL/6J mice, both of which are characterized by an absence of scattered FI. Thus, we hypothesized that severely scattered FI may be involved in the susceptibility to PDAC development. Indeed, severe pancreatic FI, or fatty pancreas, is observed in humans and is associated with age, body mass index (BMI) and DM, which are risk factors for pancreatic cancer. We analyzed the degree of FI in the non-cancerous parts of PDAC and non-PDAC patients who had undergone pancreatoduodenectomy by histopathology and demonstrated that the degree of pancreatic FI in PDAC cases is significantly higher than that in non-PDAC controls. Moreover, the association with PDAC is positive, even after adjusting for BMI and the prevalence of DM. Accumulating evidence suggests that pancreatic FI is involved in PDAC development in animals and humans, and further investigations to clarify the genetic and environmental factors that cause pancreatic FI are warranted. CI - (c) 2018 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Takahashi, Mami AU - Takahashi M AUID- ORCID: 0000-0001-5062-811X AD - Central Animal Division, National Cancer Center Research Institute, Tokyo, Japan. FAU - Hori, Mika AU - Hori M AD - Department of Molecular Innovation in Lipidology, National Cerebral and Cardiovascular Center Research Institute, Osaka, Japan. FAU - Ishigamori, Rikako AU - Ishigamori R AD - Central Animal Division, National Cancer Center Research Institute, Tokyo, Japan. FAU - Mutoh, Michihiro AU - Mutoh M AUID- ORCID: 0000-0003-2054-7655 AD - Epidemiology and Prevention Division, Research Center for Cancer Prevention and Screening, National Cancer Center, Tokyo, Japan. FAU - Imai, Toshio AU - Imai T AD - Central Animal Division, National Cancer Center Research Institute, Tokyo, Japan. FAU - Nakagama, Hitoshi AU - Nakagama H AD - National Cancer Center, Tokyo, Japan. LA - eng GR - 15K14393/Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science/ GR - 18K07081/Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science/ GR - 25290049/Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science/ GR - Research Grant of the Princess Takamatsu Cancer Research Fund/ GR - grant of the Third-Term Comprehensive 10-Year Strategy for Cancer Control from the Ministry of Health, Labor, and Welfare of Japan/ GR - Grants-in-Aid from the Foundation for Promotion of Cancer Research and the Pancreas Research Foundation of Japan/ GR - 21-2-1/Grants-in-Aid for Cancer Research from the Ministry of Health, Labour, and Welfare of Japan and Management Expenses Grants from the Government to the National Cancer Center/ GR - National Cancer Center Research Core Facility/ PT - Journal Article PT - Review DEP - 20180905 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Carcinogens) SB - IM MH - Adipose Tissue/*pathology MH - Animals MH - Carcinogens/toxicity MH - Diabetes Mellitus, Type 2/*complications MH - Diet, High-Fat/adverse effects MH - Disease Models, Animal MH - Humans MH - Obesity/*complications MH - Pancreas/*pathology MH - Pancreatic Neoplasms/*etiology/pathology MH - Risk Factors PMC - PMC6172058 OTO - NOTNLM OT - cancer susceptibility OT - fatty infiltration OT - obesity OT - pancreatic cancer OT - type 2 diabetes mellitus EDAT- 2018/08/14 06:00 MHDA- 2018/10/13 06:00 PMCR- 2018/10/01 CRDT- 2018/08/13 06:00 PHST- 2018/05/01 00:00 [received] PHST- 2018/08/01 00:00 [revised] PHST- 2018/08/04 00:00 [accepted] PHST- 2018/08/14 06:00 [pubmed] PHST- 2018/10/13 06:00 [medline] PHST- 2018/08/13 06:00 [entrez] PHST- 2018/10/01 00:00 [pmc-release] AID - CAS13766 [pii] AID - 10.1111/cas.13766 [doi] PST - ppublish SO - Cancer Sci. 2018 Oct;109(10):3013-3023. doi: 10.1111/cas.13766. Epub 2018 Sep 5.