PMID- 31119158 OWN - NLM STAT- MEDLINE DCOM- 20191114 LR - 20220408 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2019 DP - 2019 TI - The Nutritional Cytokine Leptin Promotes NSCLC by Activating the PI3K/AKT and MAPK/ERK Pathways in NSCLC Cells in a Paracrine Manner. PG - 2585743 LID - 10.1155/2019/2585743 [doi] LID - 2585743 AB - PURPOSE: Leptin is a nutritional cytokine encoded by the obesity gene whose concentration in the tumor microenvironment is closely related to the occurrence and progression of cancer. However, previous evidence has suggested that there is no clear relationship between serum leptin concentrations and lung cancer progression. Cancer-associated fibroblasts (CAFs), the most abundant component of the tumor microenvironment in a variety of solid tumors, were recently reported to produce leptin. Therefore, it was inferred that leptin is most likely to affect non-small-cell lung cancer (NSCLC) through an autocrine and paracrine mechanism. In the current study, we investigated the paracrine effect and mechanism of leptin produced by CAFs on NSCLC by establishing a novel in vitro cell coculture system. METHODS: A noncontact coculture device was designed and made by 3D printing. CAFs and paired normal lung fibroblasts (NLFs) from 5 patients were successfully isolated and cocultured with two NSCLC cell lines in a coculture system. The background expression of leptin was detected by western blot. The in situ expression of leptin and its receptor (Ob-R) in NSCLC tissues and paired normal lung tissues was analyzed by immunohistochemistry. Furthermore, we downregulated the expression of leptin in CAFs and assessed changes in its promotion on NSCLC cells in the coculture system. Finally, changes in the phosphorylation of ERK1/2 and AKT were examined to investigate the molecular mechanisms responsible for the paracrine promotion of NSCLC cells by leptin. RESULTS: Leptin was overexpressed in nearly all five primary CAF lines compared with its expression in paired NLFs. IHC staining showed that the expression of leptin was high in NSCLC cells, slightly lower in CAF, and negative in normal lung tissue. Ob-R was strongly expressed in NSCLC cells. The ability of A549 and H1299 cells to proliferate and migrate was enhanced by high leptin levels in both the cocultured fibroblasts and the culture medium. Furthermore, western blot assays suggested that the MAPK/ERK1/2 and PI3K/AKT signaling pathways were activated by leptin produced by CAFs, which demonstrated that the functions of paracrine leptin in NSCLC are as those of the serum leptin to other cancers. CONCLUSION: Leptin produced by CAF promotes proliferation and migration of NSCLC cells probably via PI3K/AKT and MAPK/ERK1/2 signaling pathways in a paracrine manner. FAU - Li, Fengzhou AU - Li F AUID- ORCID: 0000-0002-4902-2820 AD - Department of Thoracic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China. AD - Lung Cancer Diagnosis and Treatment Center, Dalian 116011, Liaoning, China. FAU - Zhao, Shilei AU - Zhao S AD - Department of Thoracic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China. AD - Lung Cancer Diagnosis and Treatment Center, Dalian 116011, Liaoning, China. FAU - Guo, Tao AU - Guo T AD - Department of Thoracic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China. AD - Lung Cancer Diagnosis and Treatment Center, Dalian 116011, Liaoning, China. FAU - Li, Jinxiu AU - Li J AUID- ORCID: 0000-0001-7303-1498 AD - Lung Cancer Diagnosis and Treatment Center, Dalian 116011, Liaoning, China. FAU - Gu, Chundong AU - Gu C AUID- ORCID: 0000-0002-2981-6578 AD - Department of Thoracic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China. AD - Lung Cancer Diagnosis and Treatment Center, Dalian 116011, Liaoning, China. LA - eng PT - Journal Article DEP - 20190418 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Leptin) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Cancer-Associated Fibroblasts/drug effects/metabolism MH - Carcinoma, Non-Small-Cell Lung/*diet therapy/genetics/pathology MH - Cell Line, Tumor MH - Cell Movement/drug effects MH - Cell Proliferation/*drug effects MH - Coculture Techniques MH - Humans MH - Leptin/genetics/metabolism/*pharmacology MH - MAP Kinase Signaling System/drug effects MH - Paracrine Communication/*drug effects/genetics MH - Phosphatidylinositol 3-Kinases/genetics MH - Proto-Oncogene Proteins c-akt/genetics MH - Tumor Microenvironment/drug effects PMC - PMC6500706 EDAT- 2019/05/24 06:00 MHDA- 2019/11/15 06:00 PMCR- 2019/04/18 CRDT- 2019/05/24 06:00 PHST- 2019/01/28 00:00 [received] PHST- 2019/03/26 00:00 [revised] PHST- 2019/04/08 00:00 [accepted] PHST- 2019/05/24 06:00 [entrez] PHST- 2019/05/24 06:00 [pubmed] PHST- 2019/11/15 06:00 [medline] PHST- 2019/04/18 00:00 [pmc-release] AID - 10.1155/2019/2585743 [doi] PST - epublish SO - Biomed Res Int. 2019 Apr 18;2019:2585743. doi: 10.1155/2019/2585743. eCollection 2019.