Abstract

Prostate cancer research has been predominantly focused on adult exposures and risk factors. However, because the prostate develops during gestation and early life, exposure to external factors, such as obesity, during development could affect the prostate cancer progression in adults. Our previous work demonstrated that exposure to a high fat/high sugar (HF/HS) diet during gestation and until weaning stimulated prostate hyperplasia and altered the Pten/Akt pathway in adult mice fed a normal diet after weaning. Here, we asked whether maternal exposure to HF/HS would worsen prostate phenotypes in mice lacking Pten, a widely accepted driver of prostate cancer. We found that, at six weeks of age, both Chow (control)—and HF/HS-exposed Pten knockout mice showed evidence of murine PIN that included ducts with central comedo necrosis but that the HF/HS exposure did not influence murine PIN progression. The Pten knockout mice exposed to HF/HS in utero had significantly more mitotic cells than Pten knockouts exposed to Chow diet. In the Pten null background, the maternal HF/HS diet enhanced proliferation but did not have an additive effect on Akt activation. We observed neuroendocrine differentiation in Pten knockout mice, a phenotype that had not been previously described in this model.

Highlights

  • Prostate cancer is the most commonly diagnosed male cancer in the western world

  • Our previous studies demonstrated that exposure to maternal high fat/high sugar (HF/HS) induced prostate hyperplasia in wild-type mice[14]

  • We demonstrated that maternal HF/HS exposure has a synergistic effect on proliferation in Pten kockout male offspring but overall does not influence mPIN progression to a more advanced disease stage

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Summary

Introduction

Prostate cancer is the most commonly diagnosed male cancer in the western world. It is the second leading cause of death in men in the United States (behind lung cancer) with 180,890 new cases and 21,120 deaths projected for 2016[1]. Obesogenic diet in mother worsens pre-cancer phenotypes in offspring to carcinogens during those time periods could influence adult prostate health[4] Another in utero exposure that could influence prostate cancer risk is maternal obesity, which affects 36% of women in the United States in 2016[5, 6]. In support of this idea, higher gestational levels of steroid hormones and growth factors, such as insulin-like growth factor 1, have been hypothesized to increase the number of prostate stem cells, which are at risk for later transformation[7] Gestational exposures, such as estrogens and androgens, may alter mutation rates[7, 8], directly damage fetal DNA[9], and permanently alter hormonal signaling pathways, thereby affecting prostate development, responsiveness to hormones, and cancer risk [4]. Maternal obesity influences mammary tumor development in rodent models, and maternal obesity in strongly correlated with breast cancer incidence in rodent offspring[11,12,13]

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