Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
13
pubmed:dateCreated
2001-6-29
pubmed:abstractText
It is not known whether obesity increases the risk for hepatocellular carcinoma (HCC) simply because it promotes cirrhosis, a general risk factor for HCC, or via some other mechanism that operates independently of cirrhosis. If the latter occurs, then hepatocyte hyperplasia, an early event during the neoplastic process, might begin before liver cirrhosis develops. Genetically obese, leptin-deficient ob/ob mice are models for nonalcoholic fatty liver disease (NAFLD), a type of liver disease that is strongly associated with obesity and type 2 diabetes. Similar to obese, diabetic patients, ob/ob mice have an increased incidence of HCC. However, unlike humans with NAFLD, they rarely, if ever, develop cirrhosis spontaneously. To determine whether the noncirrhotic livers of ob/ob mice with NAFLD exhibit hepatocyte hyperplasia, parameters of proliferation and apoptosis were compared in adult ob/ob mice and their healthy litter mates. Adult ob/ob mice have an increase in liver mass relative to body mass. This hepatomegaly cannot be explained solely by lipid accumulation and is accompanied by significant increases in hepatocyte proliferative activity (as evidenced by increased Erk activation, cell-cycle related gene expression, bromodeoxyuridine incorporation, and hepatic DNA content) with concomitant inhibition of hepatocyte apoptosis (as evidenced by decreased numbers of apoptotic hepatocytes, induction of several antiapoptotic mechanisms, and decreased activation of procaspase 3). Thus, liver hyperplasia is evident at the earliest stage of NAFLD in ob/ob mice, which supports the concept that obesity-related metabolic abnormalities, rather than cirrhosis, initiate the hepatic neoplastic process during obesity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0008-5472
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
61
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
5016-23
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11431335-Animals, pubmed-meshheading:11431335-Apoptosis, pubmed-meshheading:11431335-Caspase 3, pubmed-meshheading:11431335-Caspases, pubmed-meshheading:11431335-Cell Division, pubmed-meshheading:11431335-Enzyme Activation, pubmed-meshheading:11431335-Enzyme Precursors, pubmed-meshheading:11431335-Fatty Liver, pubmed-meshheading:11431335-Gene Expression, pubmed-meshheading:11431335-Genes, cdc, pubmed-meshheading:11431335-Hepatomegaly, pubmed-meshheading:11431335-Hyperplasia, pubmed-meshheading:11431335-Liver, pubmed-meshheading:11431335-Liver Neoplasms, Experimental, pubmed-meshheading:11431335-MAP Kinase Signaling System, pubmed-meshheading:11431335-Mice, pubmed-meshheading:11431335-Mice, Inbred C57BL, pubmed-meshheading:11431335-Mice, Obese, pubmed-meshheading:11431335-Obesity, pubmed-meshheading:11431335-Precancerous Conditions
pubmed:year
2001
pubmed:articleTitle
Hepatic hyperplasia in noncirrhotic fatty livers: is obesity-related hepatic steatosis a premalignant condition?
pubmed:affiliation
Department of Medicine, The Johns Hopkins University, Baltimore, Maryland 21205, USA.
pubmed:publicationType
Journal Article