Open Access

Periprostatic adipose tissue inhibits tumor progression by secreting apoptotic factors: A natural barrier induced by the immune response during the early stages of prostate cancer

  • Authors:
    • I-Hung Shao
    • Tzu-Hsuan Chang
    • Ying-Hsu Chang
    • Yu-Hsin Hsieh
    • Ting-Wen Sheng
    • Li-Jen Wang
    • Yu-Hsuan Chien
    • Liang-Kang Huang
    • Yuan-Cheng Chu
    • Hung-Cheng Kan
    • Po-Hung Lin
    • Kai-Jie Yu
    • Ming-Li Hsieh
    • Cheng-Keng Chuang
    • Chun-Te Wu
    • Chin-Hsuan Hsieh
    • See-Tong Pang
  • View Affiliations

  • Published online on: August 8, 2024     https://doi.org/10.3892/ol.2024.14617
  • Article Number: 485
  • Copyright: © Shao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Prostate cancer (PCa) is the second most prevalent malignancy in men worldwide. The risk factors for PCa include obesity, age and family history. Increased visceral fat has been associated with high PCa risk, which has prompted previous researchers to investigate the influence of body composition and fat distribution on PCa prognosis. However, there is a lack of studies focusing on the mechanisms and interactions between periprostatic adipose tissue (PPAT) and PCa cells. The present study investigated the association between the composition of pelvic adipose tissue and PCa aggressiveness to understand the role played by this tissue in PCa progression. Moreover, PPAT‑conditioned medium (CM) was prepared to assess the influence of the PPAT secretome on the pathophysiology of PCa. The present study included 50 patients with localized PCa who received robot‑assisted radical prostatectomy. Medical records were collected, magnetic resonance imaging scans were analyzed and body compositions were calculated to identify the associations between adipose tissue volume and clinical PCa aggressiveness. In addition, CM was prepared from PPAT and perivesical adipose tissue (PVAT) collected from 25 patients during surgery, and its effects on the PCa cell lines C4‑2 and LNCaP, and the prostate epithelial cell line PZ‑HPV‑7, were investigated using a cell proliferation assay and RNA sequencing (RNA‑seq). The results revealed that the initial prostate‑specific antigen level was significantly correlated with pelvic and periprostatic adipose tissue volumes. In addition, PPAT volume was significantly higher in patients with extracapsular tumor extension. PCa cell proliferation was significantly reduced when the cells were cultured in PPAT‑CM compared with when they were cultured in control‑ and PVAT‑CM. RNA‑seq revealed that immune responses, and the cell death and apoptosis pathways were enriched in PPAT‑CM‑cultured cells indicating that the cytokines or other factors secreted from PPAT‑CM induced PCa cell apoptosis. These findings revealed that the PPAT secretome may inhibit PCa cell proliferation by activating immune responses and promoting cancer cell apoptosis. This mechanism may act as a first‑line defense during the early stages of PCa.
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October-2024
Volume 28 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Copy and paste a formatted citation
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Spandidos Publications style
Shao I, Chang T, Chang Y, Hsieh Y, Sheng T, Wang L, Chien Y, Huang L, Chu Y, Kan H, Kan H, et al: Periprostatic adipose tissue inhibits tumor progression by secreting apoptotic factors: A natural barrier induced by the immune response during the early stages of prostate cancer. Oncol Lett 28: 485, 2024.
APA
Shao, I., Chang, T., Chang, Y., Hsieh, Y., Sheng, T., Wang, L. ... Pang, S. (2024). Periprostatic adipose tissue inhibits tumor progression by secreting apoptotic factors: A natural barrier induced by the immune response during the early stages of prostate cancer. Oncology Letters, 28, 485. https://doi.org/10.3892/ol.2024.14617
MLA
Shao, I., Chang, T., Chang, Y., Hsieh, Y., Sheng, T., Wang, L., Chien, Y., Huang, L., Chu, Y., Kan, H., Lin, P., Yu, K., Hsieh, M., Chuang, C., Wu, C., Hsieh, C., Pang, S."Periprostatic adipose tissue inhibits tumor progression by secreting apoptotic factors: A natural barrier induced by the immune response during the early stages of prostate cancer". Oncology Letters 28.4 (2024): 485.
Chicago
Shao, I., Chang, T., Chang, Y., Hsieh, Y., Sheng, T., Wang, L., Chien, Y., Huang, L., Chu, Y., Kan, H., Lin, P., Yu, K., Hsieh, M., Chuang, C., Wu, C., Hsieh, C., Pang, S."Periprostatic adipose tissue inhibits tumor progression by secreting apoptotic factors: A natural barrier induced by the immune response during the early stages of prostate cancer". Oncology Letters 28, no. 4 (2024): 485. https://doi.org/10.3892/ol.2024.14617