Removal of the parametrial fat pads (partial
lipectomy) from female SKH-1 mice fed a high-fat diet inhibited UVB-induced
carcinogenesis, but this was not observed in mice fed a low-fat chow diet. Partial
lipectomy in high-fat-fed mice decreased the number of
keratoacanthomas and
squamous cell carcinomas per mouse by 76 and 79%, respectively, compared with
sham-operated control mice irradiated with UVB for 33 wk. Immunohistochemical analysis indicated that partial
lipectomy increased
caspase 3 (active form) positive cells by 48% in precancerous epidermis away from
tumors, by 68% in
keratoacanthomas, and by 224% in
squamous cell carcinomas compared with
sham-operated control mice. In addition, partial
lipectomy decreased cell proliferation away from
tumors and in
tumors. RT-PCR analysis for
adipokines revealed that mRNAs for TIMP1, MCP1, and SerpinE1 (proinflammatory/antiapoptotic
cytokines) in the parametrial fat pads of
sham-operated control mice were 54- to 83-fold higher than levels in compensatory fat that returned after surgery in partially lipectomized mice at the end of the
tumor study. Feeding mice high-fat diets for 2 wk increased levels of TIMP1 and other
adipokines in serum and epidermis, and these increases were inhibited by removal of the parametrial fat pads. Our results are a unique demonstration that surgical removal of a specific tissue fat results in inhibition of
carcinogenesis in obese mice. This inhibition was associated with an increase in apoptosis and a decrease in proliferation in
tumors and in precancerous areas away from
tumors.