A considerable number of patients with advanced
gastric cancer have a clear predilection for
metastasis to the great omentum, an organ mainly composed of adipose tissue. However, it remains unclear why
tumor cells preferentially spread to and progress in the omentum. Here, we used a two-dimensional co-culture system to simulate the crosstalk between adipocytes and
gastric cancer cells and showed that after co-culture with isolated omental adipocytes,
gastric cancer cells exhibited a significant increase in
lipid uptake and enhanced invasiveness. A lipidomic study showed that
gastric cancer cells accumulated higher levels of
oleic acid during the co-culture. By performing an assay of key
enzymes in
lipid synthesis, we demonstrated that the increased amount of
oleic acid in
gastric cancer cells mainly came from the adjacent adipocytes in the co-culture system. Furthermore, our data showed that at a certain concentration range,
oleic acid treatment enhanced the invasiveness of
gastric cancer cells in vitro and in a CAM assay, through the PI3K/Akt pathway, with the associated increased expression of the key pro-invasion factor MMP-2. Taken together, our results demonstrated that adipocytes may serve as an exogenous source of
oleic acid that promotes
gastric cancer cell invasion through the PI3K/Akt signaling pathway.