title: Silencing of TLR4 decreases liver tumor burden in a murine model of colorectal metastasis and hepatic steatosis.
abstract: BACKGROUND
  The relationship between obesity and cancer has become of particular interest due to the rapidly growing prevalence of overweight individuals. Obesity predisposes individuals to the development of hepatic steatosis and is an independent risk factor for several neoplasms. Toll-like receptor 4 (TLR4) is the innate receptor for endotoxin, and steatotic livers are known to be sensitive to endotoxin. TLR4 signaling has been shown to have proneoplastic effects in vitro due to its effect on immune surveillance. Thus far, studies have predominantly focused on the effect of tumor-cell-derived TLR4 without regard to host TLR4 signaling.
  
  
  RESULTS
  In the present study we show that steatotic livers have increased expression of TLR4. Obese animals developed higher metastatic tumor burden in the liver than lean controls regardless of the presence or absence of intact host TLR4. After silencing TLR4 expression using RNAi in the mouse colon cancer cell line MC38, there was a significant decrease in metastatic tumor burden within the liver of obese animals.
  
  
  CONCLUSIONS
  These findings demonstrate that steatotic livers have increased susceptibility to metastatic tumor growth and that silencing tumor cell TLR4 reduces metastatic tumor burden in steatotic liver.
authors.affiliation: Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Vanderbilt University School of Medicine, Nashville, TN 37232-4753, USA.
authors.forename: T M
authors.initials: TM
authors.lastname: Earl
authors.forename: I B
authors.initials: IB
authors.lastname: Nicoud
authors.forename: J M
authors.initials: JM
authors.lastname: Pierce
authors.forename: J P
authors.initials: JP
authors.lastname: Wright
authors.forename: N E
authors.initials: NE
authors.lastname: Majoras
authors.forename: J E
authors.initials: JE
authors.lastname: Rubin
authors.forename: K P
authors.initials: KP
authors.lastname: Pierre
authors.forename: D L
authors.initials: DL
authors.lastname: Gorden
authors.forename: R S
authors.initials: RS
authors.lastname: Chari
mesh_terms: D000818:Animals; D045744:Cell Line, Tumor; D015179:Colorectal Neoplasms / Q000235:genetics* / Q000556:secondary; D004195:Disease Models, Animal; D005234:Fatty Liver / Q000209:etiology / Q000235:genetics / Q000378:metabolism*; D020868:Gene Silencing; D020022:Genetic Predisposition to Disease; D008113:Liver Neoplasms / Q000235:genetics* / Q000556:secondary; D008297:Male; D051379:Mice; D009765:Obesity / Q000150:complications / Q000235:genetics / Q000276:immunology; D051197:Toll-Like Receptor 4 / Q000096:biosynthesis / Q000235:genetics*; D047368:Tumor Burden / Q000235:genetics*
chemical_list: D051197:Toll-Like Receptor 4