RT Journal Article SR Electronic T1 Choline-Deficient-Diet-Induced Fatty Liver Is a Metastasis-Resistant Microenvironment JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 3429 OP 3434 VO 37 IS 7 A1 MIKI NAKAMURA A1 ATSUSHI SUETSUGU A1 KOSUKE HASEGAWA A1 TAKURO MATSUMOTO A1 HITOMI AOKI A1 TAKAHIRO KUNISADA A1 MASAHITO SHIMIZU A1 SHIGETOYO SAJI A1 HISATAKA MORIWAKI A1 ROBERT M. HOFFMAN YR 2017 UL http://ar.iiarjournals.org/content/37/7/3429.abstract AB Background/Aim: Fatty liver disease is increasing in the developed and developing world. Liver metastasis from malignant lymphoma in the fatty liver is poorly understood. In a previous report, we developed color-coded imaging of the tumor microenvironment (TME) of the murine EL4-RFP malignant lymphoma during metastasis, including the lung. In the present report, we investigated the potential and microenvironment of the fatty liver induced by a choline-deficient diet as a metastatic site in this mouse lymphoma model. Materials and Methods: C57BL/6-GFP transgenic mice were fed with a choline-deficient diet in order to establish a fatty liver model. EL4-RFP cells were injected in the spleen of normal mice and fatty-liver mice. Metastases in mice with fatty liver or normal liver were imaged with the Olympus SZX7 microscope and the Olympus FV1000 confocal microscope. Results: Metastases of EL4-RFP were observed in the liver, ascites and bone marrow. Primary tumors were imaged in the spleen at the injection site. The fewest metastases were observed in the fatty liver. In addition, the fewest cancer-associated fibroblasts (CAFs) were observed in the fatty liver. Conclusion: The relative metastatic resistance of the fatty liver may be due to the reduced number of CAFs in the fatty livers. The mechanism of the effect of the choline-deficient diet is discussed.