Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02115, USA.
Proc Natl Acad Sci U S A. 2009 Dec 8;106(49):20883-8. doi: 10.1073/pnas.0911797106. Epub 2009 Nov 23.
Accumulating evidence suggests that hyperproliferating intestinal stem cells (SCs) and progenitors drive cancer initiation, maintenance, and metastasis. In addition, chronic inflammation and infection have been increasingly recognized for their roles in cancer. Nevertheless, the mechanisms by which bacterial infections can initiate SC-mediated tumorigenesis remain elusive. Using a Drosophila model of gut pathogenesis, we show that intestinal infection with Pseudomonas aeruginosa, a human opportunistic bacterial pathogen, activates the c-Jun N-terminal kinase (JNK) pathway, a hallmark of the host stress response. This, in turn, causes apoptosis of enterocytes, the largest class of differentiated intestinal cells, and promotes a dramatic proliferation of SCs and progenitors that serves as a homeostatic compensatory mechanism to replenish the apoptotic enterocytes. However, we find that this homeostatic mechanism can lead to massive over-proliferation of intestinal cells when infection occurs in animals with a latent oncogenic form of the Ras1 oncogene. The affected intestines develop excess layers of cells with altered apicobasal polarity reminiscent of dysplasia, suggesting that infection can directly synergize with the genetic background in predisposed individuals to initiate SC-mediated tumorigenesis. Our results provide a framework for the study of intestinal bacterial infections and their effects on undifferentiated and mature enteric epithelial cells in the initial stages of intestinal cancer. Assessment of progenitor cell responses to pathogenic intestinal bacteria could provide a measure of predisposition for apoptotic enterocyte-assisted intestinal dysplasias in humans.
越来越多的证据表明,过度增殖的肠道干细胞(SCs)和祖细胞驱动癌症的起始、维持和转移。此外,慢性炎症和感染在癌症中的作用也越来越受到重视。然而,细菌感染如何引发 SC 介导的肿瘤发生的机制仍不清楚。我们使用肠道发病的果蝇模型表明,肠道感染铜绿假单胞菌(一种人类机会性细菌病原体)会激活 c-Jun N 端激酶(JNK)通路,这是宿主应激反应的标志。反过来,这会导致肠细胞(分化肠细胞中最大的一类)凋亡,并促进 SC 和祖细胞的剧烈增殖,这是一种作为补充凋亡肠细胞的稳态补偿机制。然而,我们发现,当 Ras1 致癌基因的潜伏致癌形式的动物发生感染时,这种稳态机制可能导致肠道细胞的大量过度增殖。受影响的肠道会形成多余的细胞层,顶端-基底极性发生改变,类似于发育异常,这表明感染可以直接与易感个体的遗传背景协同作用,引发 SC 介导的肿瘤发生。我们的研究结果为研究肠道细菌感染及其对肠道癌症早期未分化和成熟肠上皮细胞的影响提供了一个框架。评估祖细胞对致病性肠道细菌的反应可能为人类凋亡肠细胞辅助性肠道发育异常的易感性提供一种衡量标准。
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