一种新型的炎症性肠病小鼠模型将哺乳动物雷帕霉素靶蛋白依赖性结肠上皮过度增殖与炎症相关的肿瘤发生联系起来。

A novel mouse model of inflammatory bowel disease links mammalian target of rapamycin-dependent hyperproliferation of colonic epithelium to inflammation-associated tumorigenesis.

机构信息

Department of Medicine, Oncology Division, Albert Einstein Cancer Center, Bronx, NY 10467, USA.

出版信息

Am J Pathol. 2010 Feb;176(2):952-67. doi: 10.2353/ajpath.2010.090622. Epub 2009 Dec 30.

Abstract

Inflammatory bowel disease (IBD) is a high-risk condition for human colorectal cancer. However, our mechanistic understanding of the link between inflammation and tumorigenesis in the colon is limited. Here we established a novel mouse model of colitis-associated cancer by genetically inactivating signal transducer and activator of transcription 3 (Stat3) in macrophages, with partial deletion in other myeloid and lymphoid cells. Inflammation developed in the colon of mutant mice spontaneously, and tumor lesions, including invasive carcinoma, arose in the inflamed region of the intestine with a frequency similar to that observed in human IBD patients. The development of both inflammation and tumors in the mutant mice required the presence of microflora. Indeed, inflammation was associated with disruption of colonic homeostasis, fulminant epithelial/tumor cell proliferation, and activation of the mammalian target of rapamycin (mTOR)-Stat3 pathway in epithelial and tumor cells. The activation of this pathway was essential for both the excess proliferation of epithelial/tumor cells and the disruption of colonic homeostasis in the mutant mice. Notably, a similar abnormal up-regulation of mTOR-Stat3 signaling was consistently observed in the colonic epithelial cells of human IBD patients with active disease. These studies demonstrate a novel mouse model of IBD-colorectal cancer progression in which disrupted immune regulation, mTOR-Stat3 signaling, and epithelial hyperproliferation are integrated and simultaneously linked to the development of malignancy.

摘要

炎症性肠病(IBD)是人类结直肠癌的高危病症。然而,我们对炎症与结肠肿瘤发生之间的关联的机制理解有限。在这里,我们通过在巨噬细胞中遗传失活信号转导和转录激活因子 3(Stat3),同时在其他髓系和淋巴样细胞中进行部分缺失,建立了一种新的结肠炎相关癌症小鼠模型。突变小鼠的结肠炎在自发情况下发生,肿瘤病变,包括浸润性癌,在肠道的炎症区域出现,其频率与人类 IBD 患者相似。突变小鼠中炎症和肿瘤的发展都需要微生物群的存在。事实上,炎症与结肠内稳态的破坏、上皮/肿瘤细胞的暴发性增殖以及上皮和肿瘤细胞中雷帕霉素靶蛋白(mTOR)-Stat3 通路的激活有关。该通路的激活对于突变小鼠中上皮/肿瘤细胞的过度增殖和结肠内稳态的破坏都是必不可少的。值得注意的是,在患有活动性疾病的人类 IBD 患者的结肠上皮细胞中,始终观察到类似的异常上调 mTOR-Stat3 信号。这些研究表明,在该模型中,免疫调节、mTOR-Stat3 信号和上皮细胞过度增殖被整合并同时与恶性肿瘤的发生相关,建立了一种新的 IBD-结直肠癌进展的小鼠模型。

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