Research Service, Department of Veterans Affairs, VA Medical Center White River Junction, Vermont ; Department of Medicine, Geisel School of Medicine at Dartmouth Lebanon, New Hampshire.
Cancer Med. 2012 Aug;1(1):17-27. doi: 10.1002/cam4.7. Epub 2012 Jun 7.
Effective treatment of metastatic renal cell carcinoma (RCC) remains a major medical concern, as these tumors are refractory to standard therapies and prognosis is poor. Although molecularly targeted therapies have shown some promise in the treatment of this disease, advanced RCC tumors often develop resistance to these drugs. Dissecting the molecular mechanisms underlying the progression to advanced disease is necessary to design alternative and improved treatment strategies. Tumor-associated macrophages (TAMs) found in aggressive RCC tumors produce a variety of inflammatory cytokines, including interleukin-1β (IL-1β). Moreover, the presence of TAMs and high serum levels of IL-1β in RCC patients correlate with advanced disease. We hypothesized that IL-1β in the tumor microenvironment promotes the development of aggressive RCC tumors by directing affecting tumor epithelial cells. To address this, we investigated the role of IL-1β in mediating RCC tumor cell invasion as a measure of tumor progression. We report that IL-1β induced tumor cell invasion of RCC cells through a process that was dependent on the activity of matrix metalloproteinases (MMPs) and was independent of migration rate. Specifically, IL-1β induced the expression of MMP-1, MMP-3, MMP-10, and MT1-MMP in a mechanism dependent on IL-1β activation of the transcription factor CCAAT enhancer binding protein β (CEBPβ). Consistent with its role in MMP gene expression, CEBPβ knockdown significantly reduced invasion, but not migration, of RCC tumor cells. These results identify the IL-1β /CEBPβ/MMP pathway as a putative target in the design of anti-metastatic therapies for the treatment of advanced RCC.
转移性肾细胞癌 (RCC) 的有效治疗仍然是一个主要的医学关注点,因为这些肿瘤对标准疗法具有抗性,且预后较差。尽管分子靶向疗法在治疗这种疾病方面显示出了一定的前景,但晚期 RCC 肿瘤常常对这些药物产生耐药性。解析导致疾病进展的分子机制对于设计替代和改进的治疗策略是必要的。在侵袭性 RCC 肿瘤中发现的肿瘤相关巨噬细胞 (TAMs) 产生多种炎症细胞因子,包括白细胞介素-1β (IL-1β)。此外,RCC 患者中 TAMs 的存在和高水平的血清 IL-1β与晚期疾病相关。我们假设肿瘤微环境中的 IL-1β 通过影响肿瘤上皮细胞来促进侵袭性 RCC 肿瘤的发展。为了解决这个问题,我们研究了 IL-1β 在介导 RCC 肿瘤细胞侵袭作为肿瘤进展的一种措施中的作用。我们报告说,IL-1β 通过依赖于基质金属蛋白酶 (MMPs) 活性的过程诱导 RCC 细胞的肿瘤细胞侵袭,而与迁移率无关。具体而言,IL-1β 通过依赖于 IL-1β 激活转录因子 CCAAT 增强子结合蛋白 β (CEBPβ) 的机制诱导 MMP-1、MMP-3、MMP-10 和 MT1-MMP 的表达。与它在 MMP 基因表达中的作用一致,CEBPβ 敲低显著降低了 RCC 肿瘤细胞的侵袭,但不影响迁移。这些结果表明,IL-1β/CEBPβ/MMP 途径可能成为设计用于治疗晚期 RCC 的抗转移治疗的潜在靶点。