肿瘤源性 GM-CSF 通过刺激上皮细胞释放 VEGF 促进炎症性结肠癌变。
Tumor-derived GM-CSF promotes inflammatory colon carcinogenesis via stimulating epithelial release of VEGF.
机构信息
Authors' Affiliations: Department of Immunology, Institute of Basic Medical Sciences, Beijing; Department of Immunology, School of Basic Medical Sciences, Central South University, Changsha; Center of Molecular Biology, Inner Mongolia Medical College, Hohhot, People's Republic of China; and Department of Pathology, University of Michigan, Ann Arbor, Michigan.
出版信息
Cancer Res. 2014 Feb 1;74(3):716-26. doi: 10.1158/0008-5472.CAN-13-1459. Epub 2013 Dec 23.
Chronic inflammation is a major driving force for the development of colitis-associated cancer (CAC). Elevated production of granulocyte macrophage colony-stimulating factor (GM-CSF) has been observed in mucosa of patients with inflammatory bowel disease. Its actions in the progression from colitis to cancer, however, remain poorly understood. Herein, we demonstrated that colonic epithelial cells (CEC) were a major cellular source of GM-CSF and its production was significantly augmented when CAC model was established by administration of azoxymethane and dextran sulfate sodium. Furthermore, we showed that GM-CSF was a driver for VEGF release by CEC in autocrine and/or paracrine manners through the extracellular signal-regulated kinase (ERK)-dependent pathway. Blocking GM-CSF activity in vivo significantly decreased epithelial release of VEGF, thereby abrogating CAC formation. In vitro treatment of transformed CEC with recombinant GM-CSF dramatically augmented its invasive potentials, largely in VEGF-dependent fashion. Furthermore, commensal microbiota-derived lipopolysaccharides were identified as a trigger for GM-CSF expression in CEC, as antibiotics treatment or Toll-like receptor 4 ablation considerably impaired its epithelial expression. Overall, these findings may have important implications for the understanding of mechanisms underlying CAC pathogenesis and the therapeutic potentials of regimens targeting GM-CSF or VEGF in clinic.
慢性炎症是结肠炎相关癌症 (CAC) 发展的主要驱动力。在炎症性肠病患者的粘膜中观察到粒细胞巨噬细胞集落刺激因子 (GM-CSF) 的产量升高。然而,其在从结肠炎向癌症发展过程中的作用仍知之甚少。在此,我们证明结肠上皮细胞 (CEC) 是 GM-CSF 的主要细胞来源,并且当通过给予氧化偶氮甲烷和葡聚糖硫酸钠建立 CAC 模型时,其产生显著增加。此外,我们表明 GM-CSF 通过细胞外信号调节激酶 (ERK) 依赖性途径以自分泌和/或旁分泌方式驱动 CEC 释放 VEGF。体内阻断 GM-CSF 活性可显著减少上皮细胞释放的 VEGF,从而阻止 CAC 的形成。用重组 GM-CSF 体外处理转化的 CEC 可显著增加其侵袭潜能,主要是通过 VEGF 依赖的方式。此外,共生微生物群衍生的脂多糖被鉴定为 CEC 中 GM-CSF 表达的触发因素,因为抗生素治疗或 Toll 样受体 4 消融可显著损害其上皮表达。总的来说,这些发现可能对理解 CAC 发病机制以及靶向 GM-CSF 或 VEGF 的治疗方案在临床上的治疗潜力具有重要意义。