Authors' Affiliations: Departments of Gastroenterology, Gerontology, and Pathology, Peking University First Hospital, Beijing; Research Center of Basic Medical Sciences and Department of Immunology, Key Laboratory of Immune Microenvironment and Diseases of Educational Ministry of China, Tianjin Medical University, Tianjin, China; and Storr Liver Unit, Westmead Millennium Institute, the University of Sydney at the Westmead Hospital, Westmead, New South Wales, Australia.
Mol Cancer Ther. 2014 May;13(5):1206-16. doi: 10.1158/1535-7163.MCT-13-0378. Epub 2014 Mar 20.
The interleukin-6 (IL-6)/STAT3 signaling regulates survival and proliferation of intestinal epithelial cells and plays an important role in the pathogenesis of inflammatory bowel disease and colorectal cancer. Embelin is a small molecule inhibitor of X-linked inhibitor of apoptosis protein (XIAP), with antioxidant, anti-inflammatory, and antitumor activities. We previously showed that embelin inhibits the growth of colon cancer cells in vitro, and effectively suppresses 1,2-dimethylhydrazine dihydrochloride-induced colon carcinogenesis in mice. Here, we explored the antitumor effects and mechanisms of embelin on colitis-associated cancer (CAC) using the azoxymethane/dextran sulfate sodium (AOM/DSS) model, with a particular focus on whether embelin exerts its effect through the IL-6/STAT3 pathway. We found that embelin significantly reduced incidence and tumor size in CAC-bearing mice. In addition to inhibiting proliferation of tumor epithelial cells, embelin suppressed colonic IL-6 expression and secretion, and subsequently STAT3 activation in vivo. Importantly, in vitro studies have revealed that in colon cancer cells, embelin diminished both the constitutive and IL-6-induced STAT3 activation by stimulating Src homology domain 2-containing protein tyrosine phosphatase (SHP2) activity. Moreover, embelin protected mice from AOM/DSS-induced colitis before tumor development. Embelin decreased IL-1β, IL-17a, and IL-23a expression as well as the number of CD4(+) T cells and macrophages infiltrating the colonic tissues. Thus, our findings demonstrated that embelin suppresses CAC tumorigenesis, and its antitumor effect is partly mediated by limiting IL-6/STAT3 activation and Th17 immune response. Embelin may be a potential agent in the prevention and treatment of CAC.
白细胞介素 6(IL-6)/STAT3 信号通路调节肠上皮细胞的存活和增殖,在炎症性肠病和结直肠癌的发病机制中发挥重要作用。恩贝林是一种 X 连锁凋亡抑制蛋白(XIAP)的小分子抑制剂,具有抗氧化、抗炎和抗肿瘤活性。我们之前的研究表明,恩贝林在体外抑制结肠癌细胞的生长,并有效抑制 1,2-二甲基肼二盐酸盐诱导的小鼠结肠癌发生。在这里,我们使用氧化偶氮甲烷/葡聚糖硫酸钠(AOM/DSS)模型探索了恩贝林对结肠炎相关癌症(CAC)的抗肿瘤作用及其机制,特别是恩贝林是否通过 IL-6/STAT3 途径发挥作用。我们发现恩贝林显著降低了 CAC 荷瘤小鼠的发病率和肿瘤大小。除了抑制肿瘤上皮细胞的增殖外,恩贝林还抑制了体内结肠 IL-6 的表达和分泌,进而抑制了 STAT3 的激活。重要的是,体外研究表明,在结肠癌细胞中,恩贝林通过刺激含Src 同源结构域 2 的蛋白酪氨酸磷酸酶(SHP2)活性,减弱了组成型和 IL-6 诱导的 STAT3 激活。此外,恩贝林在肿瘤发生前保护小鼠免受 AOM/DSS 诱导的结肠炎。恩贝林降低了 IL-1β、IL-17a 和 IL-23a 的表达以及浸润结肠组织的 CD4+T 细胞和巨噬细胞的数量。因此,我们的研究结果表明,恩贝林抑制 CAC 肿瘤发生,其抗肿瘤作用部分通过限制 IL-6/STAT3 激活和 Th17 免疫反应介导。恩贝林可能是预防和治疗 CAC 的潜在药物。