Zaynagetdinov Rinat, Sherrill Taylor P, Gleaves Linda A, McLoed Allyson G, Saxon Jamie A, Habermann Arun C, Connelly Linda, Dulek Daniel, Peebles R Stokes, Fingleton Barbara, Yull Fiona E, Stathopoulos Georgios T, Blackwell Timothy S
Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University, Nashville, TN, USA, 37232.
Department of Cancer Biology, Vanderbilt University, Nashville, TN, USA, 37232.
Cancer Res. 2015 Apr 15;75(8):1624-1634. doi: 10.1158/0008-5472.CAN-14-2379. Epub 2015 Feb 17.
Although the lung is the most common metastatic site for cancer cells, biologic mechanisms regulating lung metastasis are not fully understood. Using heterotopic and intravenous injection models of lung metastasis in mice, we found that IL5, a cytokine involved in allergic and infectious diseases, facilitates metastatic colonization through recruitment of sentinel eosinophils and regulation of other inflammatory/immune cells in the microenvironment of the distal lung. Genetic IL5 deficiency offered marked protection of the lungs from metastasis of different types of tumor cells, including lung cancer, melanoma, and colon cancer. IL5 neutralization protected subjects from metastasis, whereas IL5 reconstitution or adoptive transfer of eosinophils into IL5-deficient mice exerted prometastatic effects. However, IL5 deficiency did not affect the growth of the primary tumor or the size of metastatic lesions. Mechanistic investigations revealed that eosinophils produce CCL22, which recruits regulatory T cells to the lungs. During early stages of metastasis, Treg created a protumorigenic microenvironment, potentially by suppressing IFNγ-producing natural killer cells and M1-polarized macrophages. Together, our results establish a network of allergic inflammatory circuitry that can be co-opted by metastatic cancer cells to facilitate lung colonization, suggesting interventions to target this pathway may offer therapeutic benefits to prevent or treat lung metastasis.
尽管肺是癌细胞最常见的转移部位,但调节肺转移的生物学机制尚未完全明确。利用小鼠肺转移的异位和静脉注射模型,我们发现白细胞介素5(IL5)这种参与过敏性和感染性疾病的细胞因子,通过募集前哨嗜酸性粒细胞以及调节远端肺微环境中的其他炎症/免疫细胞,促进转移灶的形成。遗传性IL5缺陷为肺部提供了显著的保护,使其免受包括肺癌、黑色素瘤和结肠癌等不同类型肿瘤细胞的转移。IL5中和作用可保护机体免受转移,而将IL5重组或向IL5缺陷小鼠过继转移嗜酸性粒细胞则具有促转移作用。然而,IL5缺陷并不影响原发性肿瘤的生长或转移灶的大小。机制研究表明,嗜酸性粒细胞产生CCL22,其可将调节性T细胞募集至肺部。在转移的早期阶段,调节性T细胞可能通过抑制产生IFNγ的自然杀伤细胞和M1极化的巨噬细胞,营造一个促肿瘤的微环境。总之,我们的研究结果建立了一个过敏性炎症回路网络,转移性癌细胞可以利用该网络促进肺部定植,这表明针对该途径的干预措施可能为预防或治疗肺转移提供治疗益处。