基质 Lkb1 缺失导致涉及 IL-11-JAK/STAT3 通路的胃肠道肿瘤发生。
Stromal Lkb1 deficiency leads to gastrointestinal tumorigenesis involving the IL-11-JAK/STAT3 pathway.
机构信息
Research Programs Unit, Faculty of Medicine and.
HiLIFE-Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
出版信息
J Clin Invest. 2018 Jan 2;128(1):402-414. doi: 10.1172/JCI93597. Epub 2017 Dec 4.
Germline mutations in the gene encoding tumor suppressor kinase LKB1 lead to gastrointestinal tumorigenesis in Peutz-Jeghers syndrome (PJS) patients and mouse models; however, the cell types and signaling pathways underlying tumor formation are unknown. Here, we demonstrated that mesenchymal progenitor- or stromal fibroblast-specific deletion of Lkb1 results in fully penetrant polyposis in mice. Lineage tracing and immunohistochemical analyses revealed clonal expansion of Lkb1-deficient myofibroblast-like cell foci in the tumor stroma. Loss of Lkb1 in stromal cells was associated with induction of an inflammatory program including IL-11 production and activation of the JAK/STAT3 pathway in tumor epithelia concomitant with proliferation. Importantly, treatment of LKB1-defcient mice with the JAK1/2 inhibitor ruxolitinib dramatically decreased polyposis. These data indicate that IL-11-mediated induction of JAK/STAT3 is critical in gastrointestinal tumorigenesis following Lkb1 mutations and suggest that targeting this pathway has therapeutic potential in Peutz-Jeghers syndrome.
肿瘤抑制激酶 LKB1 基因胚系突变导致 Peutz-Jeghers 综合征(PJS)患者和小鼠模型发生胃肠道肿瘤;然而,肿瘤形成的细胞类型和信号通路尚不清楚。在这里,我们证明了 Lkb1 在下皮祖细胞或基质成纤维细胞中的特异性缺失导致小鼠完全发生息肉病。谱系追踪和免疫组织化学分析显示,肿瘤基质中 Lkb1 缺陷的肌纤维母细胞样细胞灶发生克隆性扩张。在肿瘤上皮中,间质细胞中 Lkb1 的缺失与包括 IL-11 产生和 JAK/STAT3 途径的激活在内的炎症程序的诱导相关,同时伴有增殖。重要的是,用 JAK1/2 抑制剂鲁索利替尼治疗 LKB1 缺陷型小鼠可显著减少息肉病。这些数据表明,在 Lkb1 突变后,IL-11 介导的 JAK/STAT3 诱导在胃肠道肿瘤发生中至关重要,并提示靶向该途径在 Peutz-Jeghers 综合征中具有治疗潜力。