Department of Pharmacy, University of Naples Federico II, Naples, Italy.
Sir William Dunn School of Pathology, University of Oxford, Oxford, United Kingdom.
Front Immunol. 2018 Mar 27;9:499. doi: 10.3389/fimmu.2018.00499. eCollection 2018.
Chronic inflammation contributes to tumor initiation in colitis-associated colorectal cancer (CRC). Indeed, inflammatory bowel disease (IBD) patients show an increased risk of developing CRC. Cancer immune evasion is a major issue in CRC and preclinical and clinical evidence has defined a critical role for myeloid-derived suppressor cells (MDSCs) that contribute to tumor growth and progression by suppressing T-cells and modulating innate immune responses. MDSCs comprise a heterogeneous population of immature myeloid cells that can be distinct in two subtypes: CD11bLy6GLy6C with granulocytic phenotype (G-MDSCs) and CD11bLy6GLy6C with monocytic phenotype (M-MDSCs). Hydrogen sulfide (HS) is an endogenous gaseous signaling molecule that regulates various physiological and pathophysiological functions. In particular, several studies support its anti-inflammatory activity in experimental colitis and ulcer. However, the role of the HS pathway in innate immune-mediated IBD has not yet been elucidated. To better define a possible link between MDSCs and HS pathway in colitis-associated CRC development, we used an innate immune-mediated IBD model induced by infection with the bacterium (), closely resembling human IBD. Here, we demonstrated an involvement of MDSCs in colitis development. A significant time-dependent increase of both G-MDSCs and M-MDSCs was observed in the colon and in the spleen of -infected mice. Following, we observed that chronic oral administration of the HS donor DATS reduced colon inflammation by limiting the recruitment of G-MDSCs in the colon of -infected mice. Thus, we identify the metabolic pathway l-cysteine/HS as a possible new player in the immunosuppressive mechanism responsible for the MDSCs-promoted colitis-associated cancer development.
慢性炎症有助于结肠炎相关结直肠癌(CRC)的肿瘤起始。事实上,炎症性肠病(IBD)患者发生 CRC 的风险增加。癌症免疫逃逸是 CRC 的一个主要问题,临床前和临床证据已经确定了髓系来源的抑制细胞(MDSCs)的关键作用,它们通过抑制 T 细胞和调节先天免疫反应来促进肿瘤生长和进展。MDSCs 由异质的未成熟髓样细胞组成,在两种亚型中可以明显区分:具有粒细胞表型(G-MDSCs)的 CD11bLy6GLy6C 和具有单核细胞表型(M-MDSCs)的 CD11bLy6GLy6C。硫化氢(HS)是一种内源性气体信号分子,可调节各种生理和病理生理功能。特别是,几项研究支持其在实验性结肠炎和溃疡中的抗炎活性。然而,HS 途径在先天免疫介导的 IBD 中的作用尚未阐明。为了更好地确定 MDSCs 与结肠炎相关 CRC 发展中 HS 途径之间的可能联系,我们使用了一种由细菌感染引起的先天免疫介导的 IBD 模型(),该模型与人类 IBD 非常相似。在这里,我们证明了 MDSCs 参与了结肠炎的发生。在感染小鼠的结肠和脾脏中,观察到 G-MDSCs 和 M-MDSCs 均呈时间依赖性增加。随后,我们观察到慢性口服 HS 供体 DATS 通过限制 G-MDSCs 在感染小鼠结肠中的募集,减轻了结肠炎的炎症。因此,我们确定代谢途径 l-半胱氨酸/HS 作为 MDSCs 促进结肠炎相关癌症发展的免疫抑制机制的一个可能的新参与者。