Department of Pathology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Department of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China.
Cell Death Differ. 2019 Nov;26(11):2447-2463. doi: 10.1038/s41418-019-0312-y. Epub 2019 Mar 8.
Metastasis is a complex process that requires the interaction between tumor cells and their microenvironment. As an important regulator of intestinal microenvironment, gut microbiota plays a significant role in the initiation and progression of colorectal cancer (CRC), but the underlying mechanisms remain elusive. In this study, a metastasis-related secretory protein cathepsin K (CTSK) was identified as a vital mediator between the imbalance of intestinal microbiota and CRC metastasis. We implanted MC38 cells into the cecal mesentry of antibiotic-treated mice with intragastrically administration of E. coli to mimic gut microbiota imbalance. The bigger primary tumors and more liver metastatic foci were detected in the E. coli group accompanied with high LPS secretion and CTSK overexpression compared with that in the control group. CTSK contributes to the aggressive phenotype of CRC cells both in vitro and in vivo. Silencing CTSK or administration of Odanacatib, a CTSK-specific inhibitor, totally abolished the CTSK-enhanced migration and motility of CRC cells. Interestingly, the tumor-secreted CTSK could bind to toll-like receptor 4 (TLR4) to stimulate the M2 polarization of tumor-associated macrophages (TAMs) via an mTOR-dependent pathway. Recombinant CTSK could neither stimulate CRC growth and metastasis, nor induce M2 macrophage polarization in TRL4 mice. Meanwhile, CTSK could stimulate the secretion of cytokines by M2 TAMs including IL10 and IL17, which, in turn, promote the invasion and metastasis of CRC cells through NFκB pathway. Clinically, overexpression of CTSK in human CRC tissues is always accompanied with high M2 TAMs in the stroma, and correlated with CRC metastasis and poor prognosis. Our current research identified CTSK as a mediator between the imbalance of gut microbiota and CRC metastasis. More importantly, we illustrated a CTSK-mediated-positive feedback loop between CRC cells and TAMs during metastasis, prompting CTSK as a novel predictive biomarker and feasible therapeutic target for CRC.
转移是一个复杂的过程,需要肿瘤细胞与其微环境之间的相互作用。肠道微生物群作为肠道微环境的重要调节者,在结直肠癌(CRC)的发生和发展中起着重要作用,但潜在机制仍不清楚。在这项研究中,一种与转移相关的分泌蛋白组织蛋白酶 K(CTSK)被鉴定为肠道微生物群失衡与 CRC 转移之间的重要介质。我们将 MC38 细胞植入经抗生素处理的小鼠的盲肠系膜中,并通过胃内给予大肠杆菌来模拟肠道微生物群失衡。与对照组相比,大肠杆菌组的原发肿瘤更大,肝脏转移灶更多,LPS 分泌增加,CTSK 过表达。CTSK 有助于 CRC 细胞在体外和体内的侵袭表型。沉默 CTSK 或给予 CTSK 特异性抑制剂odanacatib 可完全消除 CTSK 增强的 CRC 细胞迁移和运动能力。有趣的是,肿瘤分泌的 CTSK 可以与 Toll 样受体 4(TLR4)结合,通过一种 mTOR 依赖的途径刺激肿瘤相关巨噬细胞(TAMs)的 M2 极化。重组 CTSK 既不能刺激 CRC 生长和转移,也不能在 TLR4 小鼠中诱导 M2 巨噬细胞极化。同时,CTSK 可以刺激 M2 TAMs 分泌细胞因子,包括 IL10 和 IL17,这些细胞因子通过 NFκB 途径促进 CRC 细胞的侵袭和转移。临床上,人 CRC 组织中 CTSK 的高表达常伴有基质中高 M2 TAMs,并与 CRC 转移和预后不良相关。我们的研究确定了 CTSK 是肠道微生物群失衡与 CRC 转移之间的介质。更重要的是,我们说明了在转移过程中 CRC 细胞与 TAMs 之间的 CTSK 介导的正反馈环,提示 CTSK 作为 CRC 的一种新的预测生物标志物和可行的治疗靶点。