Ren Shuguang, Zhang Xiangmei, Hu Yueyang, Wu Jianhua, Ju Yingchao, Sun Xu, Liu Yunjiang, Shan Baoen
The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Hospital of Stomatology Hebei Medical University, Shijiazhuang, China.
Ann Transl Med. 2020 Sep;8(17):1057. doi: 10.21037/atm-20-3881.
Osteosarcoma is a primary malignant tumor that seriously affects the health and life of patients. It is of great clinical significance to explore the molecular mechanism of osteosarcoma development and develop the corresponding therapeutic targets. Th1/Th2 cytokines in the normal human body are in a state of dynamic balance. When this balance is destroyed, it is related to many diseases such as a tumor, autoimmune disease, microbial infection, transplant rejection, among many others.
The model of mouse tumor-associated macrophage (TAM) was induced by being co-cultured with inducer granulocyte-macrophage colony stimulating factor (GM-CSF) and osteosarcoma S180 cells. The Notch1 knockout mice were obtained by gene targeting technology. The distribution of M1- and M2-type TAMs in the tumor was visualized by immunofluorescence staining. And the western-blot testing was used to detect and quantified the protein level of Notch1 and Th1/Th2-type cytokines.
In this study, the polarization of TAMs to the M2 phenotype occurred after coculture with osteosarcoma S180 cells and secretion level Th1/Th2-type cytokines changed. Also, the expression level of Notch1 reduced significantly. Further, the critical transcription factor Notch1 of the Notch signaling pathway was knocked out in mice. The tumor volume of Notch1 knockout mice was significantly more extensive than of the control mice. The results of microstructural observation on tumor showed that M2-type TAMs infiltrated into tumor increased with increased expression of Th2-type cytokines, but M1-type TAMs reduced with reduced expression of Th1-type cytokines.
According to our results, the Notch signal transduction pathway participates in tumor occurrence and growth with a negative role by maintaining Th1/Th2 balance.
骨肉瘤是一种严重影响患者健康和生命的原发性恶性肿瘤。探索骨肉瘤发生发展的分子机制并开发相应的治疗靶点具有重要的临床意义。正常人体内的Th1/Th2细胞因子处于动态平衡状态。当这种平衡被打破时,与肿瘤、自身免疫性疾病、微生物感染、移植排斥等多种疾病相关。
通过与诱导剂粒细胞-巨噬细胞集落刺激因子(GM-CSF)和骨肉瘤S180细胞共培养诱导小鼠肿瘤相关巨噬细胞(TAM)模型。采用基因靶向技术获得Notch1基因敲除小鼠。通过免疫荧光染色观察肿瘤中M1型和M2型TAM的分布。并采用蛋白质免疫印迹法检测和定量Notch1及Th1/Th2型细胞因子的蛋白水平。
本研究中,骨肉瘤S180细胞共培养后TAM向M2表型极化,Th1/Th2型细胞因子分泌水平改变。同时,Notch1表达水平显著降低。进一步在小鼠中敲除Notch信号通路的关键转录因子Notch1。Notch1基因敲除小鼠的肿瘤体积明显比对照小鼠大。肿瘤微观结构观察结果显示,随着Th2型细胞因子表达增加,浸润到肿瘤中的M2型TAM增多,但随着Th1型细胞因子表达降低,M1型TAM减少。
根据我们的研究结果,Notch信号转导通路通过维持Th1/Th2平衡对肿瘤的发生发展起负性作用。