Sun Ruige, Chen Chunli, Deng Xinzhou, Wang Fengqin, Song Shimao, Cai Qiang, Wang Jincheng, Zhang Te, Shi Mingliang, Ke Qing, Luo Zhiguo
Postgraduate Training Basement of Jinzhou Medical University, Taihe Hospital, Hubei University of Medicine, Shiyan City, Hubei Province 442000, China.
Department of Clinical Oncology, Taihe Hospital, Shiyan City, Hubei Province 442000, China.
J Cancer. 2021 Jun 1;12(15):4638-4647. doi: 10.7150/jca.56185. eCollection 2021.
Cervical cancer is one of the most common malignant tumors in the female reproductive system. Radioresistance remains a significant factor that limits the efficacy of radiotherapy for cervical cancer. Interleukin-11 (IL-11) has been reported to be upregulated in various types of human cancer and correlate with clinical stage and poor survival. However, the exact effects and mechanisms of IL-11 in the radioresistance of cervical cancer have not yet been defined. In this research, TCGA databases revealed that IL-11 expression was upregulated in cervical cancer tissues and was associated with clinical stages and poor prognosis in cervical cancer patients. We discovered that IL-11 concentration was significantly upregulated in radioresistant cervical cancer cells. Knocking down IL-11 in Hela cells could reduce clonogenic survival rate, decrease cell viability, induce G2/M phase block, and facilitate cell apoptosis. In contrast, Exogeneous IL-11 in C33A cells could upregulate clonogenic survival rate, increase cell viability, curb G2/M phase block, and cell apoptosis. Mechanistic investigations showed that radioresistance conferred by IL-11 was attributed to the activation of the PI3K/Akt signaling pathway. Altogether, our results demonstrate that IL-11 might be involved in radioresistance, and IL-11 may be a potent radiosensitization target for cervical cancer therapy.
宫颈癌是女性生殖系统中最常见的恶性肿瘤之一。放射抗性仍然是限制宫颈癌放射治疗疗效的一个重要因素。据报道,白细胞介素-11(IL-11)在多种人类癌症中上调,并与临床分期和不良生存相关。然而,IL-11在宫颈癌放射抗性中的确切作用和机制尚未明确。在本研究中,TCGA数据库显示,IL-11在宫颈癌组织中表达上调,且与宫颈癌患者的临床分期和不良预后相关。我们发现,在放射抗性宫颈癌细胞中IL-11浓度显著上调。敲低Hela细胞中的IL-11可降低克隆形成存活率、降低细胞活力、诱导G2/M期阻滞并促进细胞凋亡。相反,在C33A细胞中外源性IL-11可上调克隆形成存活率、增加细胞活力、抑制G2/M期阻滞和细胞凋亡。机制研究表明,IL-11赋予的放射抗性归因于PI3K/Akt信号通路的激活。总之,我们的结果表明,IL-11可能参与放射抗性,并且IL-11可能是宫颈癌治疗的一个有效的放射增敏靶点。