Murine models have shown that
IL-18 has antiangiogenic and antitumor effects, but little is known about
IL-18 production in human
tumors. We investigated
IL-18 expression in clinically localized
prostate cancers by immunohistochemistry and showed that 75% of the
prostate cancers studied (27/36 cases) presented with
tumor cells producing
IL-18. Prostate tumor cell lines PC-3, DU 145 and LNCaP synthesized the immature form of
IL-18 (p24). IFN-gamma produced in
prostate cancers induced caspase-1
mRNA and
IL-18 secretion of tumor cell lines, which was inhibited by the cell-permeable
Tyr-Val-Ala-Asp-aldehyde caspase-1 inhibitor (
YVAD-CHO). Interestingly, IFN-alpha also induced
IL-18 secretion of the poorly differentiated cell line PC-3. PC-3 and DU 145, but not the well-differentiated cell line LNCaP, expressed IL-18R alpha (IL-1Rrp)
protein and transcripts for IL-18R beta (AcPL). Exogenous
IL-18 increased mitochondrial activity of both cell lines evaluated by the tetrazolium (MTT) assay but did not influence their proliferation. This indicated that prostate
tumor cells could secrete
IL-18 in response to IFN-gamma in the tumor microenvironment and that
IL-18 could act as a autocrine/paracrine factor for the
tumor. In the cohort of patients studied,
IL-18 expression in
prostate cancers (with up to 10% of
tumor cells stained) was associated with a favorable outcome and equally predictive as pathologic stage on multivariate analysis (log rank test, p = 0.02).
Tumor IL-18 production is a novel physiopathologic feature of
prostate cancer and appears to be a favorable event in the course of the disease. Modulation of
IL-18 production by
interferons could have a beneficial clinical effect, which deserves further investigation.