Interleukin (IL)-15 is a proinflammatory
cytokine, as it induces the production of inflammatory
cytokines [IL-6,
tumor necrosis factor alpha (
TNFalpha),
IL-17, etc.]. A correlation between high intratumoral
IL-15 concentrations and poor clinical outcome in lung and
head and neck cancer patients has been recently reported. The purpose of this study was to investigate the role of the soluble alpha chain of
IL-15 receptor (sIL-15Ralpha), a natural regulator of
IL-15, in
head and neck cancer. Fifty-three newly diagnosed untreated
head and neck cancer patients were included in this study. Quantification of sIL-15Ralpha was performed with a newly developed RIA. Increased serum sIL-15Ralpha concentrations were found in
head and neck cancer patients and were closely correlated with poor clinical outcome both in terms of locoregional control and survival even on multivariate analysis. sIL-15Ralpha was mainly produced by
tumor cells via proteolytic cleavage of IL-15Ralpha mediated by
ADAM-17. A correlation was observed between
ADAM-17 expression in
tumor cells and serum sIL-15Ralpha concentrations. Surprisingly, sIL-15Ralpha did not act in vitro as an
IL-15 antagonist but rather as an enhancer of IL-15-induced proinflammatory
cytokines (IL-6,
TNFalpha, and IL-17) that may promote
tumor progression. This new
tumor evasion mechanism based on amplification of the intratumoral inflammatory reaction is probably not restricted to
head and neck cancer, as other
tumors have been shown to release sIL-15Ralpha. Overall, these results support for the first time an original protumor role of sIL-15Ralpha in
cancer.