Tumor cell-derived molecules such as
cytokines and
lipid mediators play a critical role in inducing chronic
inflammation in the tumor microenvironment. We found that Th17 cells were increased in the peripheral blood, spleen, and
tumor tissues of mammary gland
tumor-bearing mice. The Th17 cell survival factor,
IL-23, was also overexpressed in
tumor tissues isolated from mice and human
breast cancer patients. Soluble molecules secreted from
breast tumor cells, but not normal breast epithelial cells, induced
IL-23 protein secretion in dendritic cells via induction of p19
mRNA expression. Our data further indicate that
tumor-secreted
PGE2 through EP2 and EP4 receptors enhanced
IL-23 p19 gene transcription through binding to the cAMP-response element in the p19 promoter. Blocking
PGE2 synthesis by
NS398, a
COX2 inhibitor, abrogated the enhancement of p19 expression both in vitro and in vivo. Furthermore, blocking
protein kinase A (PKA) by
H89 completely abrogated the inductive effects of
tumor-
conditioned medium and
PGE2 on p19 transcription, whereas the cAMP active analog,
Forskolin, mimics the
PGE2 effect. Taken together, our results indicate that
tumor-secreted
PGE2 induces
IL-23, but not
IL-12, production in the tumor microenvironment, leading to Th17 cell expansion. This inductive effect of
PGE2 on
IL-23 p19 transcription is mediated through cAMP/PKA signaling transduction pathway.