Abstract | BACKGROUND AND AIMS:
Colitis-associated tumorigenesis is a balance between proliferation of tumour cells and tumour immunosurveillance. The role of T-helper-cell-derived cytokines in tumour growth is not fully understood. In this study the authors investigated the influence of interleukin (IL) 21 on intestinal tumorigenesis. METHODS: Chronic colitis was induced in IL-21(-/-) and littermate control wild-type mice with three cycles of 1.5% dextran sulphate sodium (DSS) over 7 days followed by 7 days of drinking water. Mice received an azoxymethane injection on day 0 of DSS- colitis to induce tumorigenesis. Immunohistochemistry was performed on inflamed and tumour-bearing areas of colons. Cytokine expression of isolated colonic CD4 T cells was determined by ELISA. Cytotoxic capacity of isolated colonic CD8 T cells targeting tumour cells was evaluated by flow cytometry and quantitative cytotoxicity assay. Apoptosis of tumour cells was determined by TUNEL assay of colonic sections. RESULTS: Increasing expression of IL-21 was observed in chronic colitis, which showed functional importance, since IL-21 deficiency prevented chronic DSS- colitis development. Further, in the absence of IL-21, significantly fewer tumour nodules were detected, despite a similar extent of intestinal inflammation. In wild-type mice, 8.6±1.9 tumour nodules were found compared with 1.0±1.2 in IL-21-deficient mice. In tumour-bearing IL-21-deficient mice, intestinal inflammation was restored and partly dependent on interferon (IFN)-γ, whereas the inflammation in wild-type mice showed high IL-17A concentrations. In these rare tumours in IL-21-deficient mice, tumour cell proliferation (Ki-67) was decreased, while cell apoptosis was increased, compared with wild-type mice. Increased IFNγ expression in tumour-bearing IL-21-deficient mice led to increased tumour immunosurveillance mediated by cytotoxic CD8CD103 T cells targeting E-cadherin(+) colonic tumour cells and therefore limited tumour growth. CONCLUSION: These results indicate that IL-21 orchestrates colitis-associated tumorigenesis, leading to the hypothesis that high IFNγ and low IL-17A expression reduces tumour cell proliferation and increases tumour immunosurveillance.
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Authors | Dominik Jauch, Maria Martin, Gabriela Schiechl, Rebecca Kesselring, Hans Jürgen Schlitt, Edward K Geissler, Stefan Fichtner-Feigl |
Journal | Gut
(Gut)
Vol. 60
Issue 12
Pg. 1678-86
(Dec 2011)
ISSN: 1468-3288 [Electronic] England |
PMID | 21948944
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Interleukins
- Interferon-gamma
- Dextran Sulfate
- interleukin-21
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Topics |
- Animals
- CD8-Positive T-Lymphocytes
(physiology)
- Colitis
(chemically induced, complications, immunology)
- Colon
(chemistry, immunology)
- Colonic Neoplasms
(etiology, immunology)
- Cytotoxicity Tests, Immunologic
- Dextran Sulfate
(pharmacology)
- Immunologic Surveillance
(physiology)
- Interferon-gamma
(physiology)
- Interleukins
(analysis, physiology)
- Mice
- Mice, Inbred C57BL
- Mice, Knockout
- Monitoring, Immunologic
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