IL6 Modulates the Immune Status of the Tumor Microenvironment to Facilitate Metastatic Colonization of Colorectal Cancer Cells

Cancer Immunol Res. 2019 Dec;7(12):1944-1957. doi: 10.1158/2326-6066.CIR-18-0766. Epub 2019 Sep 25.

Abstract

It is unknown as to how liver metastases are correlated with host immune status in colorectal cancer. In this study, we found that IL6, a proinflammatory cytokine produced in tumor-bearing states, promoted the metastatic colonization of colon cancer cells in association with dysfunctional antitumor immunity. In IL6-deficient mice, metastatic colonization of CT26 cells in the liver was reduced, and the antitumor effector function of CD8+ T cells, as well as IL12 production by CD11c+ dendritic cells, were augmented in vivo IL6-deficient mice exhibited enhanced IFN-AR1-mediated type I interferon signaling, which upregulated PD-L1 and MHC class I expression on CT26 cells. In vivo injection of anti-PD-L1 effectively suppressed the metastatic colonization of CT26 cells in Il6 -/- but not in Il6 +/+ mice. Finally, we confirmed that colorectal cancer patients with low IL6 expression in their primary tumors showed prolonged disease-free survival. These findings suggest that IL6 may be a promising target for the treatment of metastasis in colorectal cancers by improving host immunity.

MeSH terms

  • Animals
  • B7-H1 Antigen / antagonists & inhibitors
  • B7-H1 Antigen / immunology
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Line, Tumor
  • Colorectal Neoplasms / immunology*
  • Colorectal Neoplasms / pathology*
  • Dendritic Cells / immunology
  • Humans
  • Interleukin-6 / genetics
  • Interleukin-6 / immunology*
  • Liver Neoplasms / immunology
  • Liver Neoplasms / secondary
  • Mice, Inbred BALB C
  • Mice, Knockout
  • Tumor Microenvironment / immunology*

Substances

  • B7-H1 Antigen
  • Interleukin-6