Abstract
Interleukin-17A (IL-17A) is a pro-inflammatory cytokine linked to rapid malignant progression of colorectal cancer (CRC) and therapy resistance. IL-17A exerts its pro-tumorigenic activity through its type A receptor (IL-17RA). However, IL-17RA is expressed in many cell types, including hematopoietic, fibroblastoid, and epithelial cells, in the tumor microenvironment, and how IL-17RA engagement promotes colonic tumorigenesis is unknown. Here we show that IL-17RA signals directly within transformed colonic epithelial cells (enterocytes) to promote early tumor development. IL-17RA engagement activates ERK, p38 MAPK, and NF-κB signaling and promotes the proliferation of tumorigenic enterocytes that just lost expression of the APC tumor suppressor. Although IL-17RA signaling also controls the production of IL-6, this mechanism makes only a partial contribution to colonic tumorigenesis. Combined treatment with chemotherapy, which induces IL-17A expression, and an IL-17A neutralizing antibody enhanced the therapeutic responsiveness of established colon tumors. These findings establish IL-17A and IL-17RA as therapeutic targets in colorectal cancer.
Copyright © 2014 Elsevier Inc. All rights reserved.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Aberrant Crypt Foci / genetics
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Animals
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Antibodies, Blocking / administration & dosage
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
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Carcinogenesis / drug effects
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Carcinogenesis / genetics
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Cell Line, Transformed
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Colonic Neoplasms / chemically induced
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Colonic Neoplasms / drug therapy
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Colonic Neoplasms / immunology*
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Colorectal Neoplasms / chemically induced
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Colorectal Neoplasms / drug therapy
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Colorectal Neoplasms / immunology*
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Disease Models, Animal
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Drug Resistance, Neoplasm / drug effects
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Enterocytes / drug effects
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Enterocytes / physiology*
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Extracellular Signal-Regulated MAP Kinases / metabolism
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Fluorouracil / administration & dosage
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Humans
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Interleukin-17 / metabolism
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Mice
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Mice, Inbred C57BL
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Mice, Knockout
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Mice, Transgenic
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NF-kappa B / metabolism
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Receptors, Interleukin-17 / genetics
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Receptors, Interleukin-17 / immunology
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Receptors, Interleukin-17 / metabolism*
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Signal Transduction / drug effects
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Signal Transduction / genetics
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Tamoxifen / administration & dosage
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p38 Mitogen-Activated Protein Kinases / metabolism
Substances
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Antibodies, Blocking
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Il17ra protein, mouse
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Interleukin-17
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NF-kappa B
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Receptors, Interleukin-17
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Tamoxifen
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Extracellular Signal-Regulated MAP Kinases
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p38 Mitogen-Activated Protein Kinases
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Fluorouracil