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Carcinogenesis Advance Access originally published online on August 27, 2007
Carcinogenesis 2007 28(12):2614-2623; doi:10.1093/carcin/bgm180
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© The Author 2007. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Rapid reversal of interleukin-6-dependent epithelial invasion in a mouse model of microbially induced colon carcinoma

Theofilos Poutahidis1,5, Kevin M. Haigis2,6, Varada P. Rao1, Prashant R. Nambiar1, Christie L. Taylor1, Zhongming Ge1, Koichiro Watanabe1, Anne Davidson3,7, Bruce H. Horwitz4, James G. Fox1 and Susan E. Erdman1,*

1 Division of Comparative Medicine
2 Center for Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA
3 Department of Medicine and Microbiology, Columbia University, 1130 St Nicholas Avenue, Room 918, New York, NY 10032
4 Immunology Research Division, Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Avenue, Boston, MA 02115, USA
5 Present address: Laboratory of Pathology, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki 54006, Greece
6 Present address: Unit for Molecular Pathology, Center for Cancer Research, Massachusetts General Hospital, Bldg 149, Rm 7148, 13th Street, Charlestown, MA 02129, USA
7 Present address: Feinstein Institute for Medical Research, 350 Community Drive, Manhasset NY 11030, USA

* To whom correspondence should be addressed. Tel: +1 617 252 1804; Fax: +1 617 258 5708; Email: serdman{at}mit.edu

Chronic inflammation of mucosal surfaces renders them increasingly susceptible to epithelial cancers both in humans and mice. We have previously shown that anti-inflammatory CD4+CD45RBloCD25+ regulatory (Treg or TR) lymphocytes down-regulate inflammation and block development of bacteria-triggered colitis and colorectal cancer (CRC) in 129/SvEv Rag2–/– mice. Interestingly, TR cells collected from Interleukin (IL)-10-deficient cell donors not only failed to suppress carcinogenesis but instead promoted invasive mucinous colonic carcinoma with a strong gender bias expressing in male mice. We found we show that peritoneal invasion in this model is dependent on pleiotropic cytokine IL-6. Mucinous carcinoma arose rapidly and consistently after treatment with IL10–/– TR cells, which were found to express Foxp3+ and localize throughout tumor tissue. Carcinogenesis was rapidly reversible with transfer of wild type IL10-competent TR cells. Likewise, treatment with IL10-Ig fusion protein was sufficient to revert the lesions histologically, and restore inflammatory cytokine and oncogene expression to base line levels. These studies indicate an essential role for IL 6 in this CRC phenotype. Furthermore, immune-competent TR cells were important not only for preventing pathology but also for constructive remodeling of bowel following tumorigenic microbial insults. These data provide insights into etiopathogenesis of inflammation-associated epithelial invasion and maintenance of epithelial homeostasis.

Abbreviations: IBD, inflammatory bowel disease; Ig, immunoglobulin; IL, interleukin; PCR, polymerase chain reaction; PI, post-infection; Tgf, transforming growth factor; TNF-{alpha}, tumor necrosis factor {alpha}; TR or Treg, CD4+CD45RBloCD25+; wt, wild-type; CRC, colorectal cancer

Received July 5, 2007; revised July 26, 2007; accepted July 27, 2007.


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