In:
Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, Vol. 109, No. 18 ( 2012-05)
Abstract:
The findings in this report support a model in which Tpl2 ablation promotes intestinal inflammation in Apc min/+ mice by down-regulating the expression of the antiinflammatory cytokine IL-10 in myeloid cells in the intestinal mucosa and by interfering with the development and function of Tregs, which also inhibit inflammation. Developing polyps produce proinflammatory molecules that suppress Tregs and Tr1 cells and stimulate IL-17–producing T cells. This positive feedback loop is more robust in Apc min/+ /Tpl2 −/− mice, perhaps because the tumor burden of these mice is higher throughout life, as a result of the enhancement of tumor initiation ( Fig. P1 ). Overall, our data provide a unique genetic link between inflammation and cancer. Moreover, the animal model described here provides a valuable tool to address the pathophysiology of inflammatory bowel disease and colorectal cancer mechanistically in animals and humans. Experiments of Treg induction in culture provided evidence that the low numbers of Tregs in Tpl2 −/− mice result from a T cell-intrinsic defect in Treg generation and that only a small fraction of these Tpl2 −/− Tregs produce IL-10. Other in vivo studies reported here showed that the numbers of IL-10 + Tregs and type 1 regulatory T (Tr1) cells were lower in the intestines of Apc min/+ /Tpl2 −/− mice. The low numbers of Tregs and Tr1 cells were accompanied by high numbers of proinflammatory Foxp3 + and Foxp3 − IL-17–producing T cells. Moreover, the numbers of Tregs decreased and the numbers of IL-17–producing T cells increased with time faster in the Apc min/+ /Tpl2 −/− mice than in the Apc min/+ /Tpl2 +/+ mice. The more rapid change in the numbers of Tregs and IL-17–producing T cells in Apc min/+ /Tpl2 −/− mice parallels the increase in polyp numbers with time, which is also more rapid in these mice. This suggests that Apc min/+ /Tpl2 −/− mice may exhibit an enhanced response to proinflammatory signals triggered by the developing polyps or that Apc min/+ /Tpl2 −/− polyps may produce a more robust proinflammatory environment than Apc min/+ /Tpl2 +/+ polyps. Other cells that contribute to the abundance of IL-10 in the intestines are the Tregs, which may also produce IL-10. Our studies indeed showed that the number of Tregs is reduced in the intestines and peripheral lymphoid organs, but not in the thymus, of Tpl2 −/− mice in both the Apc +/+ and Apc min/+ genetic backgrounds. Tregs from Tpl2 −/− mice are not only low in number but express low levels of Foxp3, a transcription factor essential for Treg development and function. This suggested that the Tpl2 −/− Tregs might also be functionally defective, which was confirmed with Treg transfer experiments. These experiments showed that only the WT Tregs protect Apc min/+ /Tpl2 +/+ mice from polyposis. Interestingly, the Tpl2 +/+ Tregs failed to inhibit polyposis when transplanted into Apc min/+ /Tpl2 −/− mice, suggesting that the function of WT Tregs is intact only in the Tpl2 +/+ microenvironment. Intestinal IL-10 is produced primarily by macrophages. This observation, combined with the known defect of Tpl2 −/− macrophages in the induction of IL-10 by signals initiated by receptors triggered by bacterial products ( 4 ), suggested that the low levels of IL-10 in the intestines of Tpl2 −/− mice might be attributable to a macrophage signaling defect. Further studies showed that Tpl2 ablation in macrophages inhibits the activation of several upstream regulators of IL-10, including mTOR and Stat3 ( 5 ). Divergence in the composition of the intestinal inflammatory infiltrates of the Apc min/+ /Tpl2 −/− mice becomes apparent with the initiation of polyposis. Because polyps may stimulate inflammation ( 3 ), this observation challenged the hypothesis that the enhancement of polyposis in Apc min/+ /Tpl2 −/− mice may be secondary to the enhancement of inflammation. ELISAs addressing the expression of cytokines in the intestinal mucosa of these mice showed that the levels of intestinal IL-10 were lower in Tpl2 −/− mice than in Tpl2 +/+ mice, independent of adenomatous polyposis coli ( APC ) or polyp status. These data identified IL-10 as one of the factors that may be responsible for the initial divergence in inflammation and tumorigenesis between Apc min/+ /Tpl2 +/+ and Apc min/+ /Tpl2 −/− mice. The enhancement of tumorigenesis in Tpl2 −/− mice carrying the Apc min mutation could be the result of an intrinsic defect in the intestinal epithelia. Alternatively, it may be attributable to tumor-promoting changes in the intestinal stroma (i.e., the tissue supporting the intestinal epithelia). Bone marrow transplantation experiments showed that this enhancement is driven, at least in part, by hematopoietic cells. These results, combined with the known protumorigenic effects of inflammation, also suggested that Tpl2 ablation may promote tumorigenesis by promoting inflammation. Our analysis of the intestinal inflammatory infiltrates by flow cytometry showed that the infiltrates isolated from Apc min/+ /Tpl2 −/− mice contained a higher percentage of macrophages and tumor-associated myeloid-derived suppressor cells, and that the percentages of these cells increase with time. More important, the levels of the proinflammatory mediators, TNF-α, and IL-6 were higher in extracts of the intestinal mucosa of the Apc min/+ /Tpl2 −/− mice, and polyps from the same mice expressed higher levels of the enzyme COX-2, suggesting that Tpl2 ablation promotes the establishment of a proinflammatory environment in the intestinal mucosa. The Tpl2 gene encodes an enzyme that phosphorylates proteins on serine and threonine amino acid residues (a serine-threonine protein kinase) and is activated in retrovirus-induced tumors in animals via the integration of a DNA copy of the retroviral RNA genome within the gene. The Tpl2 kinase is activated enzymatically by signals originating in receptors that recognize bacterial products and various regulators of the immune system. Tpl2 activated by such signals plays an important role in the regulation of innate and adaptive immunity and inflammation (refs. 1 and 2 and references therein). Here, we show that mice with an inactivating mutation in the Apc gene and a second inactivating mutation in Tpl2 ( Apc min/+ /Tpl2 −/− mice) exhibit a fivefold increase in the number of intestinal polyps by comparison with the mice that carry only the Apc mutation. The increase in polyp numbers was partly hematopoietic cell-driven. The ablation of Tpl2 promoted intestinal inflammation by interfering with the secretion of the antiinflammatory molecule IL-10 in the intestinal mucosa and with the generation and function of regulatory T cells (Tregs), which also inhibit inflammation and tumorigenesis. Inflammation and polyp numbers increased with time, but the increase was faster in Apc min/+ /Tpl2 −/− mice, suggesting that the positive feedback initiated by polyp-induced inflammatory signals is more robust in these mice. Given the importance of Apc mutations in human colorectal cancer, these findings provide unique insights into the role of inflammation in this disease and into the molecular mechanisms that may influence the development of inflammation.
Type of Medium:
Online Resource
ISSN:
0027-8424
,
1091-6490
DOI:
10.1073/pnas.1115098109
Language:
English
Publisher:
Proceedings of the National Academy of Sciences
Publication Date:
2012
detail.hit.zdb_id:
209104-5
detail.hit.zdb_id:
1461794-8
SSG:
11
SSG:
12
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