The IL-6/JAK/Stat3 feed-forward loop drives tumorigenesis and metastasis.

TitleThe IL-6/JAK/Stat3 feed-forward loop drives tumorigenesis and metastasis.
Publication TypeJournal Article
Year of Publication2013
AuthorsChang Q, Bournazou E, Sansone P, Berishaj M, Gao SPaul, Daly L, Wels J, Theilen T, Granitto S, Zhang X, Cotari J, Alpaugh ML, de Stanchina E, Manova K, Li M, Bonafé M, Ceccarelli C, Taffurelli M, Santini D, Altan-Bonnet G, Kaplan R, Norton L, Nishimoto N, Huszar D, Lyden D, Bromberg J
JournalNeoplasia
Volume15
Issue7
Pagination848-62
Date Published2013 Jul
ISSN1476-5586
KeywordsAnimals, Breast Neoplasms, Cell Line, Tumor, Cell Transformation, Neoplastic, Female, Gene Expression, Gene Expression Regulation, Neoplastic, Humans, Interleukin-6, Janus Kinase 3, Mice, Mice, Knockout, Neoplasm Metastasis, Neoplasms, Pyrazoles, Pyrimidines, Signal Transduction, STAT3 Transcription Factor, Tumor Microenvironment
Abstract

We have investigated the importance of interleukin-6 (IL-6) in promoting tumor growth and metastasis. In human primary breast cancers, increased levels of IL-6 were found at the tumor leading edge and positively correlated with advanced stage, suggesting a mechanistic link between tumor cell production of IL-6 and invasion. In support of this hypothesis, we showed that the IL-6/Janus kinase (JAK)/signal transducer and activator of transcription 3 (Stat3) pathway drives tumor progression through the stroma and metastatic niche. Overexpression of IL-6 in tumor cell lines promoted myeloid cell recruitment, angiogenesis, and induced metastases. We demonstrated the therapeutic potential of interrupting this pathway with IL-6 receptor blockade or by inhibiting its downstream effectors JAK1/2 or Stat3. These clinically relevant interventions did not inhibit tumor cell proliferation in vitro but had profound effects in vivo on tumor progression, interfering broadly with tumor-supportive stromal functions, including angiogenesis, fibroblast infiltration, and myeloid suppressor cell recruitment in both the tumor and pre-metastatic niche. This study provides the first evidence for IL-6 expression at the leading edge of invasive human breast tumors and demonstrates mechanistically that IL-6/JAK/Stat3 signaling plays a critical and pharmacologically targetable role in orchestrating the composition of the tumor microenvironment that promotes growth, invasion, and metastasis.

DOI10.1593/neo.13706
Alternate JournalNeoplasia
PubMed ID23814496
PubMed Central IDPMC3689247
Grant ListR01CA 098234-01 / CA / NCI NIH HHS / United States
R01 CA87637 / CA / NCI NIH HHS / United States
U54 CA143836 / CA / NCI NIH HHS / United States
P30 CA008748 / CA / NCI NIH HHS / United States
U54-CA143836 / CA / NCI NIH HHS / United States
R01 CA098234 / CA / NCI NIH HHS / United States
T32 AI007621 / AI / NIAID NIH HHS / United States
U54 CA148967 / CA / NCI NIH HHS / United States
R01 CA087637 / CA / NCI NIH HHS / United States