Pharmacologic IL-6Rα inhibition in cholangiocarcinoma promotes cancer cell growth and survival.


Journal

Biochimica et biophysica acta. Molecular basis of disease
ISSN: 1879-260X
Titre abrégé: Biochim Biophys Acta Mol Basis Dis
Pays: Netherlands
ID NLM: 101731730

Informations de publication

Date de publication:
01 02 2019
Historique:
received: 21 06 2018
revised: 25 10 2018
accepted: 07 11 2018
pubmed: 13 11 2018
medline: 19 9 2019
entrez: 13 11 2018
Statut: ppublish

Résumé

Biliary tract cancer (BTC) represents a malignant tumor of the biliary tract including cholangiocarcinoma (CCA) and the carcinoma of the gallbladder (GBC) with a 5-year survival rate between 5 and 18% due to late diagnosis and rapid disease progression. Chronic inflammation is one of the main risk factors for CCA and GBC in particular. IL-6, as a mediator of inflammation, can act through a membrane-bound receptor alpha-chain (mIL-6R, "IL-6 classic signaling") or via soluble forms (sIL-6R, "IL-6 trans-signaling"). However, little is known about the impact on cellular responses of IL-6 trans-signaling on BTC. We analyzed primary tumors as whole sections and as tissue microarrays, and also searched The Cancer Genome Atlas database. Compared to non-neoplastic, non-inflamed gallbladder tissue, IL-6Rα was downregulated in GBC, and this correlated with the patients' overall survival. Furthermore, different CCA cell lines and compounds for activation (IL-6 and Hyper-IL-6) or inhibition (Tocilizumab and sgp130Fc) of IL-6 classic signaling and trans-signaling were used to determine their effects on cellular processes between the two modes of IL-6 signaling. Inhibition of IL-6 trans-signaling by sgp130Fc reduced CCA cell line viability and apoptosis, whereas migration and proliferation were increased. We conclude that IL-6Rα expression is a good prognostic marker for GBC, and that the blocking of IL-6 trans-signaling and activation of IL-6 classic signaling have tumor promoting activity. These findings warrant the exclusion of patients with GBC or other malignancies associated with bile metabolism from IL-6R inhibitor therapy.

Identifiants

pubmed: 30419338
pii: S0925-4439(18)30451-4
doi: 10.1016/j.bbadis.2018.11.006
pii:
doi:

Substances chimiques

Antibodies, Monoclonal, Humanized 0
Interleukin-6 0
Receptors, Interleukin-6 0
Recombinant Fusion Proteins 0
STAT3 Transcription Factor 0
Phosphotyrosine 21820-51-9
tocilizumab I031V2H011
olamkicept ZW1H7GZO9W

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

308-321

Informations de copyright

Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

Auteurs

Florian Kleinegger (F)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Eva Hofer (E)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Christina Wodlej (C)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria; Center for Biomarker Research in Medicine, Graz, Austria.

Nicole Golob-Schwarzl (N)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria; Center for Biomarker Research in Medicine, Graz, Austria.

Anna Maria Birkl-Toeglhofer (AM)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Alexander Stallinger (A)

Department for Biomedical Research, Core Facility Alternative Biomodels and Preclinical Imaging, Medical University of Graz, Austria.

Johannes Petzold (J)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Anna Orlova (A)

Ludwig Boltzmann Institute for Cancer Research, Vienna, Austria; Institute of Animal Breeding and Genetics, University of Veterinary Medicine Vienna, Austria.

Stefanie Krassnig (S)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Robert Reihs (R)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Tobias Niedrist (T)

Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Austria.

Harald Mangge (H)

Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Austria.

Young Nyun Park (YN)

Department of Pathology, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea.

Michael Thalhammer (M)

Department of General Surgery, Medical University of Graz, Austria.

Ariane Aigelsreiter (A)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria.

Sigurd Lax (S)

Department of Pathology, Hospital Graz South-West, Austria.

Christoph Garbers (C)

Institute of Biochemistry, Kiel University, Germany.

Peter Fickert (P)

Division of Gastroenterology and Hepatology, Medical University Graz, Austria.

Stefan Rose-John (S)

Institute of Biochemistry, Kiel University, Germany.

Richard Moriggl (R)

Ludwig Boltzmann Institute for Cancer Research, Vienna, Austria; Institute of Animal Breeding and Genetics, University of Veterinary Medicine Vienna, Austria; Medical University of Vienna, Austria.

Beate Rinner (B)

Department for Biomedical Research, Core Facility Alternative Biomodels and Preclinical Imaging, Medical University of Graz, Austria.

Johannes Haybaeck (J)

Diagnostic & Research Center for Molecular BioMedicine, Institute of Pathology, Medical University of Graz, Austria; Center for Biomarker Research in Medicine, Graz, Austria; Department of Pathology, Medical Faculty, Otto von Guericke University Magdeburg, Germany. Electronic address: johannes.haybaeck@med.ovgu.de.

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Classifications MeSH