ADAM17 is required for EGF-R–induced intestinal tumors via IL-6 trans-signaling

S Schmidt, N Schumacher, J Schwarz… - Journal of Experimental …, 2018 - rupress.org
S Schmidt, N Schumacher, J Schwarz, S Tangermann, L Kenner, M Schlederer, M Sibilia
Journal of Experimental Medicine, 2018rupress.org
Colorectal cancer is treated with antibodies blocking epidermal growth factor receptor (EGF-
R), but therapeutic success is limited. EGF-R is stimulated by soluble ligands, which are
derived from transmembrane precursors by ADAM17-mediated proteolytic cleavage. In
mouse intestinal cancer models in the absence of ADAM17, tumorigenesis was almost
completely inhibited, and the few remaining tumors were of low-grade dysplasia. RNA
sequencing analysis demonstrated down-regulation of STAT3 and Wnt pathway …
Colorectal cancer is treated with antibodies blocking epidermal growth factor receptor (EGF-R), but therapeutic success is limited. EGF-R is stimulated by soluble ligands, which are derived from transmembrane precursors by ADAM17-mediated proteolytic cleavage. In mouse intestinal cancer models in the absence of ADAM17, tumorigenesis was almost completely inhibited, and the few remaining tumors were of low-grade dysplasia. RNA sequencing analysis demonstrated down-regulation of STAT3 and Wnt pathway components. Because EGF-R on myeloid cells, but not on intestinal epithelial cells, is required for intestinal cancer and because IL-6 is induced via EGF-R stimulation, we analyzed the role of IL-6 signaling. Tumor formation was equally impaired in IL-6−/− mice and sgp130Fc transgenic mice, in which only trans-signaling via soluble IL-6R is abrogated. ADAM17 is needed for EGF-R–mediated induction of IL-6 synthesis, which via IL-6 trans-signaling induces β-catenin–dependent tumorigenesis. Our data reveal the possibility of a novel strategy for treatment of colorectal cancer that could circumvent intrinsic and acquired resistance to EGF-R blockade.
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