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


Authors: Chang, Q.; Bournazou, E.; Sansone, P.; Berishaj, M.; Gao, S. P.; Daly, L.; Wels, J.; Theilen, T.; Granitto, S.; Zhang, X.; Cotari, J. ; Alpaugh, M. L.; de Stanchina, E.; Manova, K.; Li, M.; Bonafe, M.; Ceccarelli, C.; Taffurelli, M.; Santini, D.; Altan-Bonnet, G.; Kaplan, R.; Norton, L.; Nishimoto, N.; Huszar, D.; Lyden, D.; Bromberg, J.
Article Title: The IL-6/JAK/Stat3 feed-forward loop drives tumorigenesis and metastasis
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. © 2013 Neoplasia Press, Inc. All rights reserved.
Keywords: immunohistochemistry; signal transduction; human tissue; protein expression; nonhuman; flow cytometry; cd3 antigen; cd8 antigen; cell proliferation; animal cell; mouse; animal tissue; stat3 protein; reverse transcription polymerase chain reaction; green fluorescent protein; animal model; angiogenesis; enzyme linked immunosorbent assay; carcinogenesis; transgenic mouse; janus kinase; cd11b antigen; western blotting; interleukin 6; immunofluorescence test; cd4 antigen; tumor growth; breast metastasis; cd45 antigen; cd33 antigen; interleukin 1; tumor microenvironment; nitric oxide; arginase; puromycin; lymph vessel metastasis; penicillin binding protein 2a
Journal Title: NeoPlasia
Volume: 15
Issue: 7
ISSN: 1522-8002
Publisher: Elsevier Science Inc.  
Date Published: 2013-07-01
Start Page: 848
End Page: 862
Language: English
DOI: 10.1593/neo.13706
PROVIDER: scopus
PMCID: PMC3689247
PUBMED: 23814496
DOI/URL:
Notes: --- - "Export Date: 1 August 2013" - "CODEN: NEOPF" - "Source: Scopus"
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MSK Authors
  1. Larry Norton
    758 Norton
  2. David C Lyden
    87 Lyden
  3. Jacqueline Bromberg
    141 Bromberg
  4. Mary Alpaugh
    19 Alpaugh
  5. Qing Chang
    36 Chang
  6. Pasquale Sansone
    14 Sansone
  7. Ming Li
    110 Li
  8. Sizhi Gao
    47 Gao
  9. Laura Daly
    11 Daly