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Publication : RORγt-Expressing Tregs Drive the Growth of Colitis-Associated Colorectal Cancer by Controlling IL6 in Dendritic Cells.

First Author  Rizzo A Year  2018
Journal  Cancer Immunol Res Volume  6
Issue  9 Pages  1082-1092
PubMed ID  29991500 Mgi Jnum  J:289722
Mgi Id  MGI:6434628 Doi  10.1158/2326-6066.CIR-17-0698
Citation  Rizzo A, et al. (2018) RORgammat-Expressing Tregs Drive the Growth of Colitis-Associated Colorectal Cancer by Controlling IL6 in Dendritic Cells. Cancer Immunol Res 6(9):1082-1092
abstractText  Chronic inflammation drives colitis-associated colorectal cancer (CAC) in inflammatory bowel disease (IBD). FoxP3(+) regulatory T cells (Treg) coexpressing the Th17-related transcription factor RORgammat accumulate in the lamina propria of IBD patients, where they are thought to represent an intermediate stage of development toward a Th17 proinflammatory phenotype. However, the role of these cells in CAC is unknown. RORgammat(+)FoxP3(+) cells were investigated in human samples of CAC, and their phenotypic stability and function were investigated in an azoxymethane/dextran sulfate sodium model of CAC using Treg fate-mapping reporter and Treg-specific RORgammat conditional knockout mice. Tumor development and the intratumoral inflammatory milieu were characterized in these mice. The functional role of CTLA-4 expressed by Tregs and FoxO3 in dendritic cells (DC) was studied in vitro and in vivo by siRNA-silencing experiments. RORgammat expression identified a phenotypically stable population of tumor-infiltrating Tregs in humans and mice. Conditional RORgammat knockout mice showed reduced tumor incidence, and dysplastic cells exhibited low Ki67 expression and STAT3 activation. Tumor-infiltrating DCs produced less IL6, a cytokine that triggers STAT3-dependent proliferative signals in neoplastic cells. RORgammat-deficient Tregs isolated from tumors overexpressed CTLA-4 and induced DCs to have elevated expression of the transcription factor FoxO3, thus reducing IL6 expression. Finally, in vivo silencing of FoxO3 obtained by siRNA microinjection in the tumors of RORgammat-deficient mice restored IL6 expression and tumor growth. These data demonstrate that RORgammat expressed by tumor-infiltrating Tregs sustains tumor growth by leaving IL6 expression in DCs unchecked. Cancer Immunol Res; 6(9); 1082-92. (c)2018 AACR.
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