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Publication : Elimination of NF-κB signaling in Vimentin+ stromal cells attenuates tumorigenesis in a mouse model of Barrett's Esophagus.

First Author  Anand A Year  2021
Journal  Carcinogenesis Volume  42
Issue  3 Pages  405-413
PubMed ID  33068426 Mgi Jnum  J:304140
Mgi Id  MGI:6694718 Doi  10.1093/carcin/bgaa109
Citation  Anand A, et al. (2021) Elimination of NF-kappaB signaling in Vimentin+ stromal cells attenuates tumorigenesis in a mouse model of Barrett's Esophagus. Carcinogenesis 42(3):405-413
abstractText  Chronic inflammation induces Barrett's Esophagus (BE) which can advance to esophageal adenocarcinoma. Elevated levels of interleukin (IL)-1b, IL-6 and IL-8 together with activated nuclear factor-kappaB (NF-kappaB), have been identified as important mediators of tumorigenesis. The inflammatory milieu apart from cancer cells and infiltrating immune cells contains myofibroblasts (MFs) that express aSMA and Vimentin. As we observed that increased NF-kappaB activation and inflammation correlates with increased MF recruitment and an accelerated phenotype we here analyze the role of NF-kappaB in MF during esophageal carcinogenesis in our L2-IL-1B mouse model. To analyze the effect of NF-kappaB signaling in MFs, we crossed L2-IL-1B mice to tamoxifen inducible Vim-Cre (Vim-CreTm) mice and floxed RelA (p65fl/fl) mice to specifically eliminate NF-kappaB signaling in MF (IL-1b.Vim-CreTm.p65fl/fl). The interaction of epithelial cells and stromal cells was further analyzed in mouse BE organoids and patient-derived human organoids. Histological scoring of IL-1b.Vim-CreTm.p65fl/fl mice showed a significantly attenuated phenotype compared with L2-IL-1B mice, with mild inflammation, decreased metaplasia and no dysplasia. This correlated with decreased proliferation and increased differentiation in cardia tissue of IL-1b.Vim-CreTm.p65fl/fl compared with L2-IL-1B mice. Distinct changes of cytokines and chemokines within the local microenvironment in IL-1b.Vim-CreTm.p65fl/fl mice reflected the histopathological abrogated phenotype. Co-cultured NF-kappaB inhibitor treated MF with mouse BE organoids demonstrated NF-kappaB-dependent growth and migration. MFs are essential to form an inflammatory and procarcinogenic microenvironment and NF-kappaB signaling in stromal cells emerges as an important driver of esophageal carcinogenesis. Our data suggest anti-inflammatory approaches as preventive strategies during surveillance of BE patients.
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