MICROBIAL DRIVEN TLR5-DEPENDENT SIGNALING GOVERNS DISTAL MALIGNANT PROGRESSION THROUGH TUMOR-PROMOTING INFLAMMATION

The dominant TLR5 R392X polymorphism abrogates flagellin responses in >7% of humans. We report that TLR5-dependent commensal bacteria drive malignant progression at extra-mucosal locations by increasing systemic IL-6, which drives mobilization of myeloid derived suppressor cells (MDSCs). Mechanis...

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Published inCancer cell Vol. 27; no. 1; pp. 27 - 40
Main Authors Rutkowski, Melanie R., Stephen, Tom L., Svoronos, Nikolaos, Allegrezza, Michael J., Tesone, Amelia J., Perales-Puchalt, Alfredo, Brencicova, Eva, Escovar-Fadul, Ximena, Nguyen, Jenny M., Cadungog, Mark G., Zhang, Rugang, Salatino, Mariana, Tchou, Julia, Rabinovich, Gabriel A., Conejo-Garcia, Jose R.
Format Journal Article
LanguageEnglish
Published 18.12.2014
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Abstract The dominant TLR5 R392X polymorphism abrogates flagellin responses in >7% of humans. We report that TLR5-dependent commensal bacteria drive malignant progression at extra-mucosal locations by increasing systemic IL-6, which drives mobilization of myeloid derived suppressor cells (MDSCs). Mechanistically, expanded granulocytic MDSCs cause γδ lymphocytes in TLR5-responsive tumors to secrete galectin-1, dampening anti-tumor immunity and accelerating malignant progression. In contrast, IL-17 is consistently up-regulated in TLR5-unresponsive tumor-bearing mice, but only accelerates malignant progression in IL-6-unresponsive tumors. Importantly, depletion of commensal bacteria abrogates TLR5-dependent differences in tumor growth. Contrasting differences in inflammatory cytokines and malignant evolution are recapitulated in TLR5-responsive/unresponsive ovarian and breast cancer patients. Therefore, inflammation, anti-tumor immunity and the clinical outcome of cancer patients are influenced by a common TLR5 polymorphism.
AbstractList The dominant TLR5 R392X polymorphism abrogates flagellin responses in >7% of humans. We report that TLR5-dependent commensal bacteria drive malignant progression at extra-mucosal locations by increasing systemic IL-6, which drives mobilization of myeloid derived suppressor cells (MDSCs). Mechanistically, expanded granulocytic MDSCs cause γδ lymphocytes in TLR5-responsive tumors to secrete galectin-1, dampening anti-tumor immunity and accelerating malignant progression. In contrast, IL-17 is consistently up-regulated in TLR5-unresponsive tumor-bearing mice, but only accelerates malignant progression in IL-6-unresponsive tumors. Importantly, depletion of commensal bacteria abrogates TLR5-dependent differences in tumor growth. Contrasting differences in inflammatory cytokines and malignant evolution are recapitulated in TLR5-responsive/unresponsive ovarian and breast cancer patients. Therefore, inflammation, anti-tumor immunity and the clinical outcome of cancer patients are influenced by a common TLR5 polymorphism.
Author Brencicova, Eva
Perales-Puchalt, Alfredo
Cadungog, Mark G.
Allegrezza, Michael J.
Salatino, Mariana
Escovar-Fadul, Ximena
Nguyen, Jenny M.
Rabinovich, Gabriel A.
Zhang, Rugang
Conejo-Garcia, Jose R.
Rutkowski, Melanie R.
Svoronos, Nikolaos
Tesone, Amelia J.
Tchou, Julia
Stephen, Tom L.
AuthorAffiliation 2 Helen F. Graham Cancer Center, Christiana Care Health System, 4701 Ogletown-Stanton Road, Newark, DE 19713, USA
7 Laboratorio de Inmunopatología; Instituto de Biología y Medicina Experimental (IBYME-CONICET); Buenos Aires, Argentina
1 Tumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, PA 19104, USA
3 Gene Expression and regulation Program, The Wistar Institute, Philadelphia, PA 19104, USA
5 Rena Rowan Breast Center, University of Pennsylvania, Philadelphia, PA 19104-1693, USA
6 Abramson Cancer Center Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104-1693, USA
4 Division of Endocrine and Oncologic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104-1693, USA
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Snippet The dominant TLR5 R392X polymorphism abrogates flagellin responses in >7% of humans. We report that TLR5-dependent commensal bacteria drive malignant...
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Title MICROBIAL DRIVEN TLR5-DEPENDENT SIGNALING GOVERNS DISTAL MALIGNANT PROGRESSION THROUGH TUMOR-PROMOTING INFLAMMATION
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