Role of inflammation and inflammatory mediators in colorectal cancer

Trans Am Clin Climatol Assoc. 2014:125:358-72; discussion 372-3.

Abstract

Chronic inflammation is a risk factor for several different cancers including colorectal cancer (CRC). However, the mechanisms underlying the contribution of inflammation to cancer remain elusive. Pro-inflammatory mediators such as cyclooxygenase 2 (COX-2) and prostaglandin E2 (PGE2) contribute to cancer progression. Here, we show that COX-2 is an immediate-early response gene induced by growth factors and pro-inflammatory cytokines and its levels are elevated in human CRCs. Furthermore, we show that COX-2-derived PGE2 promotes colonic tumor growth via silencing certain tumor suppressors and DNA repair genes by DNA methylation in colonic epithelial tumor cells. We also report that C-X-C motif chemokine receptor 2 accelerates colonic inflammation and colitis-associated tumorigenesis by mediating myeloid-derived suppressor cell recruitment to the tumor microenvironment. These findings not only support a rationale to target these pro-inflammatory pathways for cancer prevention and treatment but also provide support for developing new therapeutic approaches to subvert chronic inflammation- and tumor-induced immunosuppression.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoma / genetics
  • Adenoma / immunology
  • Adenoma / metabolism*
  • Adenoma / pathology
  • Animals
  • Azoxymethane
  • Colitis / chemically induced
  • Colitis / genetics
  • Colitis / immunology
  • Colitis / metabolism*
  • Colitis / pathology
  • Colitis / prevention & control
  • Colon / immunology
  • Colon / metabolism*
  • Colon / pathology
  • Colorectal Neoplasms / genetics
  • Colorectal Neoplasms / immunology
  • Colorectal Neoplasms / metabolism*
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / prevention & control
  • Cyclooxygenase 2 / metabolism
  • Dextran Sulfate
  • Dinoprostone / metabolism
  • Disease Models, Animal
  • Genes, APC
  • Humans
  • Inflammation Mediators / immunology
  • Inflammation Mediators / metabolism*
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / metabolism*
  • Intestinal Mucosa / pathology
  • Mice, Inbred BALB C
  • Mice, Knockout
  • Rats
  • Receptors, Interleukin-8B / deficiency
  • Receptors, Interleukin-8B / genetics
  • Receptors, Interleukin-8B / metabolism

Substances

  • Inflammation Mediators
  • Receptors, Interleukin-8B
  • Dextran Sulfate
  • Cyclooxygenase 2
  • PTGS2 protein, human
  • Ptgs2 protein, rat
  • Dinoprostone
  • Azoxymethane