Skip to main content

Advertisement

Log in

Reduced expression of microenvironmental Th1 cytokines accompanies adenomas–carcinomas sequence of colorectum

  • Original Article
  • Published:
Cancer Immunology, Immunotherapy Aims and scope Submit manuscript

Abstract

Cytokines have been suggested to be key factors in modulating immune response against tumorigenesis in the microenvironment. Therefore, characterization of cytokine expression along the colorectal adenoma–carcinoma sequence may add important information for understanding the immune-related mechanisms of the development of colorectal carcinoma (CRC). In this study, biopsies from 32 patients with colorectal adenoma (CRA), 20 patients with CRC and 18 healthy controls were examined. Cytokine gene expressions of interleukin-4 (IL-4), IL-10, tumor necrosis factor (TNF)-alpha, interferon (IFN)-gamma and its upstream inducers (IL-12A and IL-18) were measured at messenger RNA (mRNA) level with quantitative real-time PCR (Q-PCR). Cytokine expressing cells were characterized using immunohistochemistry (IHC). A distinct different cytokine profile between adenoma and CRC was observed: the Th1 cytokines (IFN-gamma, TNF-alpha, IL-12A and IL-18) were increased in local tissues of CRA and decreased in CRC. Consistent with the quantitative cytokine data, IHC examinations revealed slightly increased densities of Th1 cytokine-expressing cells in CRA and a remarkably decreased density of the Th1 cells in CRC. In CRA, the cytokine-expressing cells were highly polarized to the subepithelial stroma while the cells were evenly distributed through the stroma in CRC. In conclusion, distinct changes in the Th1 cytokine profile appear along the colorectal adenoma–carcinoma sequence. This may reflect a change in the host immune regulatory function in the adenoma–carcinoma sequence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Abbreviations

TNF alpha :

Tumor necrosis factor alpha

IFN:

Gamma Interferon gamma

IL:

Interleukin

Q-PCR:

Quantitative real-time polymerase chain reaction

IHC:

Immunohistochemistry

CRA:

Colorectal adenoma

CRC:

Colorectal carcinoma

References

  1. Leslie A, Carey FA, Pratt NR, Steele RJ (2002) The colorectal adenoma–carcinoma sequence. Br J Surg 89:845–860

    Article  PubMed  CAS  Google Scholar 

  2. Zhang L, Zhou W, Velculescu VE et al (1997) Gene expression profiles in normal and cancer cells. Science 276:1268–1272

    Article  PubMed  CAS  Google Scholar 

  3. Whiteside TL (2006) The role of immune cells in the tumor microenvironment. Cancer Treat Res 130:103–124

    Article  PubMed  CAS  Google Scholar 

  4. Schottelius AJ, Dinter H (2006) Cytokines, NF-kappaB, microenvironment, intestinal inflammation and cancer. Cancer Treat Res 130:67–87

    PubMed  CAS  Google Scholar 

  5. Dunn GP, Old LJ, Schreiber RD (2004) The immunobiology of cancer immunosurveillance and immunoediting. Immunity 21:137–148

    Article  PubMed  CAS  Google Scholar 

  6. O’Connell J, Bennett MW, Nally K, Houston A, O’Sullivan GC, Shanahan F (2000) Altered mechanisms of apoptosis in colon cancer: Fas resistance and counterattack in the tumor–immune conflict. Ann NY Acad Sci 910:178–192; discussion 193–175

    Google Scholar 

  7. Naito Y, Saito K, Shiiba K et al (1998) CD8+ T cells infiltrated within cancer cell nests as a prognostic factor in human colorectal cancer. Cancer Res 58:3491–3494

    PubMed  CAS  Google Scholar 

  8. Coca S, Perez-Piqueras J, Martinez D et al (1997) The prognostic significance of intratumoral natural killer cells in patients with colorectal carcinoma. Cancer 79:2320–2328

    Article  PubMed  CAS  Google Scholar 

  9. Chiba T, Ohtani H, Mizoi T et al (2004) Intraepithelial CD8+ T-cell-count becomes a prognostic factor after a longer follow-up period in human colorectal carcinoma: possible association with suppression of micrometastasis. Br J Cancer 91:1711–1717

    PubMed  CAS  Google Scholar 

  10. Dalerba P, Maccalli C, Casati C, Castelli C, Parmiani G (2003) Immunology and immunotherapy of colorectal cancer. Crit Rev Oncol Hematol 46:33–57

    PubMed  Google Scholar 

  11. Banner BF, Sonmez-Alpan E, Yousem SA (1993) An immunophenotypic study of the inflammatory cell populations in colon adenomas and carcinomas. Mod Pathol 6:295–301

    PubMed  CAS  Google Scholar 

  12. Banner BF, Savas L, Baker S, Woda BA (1993) Characterization of the inflammatory cell populations in normal colon and colonic carcinomas. Virchows Arch B Cell Pathol Incl Mol Pathol 64:213–220

    Article  PubMed  CAS  Google Scholar 

  13. Yoo YK, Heo DS, Hata K, Van Thiel DH, Whiteside TL (1990) Tumor-infiltrating lymphocytes from human colon carcinomas. Functional and phenotypic characteristics after long-term culture in recombinant interleukin 2. Gastroenterology 98:259–268

    PubMed  CAS  Google Scholar 

  14. Contasta I, Berghella AM, Pellegrini P, Adorno D (2003) Passage from normal mucosa to adenoma and colon cancer: alteration of normal sCD30 mechanisms regulating TH1/TH2 cell functions. Cancer Biother Radiopharm 18:549–557

    Article  PubMed  CAS  Google Scholar 

  15. Berghella AM, Pellegrini P, Del Beato T et al (1998) The significance of an increase in soluble interleukin-2 receptor level in colorectal cancer and its biological regulating role in the physiological switching of the immune response cytokine network from TH1 to TH2 and back. Cancer Immunol Immunother 45:241–249

    Article  PubMed  CAS  Google Scholar 

  16. Berghella AM, Pellegrini P, Piancatelli D et al (1994) Progression mechanisms in colon cancer: soluble interleukin-2 (IL-2) receptor, IL-2 plus anti-CD3 proliferative response and tumour stage correlations. Cancer Immunol Immunother 38:160–166

    PubMed  CAS  Google Scholar 

  17. Barth RJ Jr, Camp BJ, Martuscello TA, Dain BJ, Memoli VA (1996) The cytokine microenvironment of human colon carcinoma. Lymphocyte expression of tumor necrosis factor-alpha and interleukin-4 predicts improved survival. Cancer 78:1168–1178

    Article  PubMed  Google Scholar 

  18. Naylor MS, Stamp GW, Balkwill FR (1990) Investigation of cytokine gene expression in human colorectal cancer. Cancer Res 50:4436–4440

    PubMed  CAS  Google Scholar 

  19. Csiszar A, Szentes T, Haraszti B, Balazs A, Petranyi GG, Pocsik E (2004) The pattern of cytokine gene expression in human colorectal carcinoma. Pathol Oncol Res 10:109–116

    Article  PubMed  CAS  Google Scholar 

  20. Pellegrini P, Berghella AM, Del Beato T, Cicia S, Adorno D, Casciani CU (1996) Disregulation in TH1 and TH2 subsets of CD4+ T cells in peripheral blood of colorectal cancer patients and involvement in cancer establishment and progression. Cancer Immunol Immunother 42:1–8

    Article  PubMed  CAS  Google Scholar 

  21. Baier PK, Wolff-Vorbeck G, Eggstein S, Baumgartner U, Hopt UT (2005) Cytokine expression in colon carcinoma. Anticancer Res 25:2135–2139

    PubMed  CAS  Google Scholar 

  22. Pages F, Vives V, Sautes-Fridman C et al (1999) Control of tumor development by intratumoral cytokines. Immunol Lett 68:135–139

    Article  PubMed  CAS  Google Scholar 

  23. Shibata M, Nezu T, Kanou H, Abe H, Takekawa M, Fukuzawa M (2002) Decreased production of interleukin-12 and type 2 immune responses are marked in cachectic patients with colorectal and gastric cancer. J Clin Gastroenterol 34:416–420

    Article  PubMed  CAS  Google Scholar 

  24. Heriot AG, Marriott JB, Cookson S, Kumar D, Dalgleish AG (2000) Reduction in cytokine production in colorectal cancer patients: association with stage and reversal by resection. Br J Cancer 82:1009–1012

    Article  PubMed  CAS  Google Scholar 

  25. Chung YC, Chang YF (2003) Significance of inflammatory cytokines in the progression of colorectal cancer. Hepatogastroenterology 50:1910–1913

    PubMed  CAS  Google Scholar 

  26. Matsuo K, Oka M, Murase K et al (2003) Expression of interleukin 6 and its receptor in human gastric and colorectal cancers. J Int Med Res 31:69–75

    PubMed  CAS  Google Scholar 

  27. Piancatelli D, Romano P, Sebastiani P, Adorno D, Casciani CU (1999) Local expression of cytokines in human colorectal carcinoma: evidence of specific interleukin-6 gene expression. J Immunother 22:25–32

    Article  PubMed  CAS  Google Scholar 

  28. Becker C, Fantini MC, Wirtz S et al (2005) IL-6 signaling promotes tumor growth in colorectal cancer. Cell Cycle 4:217–220

    PubMed  CAS  Google Scholar 

  29. Galizia G, Orditura M, Romano C et al (2002) Prognostic significance of circulating IL-10 and IL-6 serum levels in colon cancer patients undergoing surgery. Clin Immunol 102:169–178

    Article  PubMed  CAS  Google Scholar 

  30. Kinoshita T, Ito H, Miki C (1999) Serum interleukin-6 level reflects the tumor proliferative activity in patients with colorectal carcinoma. Cancer 85:2526–2531

    Article  PubMed  CAS  Google Scholar 

  31. Cui G, Olsen T, Christiansen I, Vonen B, Florholmen J, Goll R (2006) Improvement of real-time polymerase chain reaction for quantifying TNF-alpha mRNA expression in inflamed colorectal mucosa: an approach to optimize procedures for clinical use. Scand J Clin Lab Invest 66:249–259

    Article  PubMed  CAS  Google Scholar 

  32. Cui G, Koh TJ, Chen D et al (2004) Overexpression of glycine-extended gastrin inhibits parietal cell loss and atrophy in the mouse stomach. Cancer Res 64:8160–8166

    Article  PubMed  CAS  Google Scholar 

  33. O’Hara RJ, Greenman J, Drew PJ et al (1998) Impaired interleukin-12 production is associated with a defective anti-tumor response in colorectal cancer. Dis Colon Rectum 41:460–463

    Article  PubMed  CAS  Google Scholar 

  34. Colombo MP, Trinchieri G (2002) Interleukin-12 in anti-tumor immunity and immunotherapy. Cytokine Growth Factor Rev 13:155–168

    Article  PubMed  CAS  Google Scholar 

  35. Nishimura T, Nakui M, Sato M et al (2000) The critical role of Th1-dominant immunity in tumor immunology. Cancer Chemother Pharmacol 46 46 (Suppl): S52–S61

    Article  Google Scholar 

  36. Bosco MC, Pulkki K, Rowe TK et al (1995) IL-4 inhibits IL-2-induced tumoricidal activity and secretory functions of human monocytes. Modulation of IL-2 binding and IL-2 receptor beta gamma chain expression. J Immunol 155:1411–1419

    PubMed  CAS  Google Scholar 

  37. Osawa E, Nakajima A, Fujisawa T et al (2005) Predominant T helper type 2-inflammatory responses promote murine colon cancers. Int J Cancer 118:2232–2236

    Article  CAS  Google Scholar 

  38. Romagnani S (1999) Th1/Th2 cells. Inflamm Bowel Dis 5:285–294

    Article  PubMed  CAS  Google Scholar 

  39. Negus RP, Balkwill FR (1996) Cytokines in tumour growth, migration and metastasis. World J Urol 14:157–165

    Article  PubMed  CAS  Google Scholar 

  40. Balkwill F (2002) Tumor necrosis factor or tumor promoting factor? Cytokine Growth Factor Rev 13:135–141

    Article  PubMed  CAS  Google Scholar 

  41. Yu P, Fu YX (2006) Tumor-infiltrating T lymphocytes: friends or foes? Lab Invest 86:231–245

    Article  PubMed  CAS  Google Scholar 

  42. Brigati C, Noonan DM, Albini A, Benelli R (2002) Tumors and inflammatory infiltrates: friends or foes? Clin Exp Metastasis 19:247–258

    Article  PubMed  CAS  Google Scholar 

  43. Pages F, Berger A, Lebel-Binay S et al (2000) Proinflammatory and antitumor properties of interleukin-18 in the gastrointestinal tract. Immunol Lett 75:9–14

    Article  PubMed  CAS  Google Scholar 

  44. Tanaka S, Tatsuguchi A, Futagami S et al (2006) Monocyte chemoattractant protein 1 and macrophage cyclooxygenase 2 expression in colonic adenoma. Gut 55:54–61

    Article  PubMed  CAS  Google Scholar 

  45. Adegboyega PA, Ololade O, Saada J, Mifflin R, Di Mari JF, Powell DW (2004) Subepithelial myofibroblasts express cyclooxygenase-2 in colorectal tubular adenomas. Clin Cancer Res 10:5870–5879

    Article  PubMed  CAS  Google Scholar 

  46. Vila-del Sol V, Fresno M (2005) Involvement of TNF and NF-kappa B in the transcriptional control of cyclooxygenase-2 expression by IFN-gamma in macrophages. J Immunol 174:2825–2833

    PubMed  CAS  Google Scholar 

  47. Mifflin RC, Saada JI, Di Mari JF, Adegboyega PA, Valentich JD, Powell DW (2002) Regulation of COX-2 expression in human intestinal myofibroblasts: mechanisms of IL-1-mediated induction. Am J Physiol Cell Physiol 282: C824–C834

    PubMed  CAS  Google Scholar 

  48. Suzuki J, Ogawa M, Futamatsu H, Kosuge H, Tanaka H, Isobe M (2006) A cyclooxygenase-2 inhibitor alters Th1/Th2 cytokine balance and suppresses autoimmune myocarditis in rats. J Mol Cell Cardiol 40:688–695

    Article  PubMed  CAS  Google Scholar 

  49. Toomey D, Harmey J, Condron C, Kay E, Bouchier-Hayes D (1999) Phenotyping of immune cell infiltrates in breast and colorectal tumours. Immunol Invest 28:29–41

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was financially supported by grant from Helse Nord to Cui G (SFP-44-05). We express our sincere gratitude to our colleagues at Dept. of Gastroenterology and Dept. of Gastrointestinal Surgery for supplying biopsies; and to Mss, Ingrid Christiansen, Marian Remijn and Line Wilsgaard for technical assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Guanglin Cui.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cui, G., Goll, R., Olsen, T. et al. Reduced expression of microenvironmental Th1 cytokines accompanies adenomas–carcinomas sequence of colorectum. Cancer Immunol Immunother 56, 985–995 (2007). https://doi.org/10.1007/s00262-006-0259-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00262-006-0259-y

Keywords

Navigation