PMID- 30836096 OWN - NLM STAT- MEDLINE DCOM- 20190628 LR - 20240111 IS - 1528-0012 (Electronic) IS - 0016-5085 (Print) IS - 0016-5085 (Linking) VI - 156 IP - 8 DP - 2019 Jun TI - GNAI1 and GNAI3 Reduce Colitis-Associated Tumorigenesis in Mice by Blocking IL6 Signaling and Down-regulating Expression of GNAI2. PG - 2297-2312 LID - S0016-5085(19)32508-9 [pii] LID - 10.1053/j.gastro.2019.02.040 [doi] AB - BACKGROUND & AIMS: Interleukin 6 (IL6) and tumor necrosis factor contribute to the development of colitis-associated cancer (CAC). We investigated these signaling pathways and the involvement of G protein subunit alpha i1 (GNAI1), GNAI2, and GNAI3 in the development of CAC in mice and humans. METHODS: B6;129 wild-type (control) or mice with disruption of Gnai1, Gnai2, and/or Gnai3 or conditional disruption of Gnai2 in CD11c(+) or epithelial cells were given dextran sulfate sodium (DSS) to induce colitis followed by azoxymethane (AOM) to induce carcinogenesis; some mice were given an antibody against IL6. Feces were collected from mice, and the compositions of microbiomes were analyzed by polymerase chain reactions. Dendritic cells (DCs) and myeloid-derived suppressor cells (MDSCs) isolated from spleen and colon tissues were analyzed by flow cytometry. We performed immunoprecipitation and immunoblot analyses of colon tumor tissues, MDSCs, and mouse embryonic fibroblasts to study the expression levels of GNAI1, GNAI2, and GNAI3 and the interactions of GNAI1 and GNAI3 with proteins in the IL6 signaling pathway. We analyzed the expression of Gnai2 messenger RNA by CD11c(+) cells in the colonic lamina propria by PrimeFlow, expression of IL6 in DCs by flow cytometry, and secretion of cytokines in sera and colon tissues by enzyme-linked immunosorbent assay. We obtained colon tumor and matched nontumor tissues from 83 patients with colorectal cancer having surgery in China and 35 patients with CAC in the United States. Mouse and human colon tissues were analyzed by histology, immunoblot, immunohistochemistry, and/or RNA-sequencing analyses. RESULTS: GNAI1 and GNAI3 (GNAI1;3) double-knockout (DKO) mice developed more severe colitis after administration of DSS and significantly more colonic tumors than control mice after administration of AOM plus DSS. Development of increased tumors in DKO mice was not associated with changes in fecal microbiomes but was associated with activation of nuclear factor (NF) kappaB and signal transducer and activator of transcription (STAT) 3; increased levels of GNAI2, nitric oxide synthase 2, and IL6; increased numbers of CD4(+) DCs and MDSCs; and decreased numbers of CD8(+) DCs. IL6 was mainly produced by CD4(+)/CD11b(+), but not CD8(+), DCs in DKO mice. Injection of DKO mice with a blocking antibody against IL6 reduced the expansion of MDSCs and the number of tumors that developed after CAC induction. Incubation of MDSCs or mouse embryonic fibroblasts with IL6 induced activation of either NF-kappaB by a JAK2-TRAF6-TAK1-CHUK/IKKB signaling pathway or STAT3 by JAK2. This activation resulted in expression of GNAI2, IL6 signal transducer (IL6ST, also called GP130) and nitric oxide synthase 2, and expansion of MDSCs; the expression levels of these proteins and expansion of MDSCs were further increased by the absence of GNAI1;3 in cells and mice. Conditional disruption of Gnai2 in CD11c(+) cells of DKO mice prevented activation of NF-kappaB and STAT3 and changes in numbers of DCs and MDSCs. Colon tumor tissues from patients with CAC had reduced levels of GNAI1 and GNAI3 and increased levels of GNAI2 compared with normal tissues. Further analysis of a public human colorectal tumor DNA microarray database (GSE39582) showed that low Gani1 and Gnai3 messenger RNA expression and high Gnai2 messenger RNA expression were significantly associated with decreased relapse-free survival. CONCLUSIONS: GNAI1;3 suppresses DSS-plus-AOM-induced colon tumor development in mice, whereas expression of GNAI2 in CD11c(+) cells and IL6 in CD4(+)/CD11b(+) DCs appears to promote these effects. Strategies to induce GNAI1;3, or block GNAI2 and IL6, might be developed for the prevention or therapy of CAC in patients. CI - Copyright (c) 2019 AGA Institute. Published by Elsevier Inc. All rights reserved. FAU - Li, Zhi-Wei AU - Li ZW AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Sun, Beicheng AU - Sun B AD - Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Gong, Ting AU - Gong T AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Guo, Sheng AU - Guo S AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii; Department of Endocrine, Genetics and Metabolism, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China. FAU - Zhang, Jianhua AU - Zhang J AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii; Department of Pediatrics, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. FAU - Wang, Junlong AU - Wang J AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Sugawara, Atsushi AU - Sugawara A AD - Institute for Biogenesis Research, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. FAU - Jiang, Meisheng AU - Jiang M AD - Department of Molecular and Medical Pharmacology, University of California, Los Angeles, California. FAU - Yan, Junjun AU - Yan J AD - Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. FAU - Gurary, Alexandra AU - Gurary A AD - Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. FAU - Zheng, Xin AU - Zheng X AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Gao, Bifeng AU - Gao B AD - Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado. FAU - Xiao, Shu-Yuan AU - Xiao SY AD - Department of Pathology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China; Department of Pathology, University of Chicago, Chicago, Illinois. FAU - Chen, Wenlian AU - Chen W AD - Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Ma, Chi AU - Ma C AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Farrar, Christine AU - Farrar C AD - The Microscopy, Imaging, and Flow Cytometry Shared Resource, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Zhu, Chenjun AU - Zhu C AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Chan, Owen T M AU - Chan OTM AD - Pathology Core, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Xin, Can AU - Xin C AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Winnicki, Andrew AU - Winnicki A AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Winnicki, John AU - Winnicki J AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Tang, Mingxin AU - Tang M AD - Center for Cardiovascular Research, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. FAU - Park, Ryan AU - Park R AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Winnicki, Mary AU - Winnicki M AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Diener, Katrina AU - Diener K AD - Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado. FAU - Wang, Zhanwei AU - Wang Z AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Liu, Qicai AU - Liu Q AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii; Department of Cardiology and Heart Center, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China. FAU - Chu, Catherine H AU - Chu CH AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Arter, Zhaohui L AU - Arter ZL AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Yue, Peibin AU - Yue P AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Alpert, Lindsay AU - Alpert L AD - Department of Pathology, University of Chicago, Chicago, Illinois. FAU - Hui, George S AU - Hui GS AD - Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. FAU - Fei, Peiwen AU - Fei P AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Turkson, James AU - Turkson J AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Yang, Wentian AU - Yang W AD - Department of Orthopedics, Rhode Island Hospital, Brown University Alpert Medical School, Providence, Rhode Island. FAU - Wu, Guangyu AU - Wu G AD - Department of Pharmacology and Toxicology, Augusta University, Augusta, Georgia. FAU - Tao, Ailin AU - Tao A AD - The Second Affiliated Hospital, The State Key Laboratory of Respiratory Disease, Guangdong Provincial Key Laboratory of Allergy and Clinical Immunology, Guangzhou Medical University, Guangzhou, Guangdong, China. FAU - Ramos, Joe W AU - Ramos JW AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Moisyadi, Stefan AU - Moisyadi S AD - Institute for Biogenesis Research, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. FAU - Holcombe, Randall F AU - Holcombe RF AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Jia, Wei AU - Jia W AD - Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii. FAU - Birnbaumer, Lutz AU - Birnbaumer L AD - Neurobiology Laboratory, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina; Institute for Biomedical Research (BIOMED), Universidad Catolica Argentina, Buenos Aires, Argentina. FAU - Zhou, Xiqiao AU - Zhou X AD - Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. Electronic address: zhouxiqiao@njmu.edu.cn. FAU - Chu, Wen-Ming AU - Chu WM AD - Cancer Biology Program, University of Hawaii Cancer Center, Honolulu, Hawaii; The Second Affiliated Hospital, The State Key Laboratory of Respiratory Disease, Guangdong Provincial Key Laboratory of Allergy and Clinical Immunology, Guangzhou Medical University, Guangzhou, Guangdong, China. Electronic address: wchu@cc.hawaii.edu. LA - eng GR - U01 CA188387/CA/NCI NIH HHS/United States GR - R01 GM118915/GM/NIGMS NIH HHS/United States GR - P30 GM114737/GM/NIGMS NIH HHS/United States GR - Z01 ES101643/ImNIH/Intramural NIH HHS/United States GR - P20 GM103457/GM/NIGMS NIH HHS/United States GR - P30 CA071789/CA/NCI NIH HHS/United States GR - R01 AI054128/AI/NIAID NIH HHS/United States GR - R01 CA188251/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20190302 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Gnai1 protein, mouse) RN - 0 (Interleukin-16) RN - EC 3.6.5.1 (GTP-Binding Protein alpha Subunits, Gi-Go) RN - EC 3.6.5.1 (Gnai3 protein, mouse) SB - IM MH - Animals MH - Biopsy, Needle MH - Carcinogenesis MH - Cell Transformation, Neoplastic/*genetics MH - Colitis/genetics/*pathology MH - Colonic Neoplasms/genetics/*pathology MH - Disease Models, Animal MH - Down-Regulation/genetics MH - Female MH - GTP-Binding Protein alpha Subunits, Gi-Go/*genetics MH - Gene Expression Regulation, Neoplastic MH - Immunohistochemistry MH - Interleukin-16/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Random Allocation MH - Reference Values MH - Sensitivity and Specificity MH - Signal Transduction/genetics PMC - PMC6628260 MID - NIHMS1035122 OTO - NOTNLM OT - CAC OT - IBD OT - Mouse Model OT - Transcription Factor COIS- Conflicts of interest The authors disclose no conflicts. EDAT- 2019/03/06 06:00 MHDA- 2019/06/30 06:00 PMCR- 2020/06/01 CRDT- 2019/03/06 06:00 PHST- 2018/05/08 00:00 [received] PHST- 2019/02/06 00:00 [revised] PHST- 2019/02/28 00:00 [accepted] PHST- 2019/03/06 06:00 [pubmed] PHST- 2019/06/30 06:00 [medline] PHST- 2019/03/06 06:00 [entrez] PHST- 2020/06/01 00:00 [pmc-release] AID - S0016-5085(19)32508-9 [pii] AID - 10.1053/j.gastro.2019.02.040 [doi] PST - ppublish SO - Gastroenterology. 2019 Jun;156(8):2297-2312. doi: 10.1053/j.gastro.2019.02.040. Epub 2019 Mar 2.