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Thymic stromal lymphopoietin blocks early stages of breast carcinogenesis
Shadmehr Demehri, … , David G. DeNardo, Wayne M. Yokoyama
Shadmehr Demehri, … , David G. DeNardo, Wayne M. Yokoyama
Published February 29, 2016
Citation Information: J Clin Invest. 2016;126(4):1458-1470. https://doi.org/10.1172/JCI83724.
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Research Article Oncology

Thymic stromal lymphopoietin blocks early stages of breast carcinogenesis

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Abstract

Advances in the field of cancer immunology, including studies on tumor-infiltrating CD8+ cytotoxic T lymphocytes (CTLs), have led to new immunotherapeutics with proven efficacy against late-stage cancers. However, the antitumor potential of the immune system in targeting early-stage cancers remains uncertain. Here, we demonstrated that both genetic and chemical induction of thymic stromal lymphopoietin (TSLP) at a distant site leads to robust antitumor immunity against spontaneous breast carcinogenesis in mice. Breast tumors exposed to high circulating levels of TSLP were arrested at an early adenoma-like stage and were prevented from advancing to late carcinoma and metastasis. Additionally, CD4+ Th2 cells mediated the antitumor effects of TSLP, challenging the notion that Th2 cells only promote cancer. We also discovered that TSLP is expressed by the breast tumor cells themselves and acts to block breast cancer promotion. Moreover, TSLP-induced immunity also blocked early stages of pancreatic cancer development. Together, our findings demonstrate that TSLP potently induces immunity directed against early stages of breast cancer development without causing inflammation in the normal breast tissue. Moreover, our results highlight a previously unappreciated function of the immune system in controlling the early development of cancer and establish a fundamental role for TSLP and Th2 cells in tumor immunity against early-stage cancers.

Authors

Shadmehr Demehri, Trevor J. Cunningham, Sindhu Manivasagam, Kenneth H. Ngo, Sara Moradi Tuchayi, Rasika Reddy, Melissa A. Meyers, David G. DeNardo, Wayne M. Yokoyama

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Figure 7

Topical TSLP induction blocks breast cancer development.

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Topical TSLP induction blocks breast cancer development.
(A) Schematic d...
(A) Schematic diagram outlining the experimental design used to test the efficacy of topical calcipotriol treatment in blocking breast cancer development. Six- to eight-week-old WT and Tslpr–/– animals were used as tumor recipients. The animals were treated with 20 nmol calcipotriol or EtOH on their ears every 3 days, starting before adoptive T cell transfer (in a subgroup of Tslpr–/– animals) and PyMttg Tslpr–/– primary breast tumor implantation. (B) Topical calcipotriol treatment on ears led to elevated TSLP levels in the circulation. Bar graph shows the average levels of TSLP in the serum of WT mice treated with calcipotriol or EtOH (*P < 0.05, Student’s t test). (C and D) TSLP induction by calcipotriol blocked breast tumor growth in a TSLP- and CD4+ T cell–dependent manner. Endogenous TSLP expressed by breast tumor cells also acted to suppress breast tumor growth. (C) Graph demonstrates the average tumor volumes in 5 cohorts of mice tested (n = 6 in each group; *P < 0.05 compared with the WT plus EtOH group, Student’s t test). (D) Representative images of the implanted primary breast tumors are shown (red arrow points to small tumors). Scale bar: 1 cm. (E) CD4+ T cells in calcipotriol-treated WT mice and WT CD4+ T cells transferred into calcipotriol-treated Tslpr–/– mice were polarized to Th2 cells. Representative flow cytometric plots of tumor-infiltrating CD4+ T cells in recipient mice are shown (numbers in each box represent the percentage of CD4+ T cells). Congenically marked (CD45.1+) WT CD4+ T cells are highlighted in red. Bar graph shows the percentage of Th1 and Th2 cells and Tregs within the breast tumors in each group (n = 6 per group; *P < 0.05 compared with the WT plus EtOH group, Student’s t test). The data were reproduced in 3 independent experiments.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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