Mouse Model Demonstrates Importance of Interleukin-6 to Spread of Prostate Cancer

MYC (v-myc myelocytomatosis viral oncogene homolog protein) is a transcription factor that activates expression of a great number of genes through binding on consensus sequences and recruiting histone acetyltransferases (HATs). By acting as a transcriptional repressor in normal cells, MYC has a direct role in the control of DNA replication. Akt, also known as protein kinase B, is a serine/threonine-specific protein kinase that plays a key role in multiple cellular processes such as glucose metabolism, apoptosis, cell proliferation, transcription, and cell migration.

The investigators showed that cell–cell communication by interleukin-6 (IL-6) drove the AKT–MYC switch through activation of the AKT-suppressing phosphatase PHLPP2 (PH domain and leucine rich repeat protein phosphatase-like), when PTEN and p53 were lost together, but not separately. IL-6 then communicated a downstream program of STAT3 (signal transducer and activator of transcription 3)-mediated MYC activation, which drove cell proliferation.

Loss-of-function mutations of the PTEN (phosphatase and tensin homolog) gene are present in 60% to 70% of metastatic cancers in humans. PTEN acts as a tumor suppressor gene thanks to the role of its protein product in regulation of the cycle of cell division, preventing cells from growing and dividing too rapidly. Mutations in the P53 gene contribute to about half of the cases of human cancer. In these mutants normal p53 protein function is blocked, and the protein is unable to stop multiplication of the damaged cell.

IL-6 is secreted by T-cells and macrophages to stimulate immune response during infection and after trauma, especially burns or other tissue damage leading to inflammation. Advanced/metastatic cancer patients have higher levels of IL-6 in their blood. One example of this is pancreatic cancer, with noted elevation of IL-6 present in patients correlating with poor survival rates. Hence, there is an interest in developing anti-IL-6 agents as therapy against many of these diseases.

"Our research suggests that IL-6 could be a marker for when the disease switches to a more dangerous state that is ultimately hormone therapy-resistant," said senior author Dr. Lloyd Trotman, an associate professor at Cold Spring Harbor Laboratory. "We are really hopeful that translating the IL-6 discovery into the clinics could help us stratify patients into good responders and bad responders. For any hospital this would be a major breakthrough. The gain could be immense; because today's problem is that the variability in response of humans to hormone therapy is amazing. For one man this therapy might be great, might reduce disease burden dramatically for many, many, years, and be an extreme benefit. For others there is almost no response, and it is still not clear to clinicians who is who."

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