EGFR-mediated macrophage activation promotes colitis-associated tumorigenesis

Oncogene. 2017 Jul 6;36(27):3807-3819. doi: 10.1038/onc.2017.23. Epub 2017 Mar 6.

Abstract

Epidermal growth factor receptor (EGFR) signaling is a known mediator of colorectal carcinogenesis. Studies have focused on the role of EGFR signaling in epithelial cells, although the exact nature of the role of EGFR in colorectal carcinogenesis remains a topic of debate. Here, we present evidence that EGFR signaling in myeloid cells, specifically macrophages, is critical for colon tumorigenesis in the azoxymethane-dextran sodium sulfate (AOM-DSS) model of colitis-associated carcinogenesis (CAC). In a human tissue microarray, colonic macrophages demonstrated robust EGFR activation in the pre-cancerous stages of colitis and dysplasia. Utilizing the AOM-DSS model, mice with a myeloid-specific deletion of Egfr had significantly decreased tumor multiplicity and burden, protection from high-grade dysplasia and significantly reduced colitis. Intriguingly, mice with gastrointestinal epithelial cell-specific Egfr deletion demonstrated no differences in tumorigenesis in the AOM-DSS model. The alterations in tumorigenesis in myeloid-specific Egfr knockout mice were accompanied by decreased macrophage, neutrophil and T-cell infiltration. Pro-tumorigenic M2 macrophage activation was diminished in myeloid-specific Egfr-deficient mice, as marked by decreased Arg1 and Il10 mRNA expression and decreased interleukin (IL)-4, IL10 and IL-13 protein levels. Surprisingly, diminished M1 macrophage activation was also detectable, as marked by significantly reduced Nos2 and Il1b mRNA levels and decreased interferon (IFN)-γ, tumor necrosis factor (TNF)-α and IL-1β protein levels. The alterations in M1 and M2 macrophage activation were confirmed in bone marrow-derived macrophages from mice with the myeloid-specific Egfr knockout. The combined effect of restrained M1 and M2 macrophage activation resulted in decreased production of pro-angiogenic factors, CXCL1 and vascular endothelial growth factor (VEGF), and reduced CD31+ blood vessels, which likely contributed to protection from tumorigenesis. These data reveal that EGFR signaling in macrophages, but not in colonic epithelial cells, has a significant role in CAC. EGFR signaling in macrophages may prove to be an effective biomarker of CAC or target for chemoprevention in patients with inflammatory bowel disease.

MeSH terms

  • Animals
  • Carcinogenesis / immunology
  • Carcinogenesis / metabolism*
  • Colitis / pathology*
  • Colon / immunology
  • Colon / pathology
  • Colonic Neoplasms / chemically induced
  • Colonic Neoplasms / immunology
  • Colonic Neoplasms / metabolism*
  • Dextran Sulfate
  • ErbB Receptors / physiology*
  • Humans
  • Immunity, Innate
  • Macrophage Activation*
  • Macrophages / physiology
  • Male
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Neovascularization, Pathologic / immunology
  • Neovascularization, Pathologic / metabolism
  • Precancerous Conditions / immunology
  • Precancerous Conditions / metabolism*
  • Signal Transduction

Substances

  • Dextran Sulfate
  • EGFR protein, mouse
  • ErbB Receptors