Modulation of the colon cancer cell phenotype by pro-inflammatory macrophages: A preclinical model of surgery-associated inflammation and tumor recurrence

PLoS One. 2018 Feb 20;13(2):e0192958. doi: 10.1371/journal.pone.0192958. eCollection 2018.

Abstract

Peritoneal infection after colorectal cancer surgery is associated with a higher rate of tumor relapse. We have recently proposed that soluble inflammatory factors released in response to a postoperative infection enhance tumor progression features in residual tumor cells. In an effort to set up models to study the mechanisms of residual tumor cell activation during surgery-associated inflammation, we have analyzed the phenotypic response of colon cancer cell lines to the paracrine effects of THP-1 and U937 differentiated human macrophages, which release an inflammatory medium characteristic of an innate immune response. The exposure of the colon cancer cell lines HT-29 and SW620 to conditioned media isolated from differentiated THP-1 and U937 macrophages induced a mesenchymal-like phenotypic shift, involving the activation of in vitro invasiveness. The inflammatory media activated the β-catenin/TCF4 transcriptional pathway and induced the expression of several mesenchymal (e.g., FN1 and VIM) and TCF4 target genes (e.g., MMP7, PTGS2, MET, and CCD1). Similarly, differential expression of some transcription factors involved in epithelial-to-mesenchymal transitions (i.e. ZEB1, SNAI1, and SNAI2) was variably observed in the colon cancer cell lines when exposed to the inflammatory media. THP-1 and U937 macrophages, which displayed characteristics of M1 differentiation, overexpressed some cytokines previously shown to be induced in colorectal cancer patients with increased rates of tumor recurrence associated with postoperative peritoneal infections, thus suggesting their pro-tumoral character. Therefore, the environment created by inflammatory M1 macrophages enhances features of epithelial-to-mesenchymal transition, and may be useful as a model to characterize pro-inflammatory cytokines as putative biomarkers of tumor recurrence risk.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Death / physiology
  • Cell Line, Tumor
  • Cell Movement / immunology
  • Cell Proliferation / physiology
  • Colonic Neoplasms / immunology*
  • Colonic Neoplasms / pathology
  • Culture Media, Conditioned
  • Disease Models, Animal
  • Epithelial-Mesenchymal Transition / immunology
  • Humans
  • Inflammation / immunology*
  • Macrophages / immunology*
  • Macrophages / pathology
  • Neoplasm Invasiveness / immunology
  • Neoplasm Recurrence, Local / immunology*
  • Postoperative Complications / immunology*
  • Transcription Factor 4 / metabolism
  • Wound Healing / immunology
  • beta Catenin / metabolism

Substances

  • Culture Media, Conditioned
  • Transcription Factor 4
  • beta Catenin

Grants and funding

This work was supported by Fundación Mutua Madrileña (PI Marta Pascual, #2014/5554/I), URL:https://www.fundacionmutua.es/; Fundación Asociación Española de Coloproctología (PI Miguel Pera, #2014/5144/I), URL: https://www.aecp-es.org/; Instituto de Salud Carlos III (PI Miguel Pera, #PI2015/00458), URL:http://www.isciii.es/. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.