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Interleukin-33 enhances programmed oncosis of ST2L-positive low-metastatic cells in the tumour microenvironment of lung cancer,胀亡( oncosis),胀亡:细胞肿胀和核溶解的细胞损伤过程胀亡的形态学特征 胀亡细胞的形态学表现为细胞肿胀,体积增大,胞浆空泡化,胞浆内出现致密颗粒,内质网肿胀,线粒体早期可出现致密化,后期肿胀,絮状改变或出现高致密颗粒,嵴破坏; 细胞肿胀波及核,核内染色质分散,凝集在核膜、核仁周围,有时聚集成团块;胞膜起泡是胀亡早期事件,随之胞膜通透性增加,胞膜崩解。 胀亡细胞后期往往表现为核溶解,由于胞内容物外溢,胀亡细胞周围有明显炎症反应,Interleukin-33 (IL-33), a member of the IL-1 cytokine family, is a natural ligand for the IL-33 receptor, which is a heterodimer composed of ST2L and the IL-1 receptor accessory protein (IL-1RAcP).13 IL-33 is primarily expressed in epithelial cells and endothelial cells as a proinflammatory cytokine.,IL-33 is usually localised in the cell nucleus as an alarmin that signals to local immune cells in response to tissue damage caused by injury,necrosis or exposure to pathogensIL-33 polarises naiveT cells to produce Th2-associated cytokines, it strongly induces proinflammatory cytokine and chemokine production by mast cells and eosinophils, and it stimulates the polarisation of alternatively activated M2 macrophagesIL-33 has an important role in Th2 immunity and Th2-related diseases,ST2L is expressed on the cell surface of Th2 cells, but not of Th1 cells,and on the cell surface of other immune-related cells including NK and NKT cells,ST2 and IL-33 expression in human lung cancers and pulmonary alveolar cells,ST2 mRNA was found to be significantly downregulated in lung cancers irrespective of histological types,Survival analysis in PrognoScan database also revealed that the ST2 expression level was inversely correlated with relapsefreesurvival and overall survival,IL-33 mRNA was significantly downregulated in lung cancers, inversely correlating with the malignancy index,IL-33 was detected in the nuclei of HPAEpiCs , indicating its role as an alarmin in these cells.,qRT-PCR analysis revealed that ST2L, sST2, asecreted soluble ST2 that acts as a decoy receptor for IL-33,IL-1RAcP, MyD88 and IL-33 were expressed in HPAEpiCs,whereas those genes were significantly downregulated inA549 cells,Among 10 cell lines, only PC-14 adenocarcinoma cells expressed a substantial amount of ST2L mRNA. However, these cells did not express IL-1RAcPmRNA,Thus, none of the human lung cell lines that have been examined thus far expressed functional ST2L,low-metastatic cells (P29and P34) derived from 3LL expressed ST2L, whereas the high-metastatic cells (D6 and A11) only slightly expressedST2L . P29 and P34 cells also expressed IL-1RAcP and MyD88,IL-33-presenting cells in 3LL tumours,The IL-33 immunofluorescencewas stronger, and the number of the IL-33+ cells per mm2 was larger in P29 tumours in B6 mice than those in IL-33 /mice,IL-1 potently induced IL-33 mRNA expression in P29 cells in a time- and dose-dependent mannerNone of the cytokines induced IL-33 expression in A11 cells,We therefore consider that intratumoural IL-1 and IL-33 is primarily responsible for IL-33 expression in P29tumours. However, at present, we cannot explain the reason why not all P29 cells in the tumours expressed IL-33.,rIL-33 enhances the death of the low-metastatic 3LL cells under nutrient-depleted and hypoxic/anoxic conditions,rIL-33 enhanced the death of P29 and P34 cells, but not of D6 and A11 cells, in low-glucose (0.1 g/l glucose) medium (GlucL) in a dose- and time-dependent manner,These ST2L knockdown cells were refractory torIL-33-induced cell death in GlucL medium,P29 cells transfected with MyD88 small-interfering RNA (siRNA) also displayed resistance to rIL-33,These results indicate that IL-33 augments the death of P29 cells via ST2L under GlucL conditions.,IL-33 stimulated signalling pathways that promote cell death,We found that incubating P29 cells in GlucL or Glnmedium quickly resulted in the phosphorylation of p38 MAPK and JNK but not of p44/42 MAPK, IB- or Akt,The addition of rIL-33 enhanced the phosphorylation of p38 MAPK and JNK, and IB- in P29 cells.Interestingly, rIL-33 quickly inhibited AMP-activated proteinkinase- (AMPK) phosphorylation and enhanced mammalian target of rapamycin (mTOR) S2448 phosphorylation at later time points,In both cases, SB203580 and rapamycin attenuated the death-enhancing effect of rIL-33,mTOR phosphorylation was inhibited by the mTOR inhibitor rapamycin but not by the p38 MAPK inhibitor SB203580,not affect p38 MAPK phosphorylation in A11 cells,These results indicate that the activation of both p38 MAPK and mTOR is essential for inducing P29 cell death,IL-33 primarily induced programmed oncosis in P29 cells under nutrient-depleted conditions,Notably,the increase in the number of cells with cytoplasmic blisters and karyolysis, which are unique morphological features of oncosis, was remarkable in rIL-33-treated P29 cells but not in A11 cells under GlucL and Gln conditions,These results indicate that intact mitochondrial function is required for eliciting the cell deathenhancing activity of IL-33 in P29 cells.,Collectively, on the basis of the facts that triggering ST2Lfollowed by activating p38 MAPK and mTOR and intactmitochondria are required for IL-33-enhanced cell death,which is characterised by cellular blisters and karyolysis, weconclude that IL-33 enhances the programmed oncosis37 ofP29 cells under nutrient-depleted conditions.,IL-1 enhances the death of P29 cells under nutrientdepleted conditions partly through IL-33 induction.P29 cells proliferated rapidly in IL-33/ mice.IL-33 facilitates high-metastatic cell selection under in vitro conditions mimicking the tumour microenvironment.,Discussion,W
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