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2016 ; 8
(8
): 1943-55
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Gram-negative bacteria facilitate tumor outgrowth and metastasis by promoting
lipid synthesis in lung cancer patients
#MMPMID27621846
Ye M
; Gu X
; Han Y
; Jin M
; Ren T
J Thorac Dis
2016[Aug]; 8
(8
): 1943-55
PMID27621846
show ga
BACKGROUND: Lung cancer is the leading cause of cancer-related death worldwide.
Patients with lung cancer are very frequently present with pulmonary infections,
in particular with Gram-negative bacteria. Herein, we investigated the effect of
the co-presence of Gram-negative bacteria on outgrowth and metastasis of lung
cancer cells in clinical patients. METHODS: Lung cancer cells were isolated from
clinical surgical tissues. Heat-inactivated E. coli was used as Gram-negative
bacteria. Tumor outgrowth and invasion in vitro was analyzed with MTT assay and
Biocoat Matrigel Invasion Chamber. Tumor growth and metastasis in vivo was
evaluated in BALB/c nude mice. Lipid synthesis was evidenced by expressions of
FASN and ACC1, as well as BODIPY Fluorophores staining. Block lipid synthesis was
performed with C75 as a FAS inhibitor and transfection with ACC1 siRNA. Knockdown
of TLR4 and TLR9 signaling was achieved by transfection with specific shRNAs and
administration of specific antagonists. RESULTS: Gram-negative bacteria
significantly promoted lung cancer development including growth and metastasis in
dose dependent manner. Mechanistically, Gram-negative bacteria activate TLR4 and
TLR9 signaling and enhance lipid synthesis in human lung cancer cells. Knockdown
of TLR4 and/or TLR9 was able to block Gram-negative bacteria mediated lipid
synthesis and lung cancer development. Interference with lipid synthesis
efficiently abrogated Gram-negative-bacteria-induced lung cancer development. In
lung cancer patients, higher expressions of innate immune receptors, TLR4 and
TLR9, were observed in those with Gram-negative infections and associated with
the aberrant lipid synthesis that was observed in vitro. CONCLUSIONS: Pulmonary
infections with Gram-negative bacteria lead to aberrant lipid synthesis through
TLR4 and TLR9 signaling in lung cancer patients and result in rapid proliferation
and metastasis of lung cancer cells. These findings reveal a new mechanism for
pulmonary infection-trigged caner development and provide clues for exploring
therapeutics for lung cancer patients.