PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jcinvestThe Journal of Clinical InvestigationCurrent IssueArchiveSubscriptionAbout the Journal
 
J Clin Invest. 2012 February 1; 122(2): 586–599.
Published online 2012 January 17. doi:  10.1172/JCI43937
PMCID: PMC3266772

Oncogenic β-catenin triggers an inflammatory response that determines the aggressiveness of hepatocellular carcinoma in mice

Abstract

Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death worldwide. Its pathogenesis is frequently linked to liver inflammation. Gain-of-function mutations in the gene encoding β-catenin are frequent genetic modifications found in human HCCs. Thus, we investigated whether inflammation was a component of β-catenin–induced tumorigenesis using genetically modified mouse models that recapitulated the stages of initiation and progression of this tumoral process. Oncogenic β-catenin signaling was found to induce an inflammatory program in hepatocytes that involved direct transcriptional control by β-catenin and activation of the NF-κB pathway. This led to a specific inflammatory response, the intensity of which determined the degree of tumor aggressiveness. The chemokine-like chemotactic factor leukocyte cell–derived chemotaxin 2 (LECT2) and invariant NKT (iNKT) cells were identified as key interconnected effectors of liver β-catenin–induced inflammation. In genetic deletion models lacking the gene encoding LECT2 or iNKT cells, hepatic β-catenin signaling triggered the formation of highly malignant HCCs with lung metastasis. Thus, our results identify inflammation as a key player in β-catenin–induced liver tumorigenesis. We provide strong evidence that, by activating pro- and antiinflammatory mediators, β-catenin signaling produces an inflammatory microenvironment that has an impact on tumoral development. Our data are consistent with the fact that most β-catenin–activated HCCs are of better prognosis.

Introduction

Cumulative evidence indicates that chronic inflammatory diseases result in a predisposition to various types of cancers (1, 2). An inflammatory component is present in the microenvironment of most neoplastic tissues, including those that are not causally related to an obvious inflammatory process (2). Recent data have shown that different genetic alterations occurring in tumor cells activate an inflammatory program that has a profound impact on cancer development (3). Oncogenic transcription factors such as NF-κB and STAT3, together with inflammatory cytokines, have been defined as key orchestrators of the intricate dialogue among the components of the immune system present in the tumor microenvironment and cancerous cells (3, 4).

Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death worldwide. It develops frequently within the context of chronic hepatitis, which is characterized by liver inflammation and hepatocyte apoptosis (5). Interestingly, the adult liver contains a specific microenvironment composed of immune cells dedicated to preventing the chronic inflammation that could potentially result from the liver parenchyma’s constant exposure to the dietary and environmental carcinogens present in the blood arriving from the gut (6). Because chronic liver inflammation and the associated regenerative wound-healing responses are strongly linked to the development of HCC, it is not surprising that the liver’s inflammatory response is tightly regulated. In addition, inflammation seems to be a key promoter that drives maladaptive wound-healing responses (7).

One of the major pathways involved in hepatocellular carcinogenesis is the Wnt/β-catenin pathway (8, 9). Aberrant β-catenin signaling, mainly due to mutations in the β-catenin gene, is found in 30%–40% of human HCCs (9, 10). Mutant β-catenins translocate into the nucleus and activate a Wnt/β-catenin–dependent gene transcription program that promotes tumorigenesis. However, the mechanisms by which aberrant Wnt/β-catenin pathway activation leads to the development of HCC are not completely understood. Several molecular integrative studies have revealed that β-catenin–mutated HCCs exhibit specific morphological and metabolic features associated with more favorable prognoses and can be grouped within a homogeneous HCC subclass (1113). This suggests that β-catenin–activated HCCs develop via a common carcinogenic pathway.

We decided to investigate whether inflammation was a component in the process of β-catenin–induced liver tumorigenesis. Using genetic models that recapitulated different stages of β-catenin–induced hepatocellular transformation, we demonstrated that β-catenin signaling induces an inflammatory program in hepatocytes that involves direct transcriptional control by β-catenin and activation of the NF-κB pathway. This leads to a specific inflammatory response, the intensity of which determines the degree of tumor aggressiveness. We identified 2 interconnected key mediators of liver β-catenin–induced inflammatory response: the chemokine-like chemotactic factor leukocyte cell–derived chemotaxin 2 (LECT2), and invariant NKT cells (iNKT). In genetic deletion models lacking the LECT2 gene or iNKT cells, β-catenin signaling triggered the development of highly malignant HCCs that also metastasized to the lung. Our results identify, for what we believe is the first time, inflammation as a key player in β-catenin–induced liver tumorigenesis and provide strong evidence that, by activating pro- and antiinflammatory mediators, β-catenin signaling produces an inflammatory milieu that determines the aggressiveness of the tumor.

Results

To study the role of the liver microenvironment during β-catenin–induced tumorigenesis, we took advantage of 2 different genetic mouse models that we previously described as mimicking 2 of the steps (initiation and progression) involved in the tumoral process induced by oncogenic activation of β-catenin signaling in hepatocytes (Figure (Figure1A).1A). The first model reproduces the initial step of β-catenin oncogenesis and is based on the tamoxifen-inducible hepatospecific inactivation of the tumor suppressor gene adenomatous polyposis coli (Apc–/–). All hepatocytes of the liver lobule show aberrant activation of β-catenin after tamoxifen injection (14, 15). Because Apc–/– animals die at an early age (15), we used the transgenic Lpk-myc+ mouse model to study tumor progression, since these mice developed HCC-bearing activating mutations in the β-catenin gene (Figure (Figure1B1B and refs. 9, 16). Indeed, in contrast with the intestine, in which c-myc oncogene is a critical target of the Wnt signaling pathway that drives tumorigenesis, we demonstrated, using a combination of several molecular approaches (ChIP-seq, RNA-Seq), that c-myc was not a target of Wnt signaling in the liver (15, 1719). In this model, c-myc and β-catenin signaling cooperate to drive liver carcinogenesis.

Figure 1
Description of the different genetically modified mouse models harboring oncogenic β-catenin activation in the liver.

β-catenin activation in hepatocytes modifies the liver microenvironment and results in specific targeting of iNKT cells.

To evaluate the impact of hepatocyte β-catenin activation on the liver microenvironment at an early step of hepatocarcinogenesis, we purified and analyzed nonparenchymal cells (NPCs) from Apc–/– mouse livers 5 and 8 days after tamoxifen injection and compared them with the NPCs of control mice. In agreement with our previous findings (14), mice injected with tamoxifen developed progressive hepatomegaly (Figure (Figure2A)2A) that was simultaneously associated with significantly higher total numbers of NPCs (Figure (Figure2A).2A). Results from cell cycle analysis strongly suggested that most NPCs found in the liver of Apc–/– mice were recruited from outside the liver and contained a modest fraction of in situ proliferating cells (Supplemental Figure 1A; supplemental material available online with this article; doi: 10.1172/JCI43937DS1). We then used FACS to characterize the different populations of immune cells present in the liver of animals following hepatocyte β-catenin activation and in the livers of control animals. We detected higher absolute numbers of most types of immune cells in the livers of tamoxifen-treated mice, including Kupffer cells (F4/80 positive), granulocytes (Gr1 positive cells), NK, B lymphocytes, and conventional T cells (Figure (Figure2B).2B). However, for all these immune populations, their respective proportions among the total infiltrating immune cells (CD45+ cells) remained unchanged (Supplemental Figure 1B).

Figure 2
β-catenin activation in hepatocytes modifies the liver microenvironment and specifically affects iNKT cell recruitment.

Remarkably, we found that the iNKT population responded differently; their absolute numbers in Apc–/– livers were not higher relative to those in control livers. This resulted therefore in a dramatic proportional decrease of iNKT cells in the entire population of immune cells (Apc–/–, 14.9%, versus controls, 28.6%) (Figure (Figure2C).2C). These cells are called iNKTs due to their nonpolymorphic TCR, which exclusively recognizes the α-galactosylceramide (α-GalCer) lipid as an antigen presented by MHC class I–like CD1d molecules (20). We used semiquantitative PCR of the somatic Vα14-Jα18 rearrangement to confirm that the iNKT proportion was significantly reduced (Supplemental Figure 1E). Next, we used FACS analysis to quantify the apoptotic features of iNKTs in annexin V assays. We found no differences in terms of early apoptotic markers between the iNKTs from the livers of mutant mice and those of control mice, indicating that apoptosis does not account for the lower proportion of iNKTs found in mutant mice (Supplemental Figure 1F).

We then characterized the liver microenvironment in β-catenin–induced liver tumors. Relative to the other immune cell populations in the NPC compartment of β-catenin–activated tumors of Lpk-myc+ mice, iNKTs exhibited disproportionate decreases, which were similar to those found in the Apc–/– mice (Figure (Figure2D2D and Supplemental Figure 1C).

To ascertain whether this iNKT population decrease was related to the activation of β-catenin signaling, we analyzed a transgenic HCC mouse model that undergoes β-catenin–independent tumorigenesis (21). In this model, the proportion of iNKT cells in the NPC population in the tumor microenvironment of SV40 T–induced HCC tumors was not lower than that found in control animal livers (Figure (Figure2E2E and Supplemental Figure 1D).

Characterization of iNKT cells in β-catenin–activated livers.

At least 2 phenotypically distinct subsets of iNKT cells exist in the liver and in other tissues of mice. These are defined as CD4+CD8 (CD4+) and CD4CD8 (double negative). We determined whether β-catenin activation had an impact on these 2 distinct subsets and found that the diminished proportion of iNKTs was more pronounced in the CD4+ iNKT cells than in the CD4 iNKT cells (Figure (Figure2C). 2C).

We then investigated the activation status of these cells by analyzing the cell surface levels of the constitutively expressed early activation marker CD69 in the livers of Apc–/– and control mice after tamoxifen treatment. We found that the iNKT activation level was significantly higher in Apc–/– livers compared with that in control livers (Figure (Figure3A).3A). We also found that the CD4 and CD4+ iNKT cells were similarly activated (Figure (Figure3A). 3A).

Figure 3
Characterization of iNKT cells in β-catenin–activated livers.

To determine whether the iNKT cells in the Apc–/– mutant mice were activated in vivo, we challenged mice with a sublethal dose of concanavalin A (ConA). Apc–/– livers were highly sensitive to ConA-induced hepatitis, as shown by histological analyses of the Apc–/– livers and by the subsequent increases in the serum levels of aspartate amino transferase (AST) (Figure (Figure3,3, B and C). These results confirmed that iNKT cells were also activated in Apc–/– livers in vivo.

A striking characteristic of iNKT cells is their ability to rapidly produce Th1-type (e.g., IFN-γ) and Th2-type (e.g., IL-4) cytokines in response to primary stimulation, suggesting an important and diverse role for these cells in immunoregulation. It was recently reported that the liver CD4 iNKTs are capable of promoting tumor rejection through IFN-γ production (22). Thus, we measured their capacity to produce IFN-γ and IL-4 using ex vivo analysis (20). We found that the CD4 and CD4+ subpopulations of iNKTs, isolated from Apc–/–mutant livers, were both able to produce higher amounts of IFN-γ and IL-4 compared with iNKTs isolated from control livers (Figure (Figure3D). 3D).

Together, these findings show that, consequent to the oncogenic activation of β-catenin in hepatocytes, a specific inflammatory microenvironment was built up that particularly and preferentially had an impact on iNKT cells.

β-catenin activation in hepatocytes triggers a proinflammatory program associated with the activation of NF-κB.

To better understand how β-catenin could contribute to this specific shaping of the liver microenvironment, we studied the expression of several immune mediators. We took advantage of recently generated deep-sequencing data, which identified the transcriptional program triggered in the hepatocytes in response to oncogenic activation of β-catenin. These data report the fold changes in the mRNA levels of genes regulated by β-catenin in hepatocytes (RNA-seq) and the repertoire of the TCF4/β-catenin binding sites within the hepatocyte chromatin (Chip-Seq), revealing whether or not these genes were direct targets of β-catenin (Torre et al., unpublished observations). Among the genes whose expression was modified including those that were or were not direct targets of β-catenin, we selected genes that were related to inflammation, and we performed real-time quantitative PCR (qPCR) on whole liver mRNA from the different mouse models we studied. As expected, Axin2 expression was strongly induced in preneoplastic Apc–/– liver and Lpk-myc+ liver tumors, confirming the strong activation of β-catenin signaling in both models (Figure (Figure4).4). We found that several proinflammatory chemokines and cytokines were upregulated, which could largely explain the immune cell recruitment in Apc–/– livers. Some of these genes were direct targets of β-catenin (e.g., Ccl24, Cxcl2, Cxcl10, Cxcl11, Il15, and Il18), and others were indirect target genes (e.g., Ccl2 and Ccl5). However, we found that none of the genes encoding the canonical inflammatory mediators of liver inflammation, such as Il6, Il1a, Il1b, and Tnfa, were induced (Figure (Figure4). 4).

Figure 4
Inflammatory program induced in the liver by the oncogenic activation of β-catenin in the hepatocytes.

Together, the gene expression profiles of these livers argued that β-catenin is able to induce an inflammatory program in Apc–/– livers (Figure (Figure4).4). Interestingly, most of the inflammatory-related genes found to be induced in the livers of Apc–/– mice were similarly increased in β-catenin–activated liver tumors developed in Lpk-myc+ mice. Minor differences likely reflected the different stages of tumorigenesis produced by the 2 models (Figure (Figure4). 4).

The gene expression signatures of these tumor models (upregulation of Ccl2, Ccl5, Il15, Il1r1, Tlr, tweak receptor, the kinase Ikkβ and Socs3) (see Figure Figure4)4) prompted us to investigate whether 2 key signaling pathways of inflammation, NF-κB and STAT3, were involved in tumorigenesis. We found that NF-κB was strongly activated in the tamoxifen-treated/β-catenin–activated livers (Figure (Figure5A).5A). Supershift analysis revealed an activation of mostly RelA/p50 heterodimers (Figure (Figure5B).5B). Using immune-blot analysis, we detected no STAT3 pathway activation in the livers of Apc–/– mutant mice, in accordance with the fact that Socs3 was directly induced by β-catenin activation (Figure (Figure44 and Figure Figure5C).5C). We found a similar level of NF-κB activation, with a lack of STAT3 activation, in the β-catenin–activated Lpk-myc+ liver tumors (Figure (Figure5,5, D and E).

Figure 5
β-catenin activation in hepatocytes triggers an intrinsic inflammatory program associated with the activation of NF-κB.

We then analyzed chemokine and cytokine expression levels in the NPC compartment of Apc–/– and control livers to evaluate their production by the immune cells of the liver microenvironment. We found large increases in Ccl2, Ccl5, and Cxcl10 (Figure (Figure5F)5F) expression, and accordingly, higher levels of CCL5 were detected in the sera of Apc–/– mice (Figure (Figure5G).5G). However, none of the canonical liver inflammatory mediator genes Il6, Il1b, and Tnfa were induced in the NPC compartment of Apc–/– livers, emphasizing the singularity of β-catenin–induced liver inflammation (data not shown).

Together, our results indicate that oncogenic β-catenin signaling in hepatocytes is able to induce an inflammatory program that involves NF-κB, which through both autocrine and paracrine dialogues, leads to the remodeling of the liver microenvironment.

LECT2 exerts a critical role in shaping the inflammatory environment in β-catenin–activated livers.

To identify soluble mediators involved in the control of the singular liver inflammatory milieu driven by β-catenin, we decided to investigate the role of LECT2, a secreted factor that we previously identified as a direct target gene of liver β-catenin (23). Although LECT2 function is still poorly characterized, it warranted investigation for several reasons. It is a chemokine-like protein that is involved in chemotaxis, cell proliferation, inflammation, and carcinogenesis (2328). It was also one of the most upregulated genes in the β-catenin–induced inflammatory program expressed in the hepatocytes (Figure (Figure4).4). It was also induced before the other chemokines/cytokines (see Supplemental Figure 2). Most importantly, LECT2-deficient mice harbor, in the liver, elevated numbers of iNKT cells (27), the component of the immune system that we found particularly targeted in β-catenin–induced liver inflammation.

To study the role of LECT2 in our HCC model, we generated mice lacking both Apc and LECT2 (Apc–/–LECT2–/–) and analyzed the inflammatory response induced in the absence of LECT2. First, we determined whether the Wnt/β-catenin pathways in the livers of the double-mutant mice and Apc–/– mice were triggered in similar manners (Figure (Figure6A6A and Supplemental Figure 2). Macroscopic analysis of double-mutant mouse livers showed a particularly flaccid and loose texture compared with samples from Apc–/– mice. Histological staining of liver sections revealed some necrotic areas associated with immune infiltrates (Figure (Figure6,6, B–E). Accordingly, serum transaminase levels were higher in Apc–/–LECT2–/– mice than in Apc–/– mice (Figure (Figure6F).6F). This correlated with increased liver apoptosis (Supplemental Figure 2) and a decrease in the survival rate of the animals (Figure (Figure6F). 6F).

Figure 6
LECT2 has a critical role in shaping the inflammatory environment in β-catenin–activated liver.

To better define the molecular mechanisms responsible for the aggravated liver phenotype in Apc–/–LECT2–/– mice, we used FACS analysis to investigate the liver NPC populations of these mice compared with those of mice with Apc–/– and LECT2–/– backgrounds. As expected, we found that the number of iNKT cells increased in LECT2–/– livers compared with those of control mice (27), but was not modified after oncogenic activation of β-catenin in the double-mutant livers (Figure (Figure6G).6G). More interestingly, we found that iNKT cells were not recruited in Apc–/– livers that expressed a high level of LECT2 induced by β-catenin, in accordance with the previous described inhibitory role of LECT2 in the homing of iNKT cells toward the liver (Figure (Figure6G6G and ref. 27). We then analyzed the activation level of the iNKT in β-catenin–activated livers and found that the iNKTs were more activated in Apc–/–LECT2–/– livers than in Apc–/– livers (Figure (Figure6I).6I). Moreover, their cytokine secretion profile was modified. Indeed, we detected a cytokine shift especially in the CD4 iNKT subpopulation, as they produced significantly less IFN-γ but far more IL-4 than the CD4 iNKT cells of Apc–/– livers (Figure (Figure6J).6J). As IFN-γ is a key antitumoral cytokine, our data suggested that the antitumoral properties of CD4 iNKTs in the absence of LECT2 were severely impaired.

In addition, we found that the profile of infiltrating immune cells in Apc–/–LECT2–/– livers was characterized by an increase in neutrophils compared with those of Apc–/– mice (Figure (Figure6H).6H). In agreement with this finding, chemokines in the liver, such as Cxcl1, Cxcl12, and Cxcl14, were induced to higher levels in the Apc–/–LECT2–/– mutant mice than in the Apc–/–mutant mice (Figure (Figure4).4). These results demonstrate that these 2 mutant backgrounds differed with respect to their infiltrating immune cell profiles and their chemokine/cytokine expression profiles.

We next investigated NF-κB and STAT3 pathways in these mutant mice and found that NF-κB activation in Apc–/–LECT2–/– livers was slightly lower than that in the Apc–/– livers, but that neither background exhibited any STAT3 activation (Figure (Figure6K). 6K).

These findings revealed that LECT2 holds an important liver antiinflammatory property and appears to be an important player in modulating the intensity of the liver inflammatory immune response precipitated by oncogenic activation of β-catenin signaling in hepatocytes.

iNKT cells display antiinflammatory properties during β-catenin–induced liver inflammation.

Since we confirmed a key role for LECT2 in iNKT cell homeostasis, we analyzed the role of these immune cells in β-catenin–induced liver inflammation. Using anti-NK1.1 antibodies, we depleted iNKT cells in Apc–/– livers and observed a strong increase in the inflammatory response compared with that in Apc–/– mutant mice injected with isotype-matched irrelevant antibodies (Figure (Figure7,7, A and B). This was evidenced by the occurrence of large necrotic areas in the liver parenchyma, which were associated with increases in serum AST levels (Figure (Figure7,7, B and C). FACS analysis showed that the subpopulation of immature inflammatory macrophages expressing F4/80+CD11b+Gr1+ had increased in the Apc–/– mutant iNKT-depleted livers compared with those in Apc–/–mice treated with control antibodies (Figure (Figure7D). 7D).

Figure 7
iNKTs display antiinflammatory properties during β-catenin–induced liver inflammation.

Therefore, we identified 2 interconnected effectors of the particular β-catenin–induced liver inflammation, the chemokine-like protein LECT2 and iNKT cells. Together, these effectors exerted antiinflammatory activities and dampened the magnitude of the liver inflammatory response driven by oncogenic activation of β-catenin in the hepatocytes.

iNKTs and LECT2 are critical cellular and molecular effectors controlling tumor progression of β-catenin–induced HCC.

Finally, as we found that both depletion of the iNKT cells and deletion of LECT2 aggravated the inflammatory phenotype of Apc–/– livers, we evaluated their impact on β-catenin–dependent tumor development. We generated Lpk-myc+ mice either deficient in iNKTs using Jα18-KO animals (29) (Lpk-myc+Jα18–/–) or deficient in LECT2 (27) (Lpk-myc+LECT2–/–). We compared the development of liver tumors at 12 months in these 2 double-mutant mice to that in the Lpk-myc+ single-mutant mice.

The absence of either iNKTs or LECT2 strongly promoted the progression of the HCC tumoral development induced by β-catenin (Figure (Figure8,8, A and B). The number and size of tumor nodules in Lpk-myc+Jα18–/– and in Lpk-myc+LECT2–/– mice were greater than in Lpk-myc+ control mice (Figure (Figure8,8, A–I). The tumors that developed in the 2 types of double-mutant mice had higher grades of malignancy and were less differentiated than those of Lpk-myc+ control mice (Figure (Figure8,8, C–I). A number of tumors in the double-mutant animals exhibited a very poorly differentiated phenotype (fetal-like phenotype) that was never encountered in Lpk-myc+ tumors (Figure (Figure8,8, C–I). In addition, liver tumors from Lpk-myc+Jα18–/– and Lpk-myc+LECT2–/– mice had higher mitotic indices compared with tumors from Lpk-myc+ mice (Figure (Figure8,8, J and K). These results showed that the genetic deletion of either iNKTs or LECT2 strongly promoted both the initiation and progression steps of HCC development and led to a more undifferentiated phenotype. Remarkably, we found that 40% of the double-mutant mice harbored lung metastasis, a feature that was never observed in the Lpk-myc+ mice (Figure (Figure8L).8L). Lung metastases were dramatically more prevalent in the mice that lacked iNKT cells than in the mice lacking LECT2 (Figure (Figure8L). 8L).

Figure 8
iNKTs and LECT2 are critical cellular and molecular players controlling tumoral progression of β-catenin–dependent liver tumorigenesis.

Together, our findings provide strong evidence that, through the control of 2 interconnected inflammatory components, iNKT cells and the chemokine-like factor LECT2, β-catenin signaling induces an immune response that determines the aggressiveness of the tumorigenesis driven by β-catenin in hepatocytes.

Discussion

Using different genetically modified mouse models, we investigated whether β-catenin pathway activation, one of the most frequent events found in human HCC, induces a specific inflammatory microenvironment that could be involved in the oncogenic process. Our main finding is that β-catenin triggered a smoldering inflammation through the control of both pro- and antiinflammatory programs that was permissive for tumor development. The essence of the immune response determines tumor progression and metastatic capabilities.

We found that β-catenin induces a specific inflammatory program. Strikingly, the classical liver inflammatory cytokines described in a number of HCC-linked liver inflammation models, such as IL-6, TNF-α, IL-1α, and IL-1β (for review, see refs. 3, 4), were absent from the chemokine/cytokine profile induced by β-catenin activation in hepatocytes. The inflammatory program controlled by β-catenin and the singular inflammatory response that we described in this study constitute specific hallmarks of the inflammatory fuel induced by β-catenin in the liver. Our Chip-Seq data obtained from isolated hepatocytes revealed that several chemokine, cytokine, and cytokine receptor genes (e.g., Lect2, Cxcl2, Cxcl10, Cxcl11, Il1, and Il1r1) are cell-autonomous direct targets of β-catenin activation through the LEF/TCF motifs present in their promoters. Furthermore, we also observed a strong constitutive activation of NF-κB in the livers of Apc–/– mutant mice as well as in β-catenin–activated tumors. The increased expression of the chemokine/cytokine genes Ccl2, Ccl5, and Il15, all of which are bona fide NF-κB targets, probably results from this NF-κB activation. Thus, the proinflammatory chemokine/cytokine program arose from a combination of direct control by Wnt/β-catenin signaling and indirect control through NF-κB activation. The NF-κB activation likely resulted as a consequence of the cytokines produced by the immune cells and from β-catenin–induced increases in the expression levels of partners in the NF-κB pathway (such as Il1r1 and Il15). As observed in other models of cancer-related inflammation (3), a feed-forward loop between the β-catenin–activated hepatocytes and the immune/inflammatory cells is likely to exist, and this could sustain tumor-associated inflammation (see Figure Figure9). 9).

Figure 9
Liver inflammation is critical for β-catenin–induced liver tumorigenesis.

The induction of an intrinsic proinflammatory transcriptional program has been described for several other oncogenes, such as Ras and Myc family members, and constitutes a part of their oncogenic properties (3). What we believe is new in our findings is that we clearly demonstrate that β-catenin signaling is able to induce simultaneously a pro- and an antiinflammatory program that shapes a protumorigenic microenvironment with a low grade of chronic inflammation. We identified at least 2 interconnected mediators that could explain how β-catenin could induce a smoldering inflammation: a molecular mediator, LECT2, which is a chemokine-like protein that regulates the function of the cellular mediator, and the iNKT cells. Indeed, deletion of LECT2 resulted in a dramatic aggravation of the inflammatory response observed in the liver of Apc–/– mutant mice. The antiinflammatory functions of LECT2 have been reported to play a suppressive role in anti–type II collagen antibody–induced arthritis (30). The precise mechanism by which LECT2 exerts an antiinflammatory action in the liver is presently unknown, but our results provide some clues. Analysis of LECT2-deficient animals demonstrated that LECT2 regulates iNKT cell homeostasis in the liver through at least 2 nonexclusive mechanisms: (a) the control of iNKT homing activity toward the liver and (b) the control of the iNKT Th1/Th2 cytokine secretion profile (27). Our data strongly support the notion that LECT2 controls the homing of the iNKT in β-catenin–activated livers. As expected (27), the number of iNKT cells in these livers increased in LECT2-deficient mice, suggesting that LECT2 prevents iNKT homing toward the liver. In addition, iNKT cells were not recruited to the livers of Apc–/– mutant mice, which retain the ability to produce high levels of LECT2 induced by β-catenin. In contrast, most other immune cell populations were actively recruited to this β-catenin–induced liver microenvironment. These observations support the view that LECT2 prevents the homing of the iNKTs toward the liver. In addition, the numbers of iNKT cells in Apc–/–LECT2–/– livers and in the livers of LECT2–/– mice were the same, showing the key role of LECT2 in iNKT cell homing. Corroborating the present data, we recently found that the number of iNKT cells in the livers of mice that harbored a hepatospecific deletion of β-catenin and lacked LECT2 expression increased following tamoxifen treatment, revealing that these mice have an immune phenotype similar to that of LECT2-deficient mice (J.P. Couty and S. Colnot, unpublished observations). Furthermore, we found that iNKTs were more highly activated in Apc–/–LECT2–/– mice than in Apc–/– mice, but exhibited an altered cytokine secretion profile. This was more pronounced in the CD4 iNKT subpopulation, which had shifted toward a Th2 phenotype. The CD4 iNKT subpopulation has been reported to display potent antitumoral activities through its production of high levels of IFN-γ. Thus, the shift in its cytokine secretion profile to lower levels of IFN-γ is consistent with the higher grade of malignancy observed in Lpk-myc+LECT2–/– mice compared with that found in Lpk-myc+ mice.

Depletion of iNKT cells by anti-NK1.1 antibodies markedly aggravated the inflammatory response observed in the livers of Apc–/– mutant mice in a manner similar to that produced by Apc–/– mice lacking the LECT2 gene. iNKTs are a specific population of immune T cells that are particularly enriched in the liver (31). There is compelling evidence that iNKT cells have an important role in tumor immunosurveillance in mice (32). The CD4 iNKT cell subset appears to be responsible for the main antitumoral response through its production of IFN-γ. The cytokine profile of CD4 NKTs in humans indicates that they might have a similar role (22, 33, 34). iNKT cells from patients with cancer have been shown to produce less IFN-γ than iNKT cells from healthy individuals (35, 36). Our results correlated with these observations, since genetic deletion of the iNKT cells in Lpk-myc+Jα18–/– mice led to a stronger progression of β-catenin–activated tumors. Our results provide some clues to explain how iNKTs exert their antitumoral properties. By dampening the inflammatory response (adequate immune response) and by controlling the composition of the inflammatory milieu through immunosuppressive effectors, iNKTs might prevent the tumor microenvironment from becoming permissive to the metastatic process. We found that the number of a subpopulation of immature inflammatory macrophages expressing F4/80+ CD11b+ Gr1+ was higher in iNKT-depleted Apc–/– livers compared with the livers of Apc–/– mice treated with control antibodies. These inflammatory macrophages were recently identified in inflammation-induced colorectal tumorigenesis and were reported to be a major source of tumor-promoting factors (37).

Another important implication of our results is that β-catenin signaling appears to determine the metastatic spread of β-catenin–mutated HCCs by controlling the level of inflammation. Genetic deletion of either LECT2 or the iNKT cells in Lpk-myc+ mice caused β-catenin–induced HCCs to progress into high-grade tumors, and in almost half of mice, these produced lung metastases. As both LECT2 and the iNKT cells displayed antiinflammatory properties, these results highlight the critical role of the magnitude of the inflammatory response as a driving force in cancer metastasis. The mechanisms involved need further investigation, but 2 of the chemokines that were upregulated in LECT2-deficient mice, CXCL1 and CXC12, have already been implicated in metastasis (38, 39).

Finally, our data are sharply relevant to human HCC pathogenesis. Constitutive activations of NF-κB and STAT3 have been described in human HCCs (40). Although the β-catenin genetic status of these tumors was not determined, these authors found an inverse relationship between NF-κB and STAT3 and also found that the majority of STAT3-positive HCCs were negative for NF-κB activation. NF-κB–positive tumors were also found to be less aggressive than the STAT3-positive tumors (40). Our data showing that β-catenin–activated tumors, as well as those in the livers of tamoxifen-treated Apc–/–mice, displayed NF-κB pathway activation, but not STAT3 pathway activation, are in perfect correlation with the human study (40). In addition, constitutive activation of the STAT3 pathway leads to the development of benign adenomas that progress to HCC only when it is combined with β-catenin–activating mutations (41). This observation reinforces our results that oncogenic β-catenin activation did not result in constitutive STAT3 activation, and may explain why β-catenin gain-of-function mutations are required for the progression of STAT3-activated liver adenoma to HCC. Finally, since the immune response in the presence of LECT2 retained antitumor activity, our results suggest that the particular inflammatory program induced by β-catenin that results in low-level inflammation may be part of the reason why β-catenin–activated human HCCs belong to a subclass of HCCs with rather better prognoses than other HCCs (see Figure Figure9).9). A second point is that, in a previous study, we found that LECT2 expression levels in β-catenin–activated human HCCs inversely correlated with the differentiation status of the tumor (23). Consistent with our present data, LECT2 transcripts were found to be downregulated in HCC patients with vascular invasion, again suggesting that LECT2 has tumor suppressor functions (26). The reasons that LECT2 is downregulated in human HCCs is still unknown, but the results of a recent study indicate that it could be linked to an epigenetic mechanism (42). In their investigation of the role of a methyl-binding domain protein (Mbd2) in Wnt signaling, the authors found that the Lect2 gene was the only β-catenin target gene that was upregulated in an Mbd2 deficiency context. All other β-catenin target genes whose expression was modified in Mbd2 deficiency were downregulated (42).

Our data identified inflammation as a new player of β-catenin–induced liver tumorigenesis and showed that oncogenic β-catenin signaling constructed a permissive inflammatory environment that had an impact on HCC development. LECT2 and iNKT cells are potentially new targets in immunotherapeutic approaches to the treatment of liver cancer.

Methods

Mice.

All mice were kept in well-controlled animal housing facilities and had free access to tap water and food pellets. Mice capable of an inducible inactivation of the Apc gene in the hepatocytes have been described previously (14, 15). Briefly, mice carrying the Apc gene flanked by loxP sequences were crossed with transthyretin TTR-Cre-Tam mice (43) to generate Apc–/– (Apcflox/flox, TTR-Cre-Tam) and control mice (Apcflox/flox, Cre negative). Apc–/– mutant mice were bred on a C57BL/6 background for at least 6 generations before the different strains were crossed. L-type pyruvate kinase Lpk-myc+ transgenic mice, which express the oncogene c-myc in the liver under the control of rat L-PK regulatory regions and develop multifocal HCCs, were bred on a C57BL/6 background for at least 8 generations before being crossed (9). LECT2-deficient mice (LECT2–/–) were provided by S. Yamagoe (27) and were backcrossed for 10 generations on a C57BL/6 background. Apc–/– mice were crossed with LECT2–/– mice to generate Apc–/–LECT2–/– (Apcflox/flox, TTR-Cre-Tam, LECT2–/–), Apc–/– (Apcflox/flox, TTR-Cre-Tam, LECT2+/+) and their respective controls (Apcflox/flox, Cre-negative LECT2–/–; Apcflox/flox, Cre-negative LECT2+/+). All 7- to 9-week-old mice received a single i.p. injection of 1.5 mg of tamoxifen (MP Biomedicals). Lpk-myc+ mice were crossed with LECT2–/– mice to generate double Lpk-myc+LECT2–/– and control single Lpk-myc+ mice (Lpk-mycLECT2+/+). Lpk-myc+ mice were crossed with Jα18–/– (deficient in iNKTs and backcrossed for 13 generations on a C57BL/6 background) mice (29) to generate double Lpk-myc+Jα18–/– and control single Lpk-myc+ mice (Lpk-mycJα18+/+). Tumor development was studied at 12 months in control single Lpk-myc+ and double Lpk-myc+LECT2–/– or Lpk-myc+Jα18–/– mice. Only littermates were used to constitute homogeneous groups of mice.

Nonparenchymal liver cell preparation.

Livers were harvested and then perfused with 1× HBSS containing 10 mM HEPES to remove circulating blood cells. The liver was passed through a stainless steel mesh in RPMI 1640 supplemented with 2% heat-inactivated FCS (JRH Biosciences), 5 mM HEPES, 2 mM GlutaMAX (Invitrogen; Life Technologies), 100 U/ml penicillin, 100 μg/ml streptomycin, and 510–5 M β-mercaptoethanol (Sigma-Aldrich). The liver cell suspension was collected, and parenchymal cells were separated from NPCs by centrifugation for 2 minutes at 48 g. The supernatant containing the NPCs was collected and centrifuged for 10 minutes at 440 g. The pellet was then resuspended in 40% percoll diluted in RPMI 1640 supplemented with 2% FCS, layered onto 80% percoll, and centrifuged for 15 minutes at room temperature at 780 g. The NPC fraction was collected at the interface (40%/80% percoll), and the cells were spun down twice in ice-cold PBS. Viable NPCs were counted by a trypan blue exclusion method, resuspended in serum-containing medium, and stored on ice until further use.

Flow cytometry.

Flow cytometry was performed on a FACSCalibur flow cytometer (BD Biosciences). Cells were incubated with anti-CD16/CD32 antibodies (Fcγ III/II receptor, clone 2.4G2) prior to staining with labeled antibodies (or isotype-matched control immunoglobulin) according to the manufacturer’s recommendations. NPCs were identified according to cell surface expression of Ly5 to calculate the proportion and absolute numbers of immune cell subpopulations. We used the following monoclonal antibodies: anti–TCR-β chain, anti-NK1.1, anti-CD19, anti-Gr1, anti-CD4, anti-CD8, anti-CD69, anti-Ly6C, anti-Ly6G, anti-B220, and anti-CD45/Ly5, that were purchased from BD Biosciences and Pharmingen. Anti-F4/80-APC was purchased from eBiosciences. CD1d–α-galactosylceramide–loaded (CD1d–α-GalCer-loaded) tetramers (APC-labeled) were provided by the NIH Tetramer Core Facility. CELLQuest software (BD Biosciences) was used for analyzing flow cytometry data.

Intracellular staining.

Liver NPCs were stimulated for 4 hours with 110–8 M of PMA (Sigma-Aldrich), 10–6 M ionomycin, and 10 μg/ml brefeldin A. Cells were then washed and incubated with CD1d–α-GalCer tetramer-APC, anti–NK1.1-PE, anti–β-TCR-FITC, and anti–CD4-PerCp. For intracellular staining, cells were fixed with 4% PFA, washed, and subsequently permeabilized using the Cytofix/Cytoperm BD kit following the manufacturer’s instructions, and then further incubated with anti–IL-4 or anti–IFN-γ (both Alexa Fluor 488 or PE conjugated) (BD Biosciences). The cells were washed and analyzed on a FACSCalibur flow cytometer using CellQuest software (BD Biosciences).

Cell cycle analysis.

Mice were injected i.p. with 50 mg/kg of BrdU (Sigma-Aldrich) and were killed 2 hours later. Incorporated BrdU was detected intracellularly using anti-BrdU FITC or APC-conjugated antibodies according to the manufacturer’s recommendations (BD Biosciences).

ConA-induced liver injury.

Mice were injected i.v. with 15 mg/kg ConA (Sigma-Aldrich) 8 days after Wnt/β-catenin triggering. Mice were killed 6–10 hours after ConA injection.

EMSA.

Nuclear extracts were prepared and analyzed for DNA binding activity using the HIV-LTR tandem B oligonucleotide as a B probe as previously described (44). For supershift assays, nuclear extracts were incubated with specific antibodies for 30 minutes on ice before incubation with the labeled probe.

Histological studies.

Liver biopsies were fixed and embedded in paraffin prior to staining with H&E. Immunostaining of glutamine synthase to monitor β-catenin activation was performed as previously described (14). Immunostaining of Ki67 (Novocastra) to monitor the proliferation of hepatocytes was performed as previously described (45).

Serum transaminase levels.

Blood was collected and transaminase levels were measured by a standard method as previously described (46).

RNA extraction and analyses.

Total RNAs were extracted with RNeasy kit (QIAGEN) and real-time qPCR analysis was performed using Taqman (Roche Diagnostics) as previously described (41). Gene expression was analyzed using TaqMan gene expression assays (Applied Biosystems) as described in Supplemental Table 1. Gene expression was normalized to ribosomal 18S RNA (41). The level of expression of all the inflammatory genes in the different mouse liver samples was calculated with the 2ΔΔCT method and compared with the expression level of the corresponding gene in control liver tissues and expressed as an n-fold ratio.

Cytokine assays.

The chemokine CCL5 was quantified in mouse sera by Luminex technology and the Bio-Rad 9 Plex Kit, according to the manufacturer’s recommendations (Bio-Rad).

Western blotting.

Immunoblot analyses of liver protein extracts were performed using anti–phospho-STAT3, anti-STAT3, and anti–β-actin antibodies (Cell Signaling).

Study approval.

All reported animal procedures were approved by the French Institutional Animal Care and Use Committee and by the Directeur départemental des Services Vétérinaires of the Prefecture de Police de Paris (Paris, France).

Statistics.

Data are expressed as mean ± SD. Statistical significance was determined by 2-way ANOVA followed by a Student’s t test. P < 0.05 was considered statistically significant.

Supplementary Material

Supplemental data:

Acknowledgments

We thank Beatrice Romagnolo, Catherine Cavard, and Hélène Gilgenkrantz for their expertise and critical reading of the manuscript. We are indebted to André Herbelin and the NIH Tetramer Facility (Bethesda, Maryland, USA) for providing us with α-GalCer–loaded tetramers. We thank Gabrielle Couchy for her technical expertise in TaqMan assays. We thank Masaru Taniguchi for providing Jα18-deficient mice (29). This study was supported by grants from the Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM), the Ligue Nationale Contre Le Cancer (Equipe labellisée), Agence Nationale de Recherche (ANR) 07-Physiology and the Axe 3 of Canceropole Ile-de-France, Association Française des Etudes sur le Foie, Association Française des Etudes sur le Foie (AFEF), and the Laboratoire ROCHE.

Footnotes

Conflict of interest: The authors have declared that no conflict of interest exists.

Citation for this article: J Clin Invest. 2012;122(2):586–599. doi:10.1172/JCI43937.

References

1. de Visser KE, Coussens LM. The inflammatory tumor microenvironment and its impact on cancer development. Contrib Microbiol. 2006;13:118–137. [PubMed]
2. Mantovani A, Allavena P, Sica A, Balkwill F. Cancer-related inflammation. Nature. 2008;454(7203):436–444. [PubMed]
3. Grivennikov SI, Greten FR, Karin M. Immunity, inflammation, and cancer. Cell. 2010;140(6):883–899. doi: 10.1016/j.cell.2010.01.025. [PMC free article] [PubMed] [Cross Ref]
4. Grivennikov SI, Karin M. Dangerous liaisons: STAT3 and NF-kappaB collaboration and crosstalk in cancer. Cytokine Growth Factor Rev. 2010;21(1):11–19. doi: 10.1016/j.cytogfr.2009.11.005. [PMC free article] [PubMed] [Cross Ref]
5. El-Serag HB, Rudolph KL. Hepatocellular carcinoma: epidemiology and molecular carcinogenesis. Gastroenterology. 2007;132(7):2557–2576. doi: 10.1053/j.gastro.2007.04.061. [PubMed] [Cross Ref]
6. Crispe IN. The liver as a lymphoid organ. Annu Rev Immunol. 2009;27:147–163. doi: 10.1146/annurev.immunol.021908.132629. [PubMed] [Cross Ref]
7. Luedde T, Schwabe RF. NF-kappaB in the liver--linking injury, fibrosis and hepatocellular carcinoma. Nat Rev Gastroenterol Hepatol. 2011;8(2):108–118. doi: 10.1038/nrgastro.2010.213. [PubMed] [Cross Ref]
8. Laurent-Puig P, et al. Genetic alterations associated with hepatocellular carcinomas define distinct pathways of hepatocarcinogenesis. Gastroenterology. 2001;120(7):1763–1773. doi: 10.1053/gast.2001.24798. [PubMed] [Cross Ref]
9. de La Coste A, et al. Somatic mutations of the beta-catenin gene are frequent in mouse and human hepatocellular carcinomas. Proc Natl Acad Sci U S A. 1998;95(15):8847–8851. doi: 10.1073/pnas.95.15.8847. [PubMed] [Cross Ref]
10. Miyoshi Y, et al. Activation of the beta-catenin gene in primary hepatocellular carcinomas by somatic alterations involving exon 3. Cancer Res. 1998;58(12):2524–2527. [PubMed]
11. Audard V, et al. Cholestasis is a marker for hepatocellular carcinomas displaying beta-catenin mutations. J Pathol. 2007;212(3):345–352. doi: 10.1002/path.2169. [PubMed] [Cross Ref]
12. Boyault S, et al. Transcriptome classification of HCC is related to gene alterations and to new thera­peutic targets. Hepatology. 2007;45(1):42–52. doi: 10.1002/hep.21467. [PubMed] [Cross Ref]
13. Chiang DY, et al. Focal gains of VEGFA and molecular classification of hepatocellular carcinoma. Cancer Res. 2008;68(16):6779–6788. doi: 10.1158/0008-5472.CAN-08-0742. [PMC free article] [PubMed] [Cross Ref]
14. Benhamouche S, et al. Apc tumor suppressor gene is the “zonation-keeper” of mouse liver. Dev Cell. 2006;10(6):759–770. doi: 10.1016/j.devcel.2006.03.015. [PubMed] [Cross Ref]
15. Colnot S, et al. Liver-targeted disruption of Apc in mice activates beta-catenin signaling and leads to hepatocellular carcinomas. Proc Natl Acad Sci U S A. 2004;101(49):17216–17221. doi: 10.1073/pnas.0404761101. [PubMed] [Cross Ref]
16. de La Coste A, et al. Paradoxical inhibition of c-myc-induced carcinogenesis by Bcl-2 in transgenic mice. Cancer Res. 1999;59(19):5017–5022. [PubMed]
17. Sansom OJ, et al. Myc deletion rescues Apc deficiency in the small intestine. Nature. 2007;446(7136):676–679. [PubMed]
18. Cadoret A, et al. Hepatomegaly in transgenic mice expressing an oncogenic form of beta-catenin. Cancer Res. 2001;61(8):3245–3249. [PubMed]
19. Torre C, et al. The transforming growth factor-alpha and cyclin D1 genes are direct targets of beta-catenin signaling in hepatocyte proliferation. J Hepatol. 2011;55(1):86–95. doi: 10.1016/j.jhep.2010.10.021. [PubMed] [Cross Ref]
20. Bendelac A, Savage PB, Teyton L. The biology of NKT cells. Annu Rev Immunol. 2007;25:297–336. doi: 10.1146/annurev.immunol.25.022106.141711. [PubMed] [Cross Ref]
21. Umeda T, Yamamoto T, Kajino K, Hino O. beta-catenin mutations are absent in hepatocellular carcinomas of SV40 T-antigen transgenic mice. Int J Oncol. 2000;16(6):1133–1136. [PubMed]
22. Crowe NY, et al. Differential antitumor immunity mediated by NKT cell subsets in vivo. J Exp Med. 2005;202(9):1279–1288. doi: 10.1084/jem.20050953. [PMC free article] [PubMed] [Cross Ref]
23. Ovejero C, et al. Identification of the leukocyte cell-derived chemotaxin 2 as a direct target gene of beta-catenin in the liver. Hepatology. 2004;40(1):167–176. doi: 10.1002/hep.20286. [PubMed] [Cross Ref]
24. Hiraki Y, et al. A novel growth-promoting factor derived from fetal bovine cartilage, chondromodulin II. Purification and amino acid sequence. J Biol Chem. 1996;271(37):22657–22662. doi: 10.1074/jbc.271.37.22657. [PubMed] [Cross Ref]
25. Mori Y, et al. Stimulation of osteoblast proliferation by the cartilage-derived growth promoting factors chondromodulin-I and -II. FEBS Lett. 1997;406(3):310–314. doi: 10.1016/S0014-5793(97)00291-3. [PubMed] [Cross Ref]
26. Ong HT, Tan PK, Wang SM, Hian Low DT, Ooi LL, Hui KM. The tumor suppressor function of LECT2 in human hepatocellular carcinoma makes it a potential therapeutic target. Cancer Gene Ther. 2011;18(6):399–406. doi: 10.1038/cgt.2011.5. [PubMed] [Cross Ref]
27. Saito T, et al. Increase in hepatic NKT cells in leukocyte cell-derived chemotaxin 2-deficient mice contributes to severe concanavalin A-induced hepatitis. J Immunol. 2004;173(1):579–585. [PubMed]
28. Yamagoe S, Yamakawa Y, Matsuo Y, Minowada J, Mizuno S, Suzuki K. Purification and primary amino acid sequence of a novel neutrophil chemotactic factor LECT2. Immunol Lett. 1996;52(1):9–13. doi: 10.1016/0165-2478(96)02572-2. [PubMed] [Cross Ref]
29. Cui J, et al. Requirement for Valpha14 NKT cells in IL-12-mediated rejection of tumors. Science. 1997;278(5343):1623–1626. doi: 10.1126/science.278.5343.1623. [PubMed] [Cross Ref]
30. Okumura A, et al. Suppressive role of leukocyte cell-derived chemotaxin 2 in mouse anti-type II collagen antibody-induced arthritis. Arthritis Rheum. 2008;58(2):413–421. doi: 10.1002/art.23215. [PubMed] [Cross Ref]
31. Kronenberg M, Gapin L. The unconventional lifestyle of NKT cells. Nat Rev Immunol. 2002;2(8):557–568. doi: 10.1038/35080111. [PubMed] [Cross Ref]
32. Berzins SP, Smyth MJ, Baxter AG. Presumed guilty: natural killer T cell defects and human disease. Nat Rev Immunol. 2011;11(2):131–142. doi: 10.1038/nri2904. [PubMed] [Cross Ref]
33. Kim CH, Johnston B, Butcher EC. Trafficking machinery of NKT cells: shared and differential chemokine receptor expression among V alpha 24(+)V beta 11(+) NKT cell subsets with distinct cytokine-producing capacity. Blood. 2002;100(1):11–16. doi: 10.1182/blood-2001-12-0196. [PubMed] [Cross Ref]
34. Lee PT, Benlagha K, Teyton L, Bendelac A. Distinct functional lineages of human V(alpha)24 natural killer T cells. J Exp Med. 2002;195(5):637–641. doi: 10.1084/jem.20011908. [PMC free article] [PubMed] [Cross Ref]
35. Tahir SM, et al. Loss of IFN-gamma production by invariant NK T cells in advanced cancer. J Immunol. 2001;167(7):4046–4050. [PubMed]
36. van der Vliet HJ, Wang R, Yue SC, Koon HB, Balk SP, Exley MA. Circulating myeloid dendritic cells of advanced cancer patients result in reduced activation and a biased cytokine profile in invariant NKT cells. J Immunol. 2008;180(11):7287–7293. [PMC free article] [PubMed]
37. Schiechl G, et al. Tumor development in murine ulcerative colitis depends on MyD88 signaling of colonic F4/80+CD11b(high)Gr1(low) macrophages. J Clin Invest. 2011;121(5):1692–1708. doi: 10.1172/JCI42540. [PMC free article] [PubMed] [Cross Ref]
38. Huang F, Geng XP. Chemokines and hepatocellular carcinoma. World J Gastroenterol. 2010;16(15):1832–1836. [PMC free article] [PubMed]
39. Kim MY, et al. Tumor self-seeding by circulating cancer cells. Cell. 2009;139(7):1315–1326. doi: 10.1016/j.cell.2009.11.025. [PMC free article] [PubMed] [Cross Ref]
40. He G, Karin M. NF-kappaB and STAT3 - key players in liver inflammation and cancer. Cell Res. 2011;21(1):159–168. [PMC free article] [PubMed]
41. Rebouissou S, et al. Frequent in-frame somatic deletions activate gp130 in inflammatory hepatocellular tumours. Nature. 2009;457(7226):200–204. doi: 10.1038/nature07475. [PMC free article] [PubMed] [Cross Ref]
42. Phesse TJ, et al. Deficiency of Mbd2 attenuates Wnt signaling. Mol Cell Biol. 2008;28(19):6094–6103. doi: 10.1128/MCB.00539-08. [PMC free article] [PubMed] [Cross Ref]
43. Tannour-Louet M, Porteu A, Vaulont S, Kahn A, Vasseur-Cognet M. A tamoxifen-inducible chimeric Cre recombinase specifically effective in the fetal and adult mouse liver. Hepatology. 2002;35(5):1072–1081. doi: 10.1053/jhep.2002.33164. [PubMed] [Cross Ref]
44. Jacque E, Tchenio T, Piton G, Romeo PH, Baud V. RelA repression of RelB activity induces selective gene activation downstream of TNF receptors. Proc Natl Acad Sci U S A. 2005;102(41):14635–14640. doi: 10.1073/pnas.0507342102. [PubMed] [Cross Ref]
45. Decaens T, et al. Stabilization of beta-catenin affects mouse embryonic liver growth and hepatoblast fate. Hepatology. 2008;47(1):247–258. doi: 10.1002/hep.21952. [PubMed] [Cross Ref]
46. Miyagi T, et al. Concanavalin a injection activates intrahepatic innate immune cells to provoke an antitumor effect in murine liver. Hepatology. 2004;40(5):1190–1196. doi: 10.1002/hep.20447. [PubMed] [Cross Ref]

Articles from The Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation