Oral Presentation Lorne Infection and Immunity 2018

The inflammasome adaptor ASC suppresses tumour cell apoptosis, independent of inflammation, via IL-18 in gastric cancer. (#16)

Virginie Deswaerte 1 , Paul Nguyen 2 , Tracy Putoczki 2 , Brendan Jenkins 1
  1. Hudson institute, Clayton, VIC, Australia
  2. The Walter and Eliza Hall Institute of Medical Research, Melbourne

Inflammasomes are key regulators of innate immunity, and despite their known involvement in chronic inflammatory disorders and autoimmune diseases, their role in inflammation-associated tumorigenesis remains ill-defined. We discoveredĀ a pro-tumorigenic role for the key inflammasome adaptor ASC and its effector cytokine IL-18 in gastric cancer (GC). Genetic ablation of Pycard (encoding ASC) or Il18 in the gp130F/F spontaneous model of intestinal-type GC suppressed gastric tumorigenesis by augmenting caspase-8-like apoptosis in the gastric epithelium, which was independent of hematopoietic-derived myeloid cells and mucosal inflammation. Suppressed tumorigenesis in ASC-deficient gp130F/F mice was characterized by reduced caspase-1 and NF-kB activation, and lower protein expression levels of mature IL-18 (but not IL-1b) in gastric tumors. Genetic ablation of IL-18 in gp130F/F mice similarly suppressed gastric tumorigenesis, whereas blockade of IL-1b (and IL-1a) activity upon genetic ablation of the IL-1 receptor had no effect. This specific pro-tumorigenic role for IL-18 associated with high Il18 gene expression in the gastric tumor epithelium of gp130F/F mice compared to Il1b, the latter of which was preferentially expressed in immune cells. Consistent with an epithelial-specific role for IL-18 in GC, IL-18 protein was highly secreted from human GC cell lines, and reduction of IL-18 activity and protein levels either with a neutralizing anti-IL-18 antibody or upon CRISPR/Cas9-driven ASC ablation augmented human GC cell apoptosis. We also foundĀ a significant positive correlation between elevated mature IL-18 protein and ASC mRNA levels in human GC tumors. Collectively, these findings reveal the ASC/IL-18 axis as a new therapeutic target in GC.