Tumor-induced disruption of the blood-brain barrier promotes host death.
Tumor-induced disruption of the blood-brain barrier promotes host death.
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DOI:
10.1016/j.devcel.2021.08.010
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发表时间:
2021-10-11
影响因子:
11.8
通讯作者:
Bilder D
中科院分区:
文献类型:
--
作者:
Kim J;Chuang HC;Wolf NK;Nicolai CJ;Raulet DH;Saijo K;Bilder D
Cancer patients often die from symptoms that manifest at a distance from any tumor. Mechanisms underlying these systemic physiological perturbations, called paraneoplastic syndromes, may benefit from investigation in non-mammalian systems. Using a non-metastatic Drosophila adult model, we find that malignant tumor-produced cytokines drive widespread host activation of JAK-STAT signaling and cause premature lethality. STAT activity is particularly high in cells of the blood-brain barrier (BBB), where it induces aberrant BBB permeability. Remarkably, inhibiting STAT in the BBB not only rescues barrier function but also extends the lifespan of tumor-bearing hosts. We identify BBB damage in other pathological conditions that cause elevated inflammatory signaling, including obesity and infection, where BBB permeability also regulates host survival. IL-6-dependent BBB dysfunction is further seen in a mouse tumor model, and it again promotes host morbidity. Therefore, BBB alterations constitute a conserved lethal tumor-host interaction that also underlies other physiological morbidities. Kim et al. use a fly cancer model to uncover a systemic effect of tumors, in which inflammatory signaling permeabilizes the blood-brain barrier. Preventing barrier permeability allows flies to live longer with the same tumor burden, and key aspects of these data are recapitulated in a mouse tumor model.
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