IL-34: a new target to tackle chemo-resistant cancer cells

Researchers from Hokkaido University have discovered that chemo-resistant lung cancer cells suppress immune functions and strengthen resistance to chemotherapy by producing interleukin-34 (IL-34)—a type of cytokine.

Chemotherapy is one of the most important treatments for many cancer patients. In recent years, chemotherapies that target the immune system have been developed, resulting in remarkable advances in cancer treatments.

However, the ability of tumour cells to escape immune destruction and acquire resistance to chemotherapy remains a major obstacle to effective cancer therapy.

It is known that immunosuppressive macrophages accumulate at tumour sites where the tumour cells have become resistant to chemotherapy.

Assistant Professor Muhammad Baghdadi, Lecturer Haruka Wada and Professor Ken-ichiro Seino of the Division of Immunobiology at Hokkaido University’s Institute for Genetic Medicine, conducted research with collaborators based on a theory that chemoresistant tumour cells produce an unidentified substance that increases tumour-associated macrophages, thus enhancing their resistance to chemotherapy.

In the latest research, the team cultivated chemosensitive A549-DS, made from A549 lung cancer cells, together with the chemotherapeutic drug doxorubicin, to create doxorubicin-resistant A549-DR. The researchers examined the two cells, finding a large amount of IL-34 was produced in the A549-DR, but not in the A549-DS. They also found that the IL-34 produced by A549-DR contributed to the production of immunosuppressive macrophages. Furthermore, their experiment showed that IL-34 enhanced the chemoresistance of A549-DR.

Pre-clinical model

In experiments using mice, researchers found that A549-DR was resistant to the chemotherapeutic drug when transplanted in mice, while A549-DR with depleted IL-34 became sensitive to the same drug, suggesting that IL-34 enhanced chemoresistance in the animal body.

Tumour prognoses

Furthermore, researchers discovered high levels of IL-34 in tumours removed from several lung cancer patients. They also examined the prognoses of post-operative patients—studying those with, and those without, IL-34 in their tumours, finding that the former’s prognoses were poorer than the latter’s.

The research was jointly conducted with Kanagawa Cancer Center, Shiga University of Medical Science, and the University of Tokyo.