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Science 6 July 2007: Vol. 317. no. 5834, pp. 121 - 124 DOI: 10.1126/science.1140485
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Reports
Gender Disparity in Liver Cancer Due to Sex Differences in MyD88-Dependent IL-6 Production
Willscott E. Naugler1,2,
Toshiharu Sakurai1,
Sunhwa Kim1,
Shin Maeda3,
KyoungHyun Kim1,
Ahmed M. Elsharkawy1,4 and
Michael Karin1*
1 Laboratory of Gene Regulation and Signal Transduction, Department of Pharmacology and Cancer Center, University of California, San Diego, CA 93093, USA.
2 Department of Medicine, Division of Gastroenterology, University of California, San Diego, CA 93093, USA.
3 Division of Gastroenterology, The Institute for Adult Diseases, Asahi Life Foundation, 1-6-1 Marunouchi, Chiyoda-ku, Tokyo 100-0005, Japan.
4 Liver Research Group, University of Newcastle, Newcastle Upon Tyne NE2 4HH, UK.
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Fig. 1. Differential IL-6 production after chemically induced liver injury. (A) Concentration of IL-6 in serum of male and female WT mice after injection of DEN (100 mg per kg of body weight; n =3 mice per time point). (B) IL-6 mRNA levels in livers of male, female, or ovariectomized (OVX; ovariectomy was done 2 weeks before DEN administration) female mice 4 hours after DEN injection. E2 (50 µg/kg)incornoilwas injected intraperitoneally 2 hours before DEN was administered. (C) Male B6 mice (n =3) were injected with ER -specific agonist propyl-pyrazole-trisphenol (PPT; 5 µg/kg in corn oil) 2 hours before DEN injection, and serum IL-6 was measured at the indicated times after DEN injection. Results in (A) to (C) are means ± SE. Asterisks indicate a significant (P < 0.05; Student's t test) difference relative to WT male mice.
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Fig. 2. Lower incidence of HCC tumors and longer survival of IL-6/ mice. (A)Livers of 8-month-old DEN-treated mice. Multiple HCCs are seen only in WT male liver. (B) Incidence of HCC (> 0.5 mm) in WT male (n = 14), WT female (n = 13), IL-6/ male (n = 14), and IL-6/ female (n = 15) mice 8 months after DEN (25 mg/kg) injection. Asterisks indicate significant (P < 0.05; Student's t test) differences relative to WT male mice. (C) Survival curves of WT and IL-6/ mice injected with DEN (25 mg/kg) at 15 days of age (P = 0.0006; log-rank test for significance).
[View Larger Version of this Image (41K GIF file)]
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Fig. 3. Influence of gender and IL-6 on hepatic injury and compensatory proliferation. (A)Male WT or IL-6/ mice (n = 3) were given DEN (100 mg/kg), and ALT (alanine aminotransferase) in serum was measured. (B) Livers of male WT or IL-6/ mice (n = 3) were assessed for apoptosis by TUNEL (terminal deoxynucleotidyl transferase mediated dUTP nick-end labeling) staining after DEN injection. (C) Hepatocyte proliferation in livers of DEN-injected male WT or IL-6/ mice (n = 3) was assessed by injecting mice with bromodeoxyrudine (BrdU) (1 mg per mouse) 2 hours before the liver was removed. BrdU-positive cells were identified by immunostaining. (D) Serum ALT was measured 48 hours after DEN injection (n = 3 per group). OVX: female mice ovariectomized 2 weeks before DEN administration. E2 (50 µg/kg) in corn oil was injected 2 hours before DEN. Similar studies assessing differences between male and female mice (n = 3) were done for apoptosis (E) and proliferation (F). (G) Six-week-old male B6 mice (n = 3) were given E2 or vehicle (corn oil) 2 hours before DEN injection. Recombinant IL-6 (10 µg) or sham buffer (phosphate-buffered saline) was given subcutaneously at the time of DEN administration. Serum ALT was measured 48 hours later. (H) Male ER / and ERß/ mice and littermate heterozygote controls (n = 3) were injected with E2 (50 µg) in corn oil or vehicle 2 hours before DEN injection, and serum ALT was measured 50 hours later. (I)Malemice(n = 3 per point) were injected with PPT (5 mg/kg in corn oil) or vehicle 2 hours before DEN injection, and serum ALT was measured 50 hours later. All results for (A) to (I) are means ± SE, and asterisks indicate P < 0.05 (Student's t test). (J) Cells from livers of male, female, and IL-6/ mice were lysed at the indicated times after DEN injection. STAT3 and JNK activation, and I B degradation, were assessed by separating with SDSpolyacrylamide gel electrophoresis and immunoblotting with antibodies to the indicated proteins. Phosphorylation (P) of STAT3 and JNK indicates activation. Phospho-STAT3 and STAT3 were from one gel, as were Phospho-JNK and JNK1/2, and I B and actin.
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Fig. 4. Requirement of MyD88 for IL-6 production, injury, and hepatocarcinogenesis after DEN treatment. (A)Accumulation of IL-6 mRNA was measured by real-time polymerase chain reaction in KCs from male WT, IKKß/, or MyD88/ mice (n =3 experiments per time point) after incubation with LPS (10 ng/ml) or necrotic debris prepared by cycles of freezethawing of primary hepatocytes. Where indicated, cells were incubated with E2 (10 ng/ml) 30 min before stimulation. (B and C) Male WT and MyD88/ mice were injected with DEN, and liver IL-6 mRNA (B) or serum ALT (C) was measured. (D and E) Number of HCCs(D) and sizes (E) in livers of WT and MyD88/ male mice 8 months after DEN (25 mg/kg) administration. Results in (A) to (E) are means ± SE. Asterisks indicate a significant (P <0.05; Student's t test) difference relative to WT males.
[View Larger Version of this Image (13K GIF file)]
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