Postoperative recurrence and metastasis have crucial roles in the poor prognosis of gastric cancer patients. Previous studies have indicated that gastric cancer originates from cancer stem cells (CSCs), and some investigators have found that a particular subset of CSCs possesses higher metastatic capacity. However, the specific mechanism remains uncertain. In the present study, we aimed to explore the biological functions of the inflammatory cytokine interleukin-17 (IL-17) in gastric cancer metastasis and the distinct IL-17-induced transformation of quiescent gastric CSCs. Our results showed that invasive gastric CSCs were CD26+ and CXCR4+ and were closely associated with increased metastatic ability. The quiescent gastric CSCs, which were CD26 − and CXCR4 − , were exposed to appropriate concentrations of IL-17; this resulted in the decreased expression of E-cadherin and the increased expression of vimentin and N-cadherin. In addition, the upregulation of IL-17 both in vitro and in vivo resulted in a significant induction of invasion, migration and tumor formation ability in gastric CSCs compared with the control group, which was not treated with IL-17. Further experiments indicated that the activation of the downstream phosphorylated signal transducer and activator of transcription 3 (STAT3) transcription factor pathway was facilitated by IL-17. On the contrary, the downregulation of STAT3 by the specific inhibitor Stattic significantly reversed the IL-17-induced epithelial-mesenchymal transition (EMT)-associated properties of quiescent gastric CSCs. Moreover, tumorigenesis and metastasis were suppressed. Taken together, we suggest that IL-17 is positively correlated with the transformation of quiescent gastric CSCs into invasive gastric CSCs and that targeting IL-17 may emerge as a possible novel therapeutic strategy for gastric cancer.
INTRODUCTIONGastric cancer is one of the most common gastrointestinal malignancies, and the morbidity and mortality of patients with gastric cancer remain high. Key biological characteristics of gastric cancer include invasion and metastasis, which are the main factors that are responsible for postoperative recurrence and the development of therapeutic resistance. Studies focused on the mechanisms that underlie the invasion and metastasis of gastric cancer have attracted extensive attention, but these mechanisms have not been fully elucidated. 1,2 An increasing amount of evidence supports the cancer stem cell (CSC) theory. This theory proposes that CSCs serve not only as the basis for the development and progression of tumors but also as the primary reason for tumor recurrence and metastasis. Recent studies have demonstrated that CSCs are heterogeneous. CSCs are divided into different subsets including quiescent CSCs and invasive CSCs based on their distinct characteristics. Invasive CSC is a major motivation to cancer metastasis. Additionally, quiescent CSCs may differentiate into invasive CSCs in specific microenvironments, thereby promoting distant tumor metastasis. 3,4 As ...