Interleukin-17 (IL-17Additional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionNonmelanoma skin cancer (NMSC) represents one of the most common malignancies in humans and keratinocyte-derived basalcell carcinomas (BCCs) and squamous-cell carcinomas (SCCs) are responsible approximately for the 80 and 20% NMSC cases, respectively [1,2]. Both types of NMSCs share important risk factors, such as fair skin and high degree of sun exposure [3]. Nevertheless, BCCs and SCCs have distinct metastatic attitude, being rare in BCC and much more common in SCC [4].Correspondence: Dr. Andrea Cavani e-mail: cavani@idi.itTumor-infiltrating lymphocytes (TILs) are frequently found in malignant tumors, being suggestive of a host antitumoral immune response. Several independent studies have demonstrated that the presence of TILs correlated with increased survival and represents a predictive as well as prognostic biomarker in patients with breast cancer, colorectal cancer, glioma, and gastric cancer [5][6][7]. However, dissimilar data revealed that TILs functionally promoted epithelial carcinogenesis [8], and that TIL-secreted chemokines contributed to tumor angiogenesis and growth [9]. Although few studies have described the inflammatory infiltrate of BCCs and Table 1), but not that of the Th1-cell clone 6.1, was able to induce proliferation of both M77015 ( Fig. 2D and E) and CAL27 cells (Fig. 2F and G). To demonstrate that tumor-cell growth induced by supernatant of activated TIL-derived cell clones was dependent on IL-17 and IL-22, we performed blocking experiments with anti-IL-17 and anti-IL-22 Abs. As shown in Figure 2, results clearly indicate the capacity of both IL-17 and IL-22 blocking antibodies to reduce M77015 and CAL27 proliferation induced by supernatant of TILderived cell clones ( Fig. 2D-G). Furthermore, IL-17 and IL-22 were able to induce CAL27-and M7715-cell migration in an in vitro scratch assay (Fig. 3), indicating that the cytokines promote local invasiveness of tumor cells.
IL-6 and IL-8 are induced in SCC cells by IL-17 treatmentThe next step was to investigate whether IL-17 and IL-22 alone or in combination with other Th17-and/or Th22-derived cytokines could induce the secretion of cytokines and/or chemokines, known to influence tumor survival and progression, in tumor cells. Indeed, our previous data showed that in normal human keratinocytes [28,29], IL-17, alone or in combination with TNF-α, induced the secretion of IL-8. To verify whether IL-17 had similar effects on BCC-and SCC-cell lines, we exposed CAL27 and M77015 cells to recombinant human IL-17, IL-22, with or without TNF-α, and cytokine release was investigated by ELISA. In particular, we decided to analyze IL-6 and IL-8 release, as it is known that both cytokines induce proliferation and invasion of many tumor cells [30][31][32]. As shown in Figure 4, IL-17, but not IL-22 alone, augmented both IL-6 ( Fig. 4A) and IL-8 ( Fig. 4B) secretion by CAL27 cells. Moreover, IL-17 showed a s...