Dietary iron enhances colonic inflammation and IL-6/IL-11-Stat3 signaling promoting colonic tumor development in mice

PLoS One. 2013 Nov 6;8(11):e78850. doi: 10.1371/journal.pone.0078850. eCollection 2013.

Abstract

Chronic intestinal inflammation and high dietary iron are associated with colorectal cancer development. The role of Stat3 activation in iron-induced colonic inflammation and tumorigenesis was investigated in a mouse model of inflammation-associated colorectal cancer. Mice, fed either an iron-supplemented or control diet, were treated with azoxymethane and dextran sodium sulfate (DSS). Intestinal inflammation and tumor development were assessed by endoscopy and histology, gene expression by real-time PCR, Stat3 phosphorylation by immunoblot, cytokines by ELISA and apoptosis by TUNEL assay. Colonic inflammation was more severe in mice fed an iron-supplemented compared with a control diet one week post-DSS treatment, with enhanced colonic IL-6 and IL-11 release and Stat3 phosphorylation. Both IL-6 and ferritin, the iron storage protein, co-localized with macrophages suggesting iron may act directly on IL-6 producing-macrophages. Iron increased DSS-induced colonic epithelial cell proliferation and apoptosis consistent with enhanced mucosal damage. DSS-treated mice developed anemia that was not alleviated by dietary iron supplementation. Six weeks post-DSS treatment, iron-supplemented mice developed more and larger colonic tumors compared with control mice. Intratumoral IL-6 and IL-11 expression increased in DSS-treated mice and IL-6, and possibly IL-11, were enhanced by dietary iron. Gene expression of iron importers, divalent metal transporter 1 and transferrin receptor 1, increased and iron exporter, ferroportin, decreased in colonic tumors suggesting increased iron uptake. Dietary iron and colonic inflammation synergistically activated colonic IL-6/IL-11-Stat3 signaling promoting tumorigenesis. Oral iron therapy may be detrimental in inflammatory bowel disease since it may exacerbate colonic inflammation and increase colorectal cancer risk.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Cation Transport Proteins / genetics
  • Cation Transport Proteins / metabolism
  • Cell Proliferation / drug effects
  • Colitis / chemically induced
  • Colitis / genetics
  • Colitis / metabolism*
  • Colonic Neoplasms / genetics
  • Colonic Neoplasms / metabolism*
  • Dextran Sulfate / toxicity
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Gene Expression Regulation, Neoplastic
  • Immunoblotting
  • In Situ Nick-End Labeling
  • Interleukin-11 / genetics
  • Interleukin-11 / metabolism*
  • Interleukin-6 / genetics
  • Interleukin-6 / metabolism*
  • Iron, Dietary / adverse effects
  • Mice
  • Mice, Inbred C57BL
  • Phosphorylation / drug effects
  • Receptors, Transferrin / genetics
  • Receptors, Transferrin / metabolism
  • Reverse Transcriptase Polymerase Chain Reaction
  • STAT3 Transcription Factor / metabolism*
  • Signal Transduction*

Substances

  • Cation Transport Proteins
  • Interleukin-11
  • Interleukin-6
  • Iron, Dietary
  • Receptors, Transferrin
  • STAT3 Transcription Factor
  • Tfrc protein, mouse
  • solute carrier family 11- (proton-coupled divalent metal ion transporters), member 2
  • Dextran Sulfate

Grants and funding

This work was supported by grants from the National Health and Medical Research Council, Australia (NHMRC; APP1007769 to DT, JKO, ACGC, ICL), Cancer Council of Western Australia (to DT, JKO, ICL, ACGC, BRSK), Fremantle Hospital Medical Research Foundation (to ACGC, BRSK, ICL, DSH) and Raine Medical Research Foundation (to ACGC). ACGC is a recipient of a Bushell Postdoctoral Fellowship from the Gastroenterological Society of Australia. DT is a recipient of a Senior Research Fellowship (APP1020437) and JKO is a recipient of a Practitioner Fellowship (APP1042370) from NHMRC. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.