Stromal Lkb1 deficiency leads to gastrointestinal tumorigenesis involving the IL-11-JAK/STAT3 pathway

Saara Ollila1,2,3, Eva Domènech-Moreno1,2, Kaisa Laajanen1,2

  • 1Research Programs Unit, Faculty of Medicine and.

Insights

Loss of the LKB1 tumor suppressor in stromal cells drives gastrointestinal polyps by activating IL-11 and JAK/STAT3 signaling. Targeting this pathway with ruxolitinib reduced tumor growth in Peutz-Jeghers syndrome models.

Area of Science:

  • Oncology
  • Gastroenterology
  • Molecular Biology

Background:

  • Peutz-Jeghers syndrome (PJS) is linked to germline mutations in the LKB1 gene, a tumor suppressor kinase.
  • The specific cell types and molecular pathways driving PJS-associated gastrointestinal tumorigenesis remain largely undetermined.

Purpose of the Study:

  • To elucidate the cellular origin and signaling mechanisms of LKB1-deficient gastrointestinal tumor formation.
  • To investigate the therapeutic potential of targeting identified pathways in PJS.

Main Methods:

  • Mice with conditional Lkb1 deletion in mesenchymal progenitor or stromal fibroblast populations were utilized.
  • Lineage tracing, immunohistochemistry, and JAK/STAT3 pathway inhibition (ruxolitinib) were employed.

Main Results:

  • Lkb1 deletion in stromal cells led to fully penetrant polyposis in mice.
  • Lkb1-deficient stromal cells formed myofibroblast-like foci, inducing an inflammatory program with IL-11 production.
  • IL-11 activated JAK/STAT3 signaling in tumor epithelia, promoting proliferation.
  • Ruxolitinib treatment significantly reduced polyposis in Lkb1-deficient mice.

Conclusions:

  • Stromal LKB1 loss initiates PJS tumorigenesis via IL-11 and JAK/STAT3 pathway activation.
  • The IL-11/JAK/STAT3 axis is a critical driver of gastrointestinal tumor development in LKB1-mutant PJS.
  • Targeting the JAK/STAT3 pathway represents a promising therapeutic strategy for Peutz-Jeghers syndrome.

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