Tumor-induced disruption of the blood-brain barrier promotes host death

Jung Kim1, Hsiu-Chun Chuang1, Natalie K Wolf1

  • 1Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA 94720, USA.

Developmental Cell
|September 8, 2021
PubMed

Insights

Cancer-induced systemic effects are driven by cytokines activating JAK-STAT signaling, damaging the blood-brain barrier (BBB) and causing premature death. Inhibiting STAT in the BBB prolongs survival in tumor-bearing hosts.

Area of Science:

  • Biomedical research
  • Cancer biology
  • Physiology

Background:

  • Paraneoplastic syndromes are systemic symptoms distant from tumors, contributing to cancer mortality.
  • Understanding these syndromes can benefit from non-mammalian model systems.
  • Mechanisms of paraneoplastic syndromes are not fully understood.

Purpose of the Study:

  • To investigate the mechanisms of paraneoplastic syndromes using a Drosophila model.
  • To identify the role of the blood-brain barrier (BBB) in tumor-induced morbidity.
  • To explore conserved mechanisms of tumor-host interactions.

Main Methods:

  • Utilized a non-metastatic Drosophila adult model with tumors.
  • Analyzed cytokine-driven JAK-STAT signaling activation in tumor-bearing hosts.
  • Assessed blood-brain barrier (BBB) permeability and STAT activity.
  • Inhibited STAT signaling specifically in the BBB.
  • Examined BBB dysfunction in mouse models of cancer, obesity, and infection.

Main Results:

  • Malignant-tumor-produced cytokines activate widespread JAK-STAT signaling, leading to premature lethality.
  • STAT activation is notably high in blood-brain barrier (BBB) cells, causing aberrant permeability.
  • Inhibiting STAT in the BBB rescues barrier function and extends host lifespan.
  • BBB damage and increased permeability are observed in other inflammatory conditions like obesity and infection.
  • IL-6-dependent BBB dysfunction promotes morbidity in a mouse tumor model.

Conclusions:

  • BBB alterations are a conserved, lethal tumor-host interaction.
  • BBB permeability is a critical factor in paraneoplastic syndrome lethality.
  • BBB dysfunction contributes to morbidity in various pathological conditions beyond cancer.
  • Targeting BBB STAT signaling may offer therapeutic potential for cancer and other diseases.