New paper. Odd that it would come so soon after the study that identified CXCL5 as an inflammatory promoter of cell growth, produced when there are a lot of dead cells waiting for clearance. See "A victim of success?" (3 days ago).
The natural antidote seems to be Resolvins.
"Cancer therapy reduces tumor burden by killing tumor cells, yet it simultaneously creates tumor cell debris that may stimulate inflammation and tumor growth. Thus, conventional cancer therapy is inherently a double-edged sword. In this study, we show that tumor cells killed by chemotherapy or targeted therapy (“tumor cell debris”) stimulate primary tumor growth when coinjected with a subthreshold (nontumorigenic) inoculum of tumor cells by triggering macrophage proinflammatory cytokine release after phosphatidylserine exposure."
"Debris-stimulated tumors were inhibited by antiinflammatory and proresolving lipid autacoids, namely resolvin D1 (RvD1), RvD2, or RvE1."
"Resolvins counterregulate the release of cytokines/chemokines, including TNFα, IL-6, IL-8, CCL4, and CCL5, by human macrophages stimulated with cell debris."
Presumably "CCL5" is the same as the "CXCL5" mentioned in the first study.
...
Huang explained, "Dead-cell stimulated growth is naturally a part of the tissue regeneration cycle; debris is interpreted by the tissue as injury signal and stimulates wound healing and regeneration."
-Patrick
jem.rupress.org/content/ear...
Resolvins suppress tumor growth and enhance cancer therapy
Megan L. Sulciner, View ORCID ProfileCharles N. Serhan, View ORCID ProfileMolly M. Gilligan, Dayna K. Mudge, Jaimie Chang, Allison Gartung, Kristen A. Lehner, Diane R. Bielenberg, Birgitta Schmidt, Jesmond Dalli, Emily R. Greene, Yael Gus-Brautbar, Julia Piwowarski, Tadanori Mammoto, David Zurakowski, View ORCID ProfileMauro Perretti, Vikas P. Sukhatme, Arja Kaipainen, View ORCID ProfileMark W. Kieran, Sui Huang, Dipak Panigrahy
DOI: 10.1084/jem.20170681 | Published November 30, 2017
Abstract
Cancer therapy reduces tumor burden by killing tumor cells, yet it simultaneously creates tumor cell debris that may stimulate inflammation and tumor growth. Thus, conventional cancer therapy is inherently a double-edged sword. In this study, we show that tumor cells killed by chemotherapy or targeted therapy (“tumor cell debris”) stimulate primary tumor growth when coinjected with a subthreshold (nontumorigenic) inoculum of tumor cells by triggering macrophage proinflammatory cytokine release after phosphatidylserine exposure. Debris-stimulated tumors were inhibited by antiinflammatory and proresolving lipid autacoids, namely resolvin D1 (RvD1), RvD2, or RvE1. These mediators specifically inhibit debris-stimulated cancer progression by enhancing clearance of debris via macrophage phagocytosis in multiple tumor types. Resolvins counterregulate the release of cytokines/chemokines, including TNFα, IL-6, IL-8, CCL4, and CCL5, by human macrophages stimulated with cell debris. These results demonstrate that enhancing endogenous clearance of tumor cell debris is a new therapeutic target that may complement cytotoxic cancer therapies.
Submitted: 12 April 2017
Revision received 15 September 2017
Accepted: 11 October 2017