- Chung, Liam;
- Orberg, Erik Thiele;
- Geis, Abby L;
- Chan, June L;
- Fu, Kai;
- Shields, Christina E DeStefano;
- Dejea, Christine M;
- Fathi, Payam;
- Chen, Jie;
- Finard, Benjamin B;
- Tam, Ada J;
- McAllister, Florencia;
- Fan, Hongni;
- Wu, Xinqun;
- Ganguly, Sudipto;
- Lebid, Andriana;
- Metz, Paul;
- Van Meerbeke, Sara W;
- Huso, David L;
- Wick, Elizabeth C;
- Pardoll, Drew M;
- Wan, Fengyi;
- Wu, Shaoguang;
- Sears, Cynthia L;
- Housseau, Franck
Pro-carcinogenic bacteria have the potential to initiate and/or promote colon cancer, in part via immune mechanisms that are incompletely understood. Using ApcMin mice colonized with the human pathobiont enterotoxigenic Bacteroides fragilis (ETBF) as a model of microbe-induced colon tumorigenesis, we show that the Bacteroides fragilis toxin (BFT) triggers a pro-carcinogenic, multi-step inflammatory cascade requiring IL-17R, NF-κB, and Stat3 signaling in colonic epithelial cells (CECs). Although necessary, Stat3 activation in CECs is not sufficient to trigger ETBF colon tumorigenesis. Notably, IL-17-dependent NF-κB activation in CECs induces a proximal to distal mucosal gradient of C-X-C chemokines, including CXCL1, that mediates the recruitment of CXCR2-expressing polymorphonuclear immature myeloid cells with parallel onset of ETBF-mediated distal colon tumorigenesis. Thus, BFT induces a pro-carcinogenic signaling relay from the CEC to a mucosal Th17 response that results in selective NF-κB activation in distal colon CECs, which collectively triggers myeloid-cell-dependent distal colon tumorigenesis.