- Wang, Dongjie;
- Li, Wen;
- Albasha, Natalie;
- Griffin, Lindsey;
- Chang, Han;
- Amaya, Lauren;
- Ganguly, Sneha;
- Zeng, Liping;
- Keum, Bora;
- González-Navajas, José M;
- Levin, Matt;
- AkhavanAghdam, Zohreh;
- Snyder, Helen;
- Schwartz, David;
- Tao, Ailin;
- Boosherhri, Laela M;
- Hoffman, Hal M;
- Rose, Michael;
- Estrada, Monica Valeria;
- Varki, Nissi;
- Herdman, Scott;
- Corr, Maripat;
- Webster, Nicholas JG;
- Raz, Eyal;
- Bertin, Samuel
Background
Individuals with certain chronic inflammatory lung diseases have a higher risk of developing lung cancer (LC). However, the underlying mechanisms remain largely unknown. Here, we hypothesized that chronic exposure to house dust mites (HDM), a common indoor aeroallergen associated with the development of asthma, accelerates LC development through the induction of chronic lung inflammation (CLI). METHODS: The effects of HDM and heat-inactivated HDM (HI-HDM) extracts were evaluated in two preclinical mouse models of LC (a chemically-induced model using the carcinogen urethane and a genetically-driven model with oncogenic KrasG12D activation in lung epithelial cells) and on murine macrophages in vitro. Pharmacological blockade or genetic deletion of the Nod-like receptor family pyrin domain-containing protein 3 (NLRP3) inflammasome, caspase-1, interleukin-1β (IL-1β), and C-C motif chemokine ligand 2 (CCL2) or treatment with an inhaled corticosteroid (ICS) was used to uncover the pro-tumorigenic effect of HDM. RESULTS: Chronic intranasal (i.n) instillation of HDM accelerated LC development in the two mouse models. Mechanistically, HDM caused a particular subtype of CLI, in which the NLRP3/IL-1β signaling pathway is chronically activated in macrophages, and made the lung microenvironment conducive to tumor development. The tumor-promoting effect of HDM was significantly decreased by heat treatment of the HDM extract and was inhibited by NLRP3, IL-1β, and CCL2 neutralization, or ICS treatment.Conclusions
Collectively, these data indicate that long-term exposure to HDM can accelerate lung tumorigenesis in susceptible hosts (e.g., mice and potentially humans exposed to lung carcinogens or genetically predisposed to develop LC).