The mechanisms through which chronic injury and inflammation contribute to cancer are diverse and includeeffects on proliferation and differentiation of tumor cells themselves and on the stromal cell activities uponwhich tumor survival and spread depend. The proposed Program emphasizes two major themes that arecommon to all 3 projects and the scientific core. The first will address the molecular controls of cytokine andpattern recognition (PR) receptor mediated inflammatory function in the context of a newly discoveredrequirement for Epidermal Growth Factor Receptor (EGFR). This concept will have significant impact inmechanistic studies of cytokine and PR receptor signaling as well as in development and implementation oftherapeutic strategy. EGFR function is required for signaling through multiple PR receptors (e.g., TLRs 3 and 9and STING), gp130 linked receptors (IL6, OSM), and IL17 receptors, but that this linkage occurs in each casevia novel, EGF ligand-independent mechanisms. The role of EGFR in multiple cancers is well established andit is the target for many therapeutics (e.g., trastuzumab, erlotinib, geftinib etc). Hence the consideration of howEGFR participates in inflammatory signaling in tumor cells, in myeloid and in other tumor stromal cellpopulations is likely to have substantial impact on the design and outcomes of therapies that target EGFR. Thesecond theme will consider the distinct ways in which cytokine and PR receptors operate in different cellpopulations to link inflammatory activity with promotion of tumorigenesis. In the proposed Program, Project 1(Sen) will focus on cytokine expression associated with EGFR-coupled signaling through TLR3, TLR9 andSTING in myeloid cells while Project 2 will consider how EGFR signaling couples with cytokines utilizingGP130 (e.g., IL6, OSM) to modulate tumor cell behaviors that are STAT3 dependent. In Project 3 Dr. Li willconsider how IL17 may use both EGFR-dependent and EGFR-independent signaling pathways in different cellpopulations (epidermal and stromal) to impact on different aspects of inflammation-associated tumordevelopment and progression. Collectively these projects will test the following overarching hypothesis: thatEGFR is a common mechanistic feature of signaling through a specific subset of cytokine and PRreceptors that serves to regulate the magnitude and duration of diverse responses within the selectionof cell populations that contribute in temporally and functionally distinct fashion to the multiple stagesof carcinogenesis and tumor progression. The three projects outline experimental strategies to test thishypothesis through performance of the following common specific aims:1. Define the molecular mechanisms involved in EGFR-dependent signaling from PRRs (TLR3/9 AND STING),GP130-linked cytokine receptors (IL6, OSM), and IL17R to control the magnitude and character of downstreamresponses that link with different mechanistic aspects of tumor progression. Emphasis will be on the basis forEGFR/cytokine/TLR interactions and the consequences of such interaction on distinct signals emanating fromboth EGFR and the cytokine/PR receptor.2. Assess the distinct cell type specific contributions of EGFR/cytokine-PR receptor pathways using multiplemodels of inflammation-linked cancer development and progression.

Public Health Relevance

The overall objective of the three projects and one scientific core that comprise this Program Projectapplication is to define cellular and molecular mechanisms through which response to chronic injury andinflammation promote the development and progression of cancer. One central theme is to investigate how asignaling protein known to be important in many forms of cancer (Epidermal Growth Factor Receptor)integrates with multiple structurally distinct receptors for inflammatory signals within the tumormicroenvironment to enable the tumor promoting outcome. The second important theme is definition of the celltype specific roles through which these signaling systems collectively enable and promote the development ofcancer and how these are influenced by the inflammatory status of the individual.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
5P01CA062220-22
Application #
9270509
Study Section
Special Emphasis Panel (ZCA1-RPRB-C)
Project Start
Project End
Budget Start
2017-04-01
Budget End
2018-03-31
Support Year
22
Fiscal Year
2017
Total Cost
$258,759
Indirect Cost
$95,504
Name
Cleveland Clinic Lerner
Department
Type
Domestic Higher Education
DUNS #
135781701
City
Cleveland
State
OH
Country
United States
Zip Code
44195
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