Volume 129, Issue 5 pp. 1116-1125
Tumor Immunology

Interleukin (IL)-18, a biomarker of human ovarian carcinoma, is predominantly released as biologically inactive precursor

Anna Maria Orengo

Anna Maria Orengo

Department of Translational Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

A.M. Orengo and M. Fabbi contributed equally to this work

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Marina Fabbi

Marina Fabbi

Department of Translational Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

A.M. Orengo and M. Fabbi contributed equally to this work

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Loredana Miglietta

Loredana Miglietta

Department of Medical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Cristian Andreani

Cristian Andreani

Department of Translational Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Milena Bruzzone

Milena Bruzzone

Department of Medical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Andrea Puppo

Andrea Puppo

Department of Surgical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Paolo Cristoforoni

Paolo Cristoforoni

Department of Surgical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Maria Grazia Centurioni

Maria Grazia Centurioni

Department of Surgical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Marina Gualco

Marina Gualco

Department of Pathology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Sandra Salvi

Sandra Salvi

Department of Pathology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Simona Boccardo

Simona Boccardo

Department of Pathology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Mauro Truini

Mauro Truini

Department of Pathology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Tiziana Piazza

Tiziana Piazza

Department of Translational Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

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Silvana Canevari

Silvana Canevari

Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

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Delia Mezzanzanica

Delia Mezzanzanica

Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

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Silvano Ferrini

Corresponding Author

Silvano Ferrini

Department of Translational Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

Tel.: 0039-010-5737-372, Fax: 0039-010-5737-374

Immunotherapy Lab. IST c/o CBA Largo R. Benzi 10 Genova 16132, ItalySearch for more papers by this author
First published: 08 November 2010
Citations: 23

Abstract

Interleukin (IL)-18 is a proinflammatory and immune-enhancing cytokine, which exerts antitumor effects in vivo, mediated by the induction of interferon (IFN)γ. We previously reported that IL-18 processing is defective in epithelial ovarian carcinoma (EOC) cells, which secrete an inactive precursor (pro-IL-18) in vitro. In addition, IL-18 was reported as a potential biomarker of EOC. Here, we further investigated its role as a serological marker in human EOC and addressed its possible biological activity in vivo. Our data indicate that immunoreactive IL-18 is increased in EOC patients' sera at diagnosis as compared with age-matched healthy women. IL-18 levels were higher in the ascitic fluids than in sera, suggesting a local production in the peritoneal cavity. Indeed, immunohistochemical analysis of tumors showed IL-18 expression in cytokeratine-positive neoplastic cells, although also scattered histiocytes and some lymphoid cells stained for IL-18. The detection of human IL-18 in sera and ascitic fluids of immunodeficient mice, orthotopically implanted with human EOC cells, further suggested that circulating IL-18 is tumor-derived. However, IL-18 is not an EOC specific biomarker, as increased serum levels were found also in some endometrial cancer patients. By means of a new monoclonal antibody, we characterized IL-18 present in the ascitic fluid as pro-IL-18, which is biologically inactive. Accordingly, IFNγ was not increased in EOC patients' sera and ascitic fluids and showed no correlation with IL-18 levels. Altogether these data indicate that IL-18 in EOC fluids is predominantly tumor-derived and that its lack of biological activity may represent a mechanism of tumor-escape.

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