Inflammation amplifier, a new paradigm in cancer biology
Abstract
Tumor-associated inflammation can induce various molecules expressed from the tumors themselves or surrounding cells to create a microenvironment that potentially promotes cancer development. Inflammation, particularly chronic inflammation, is often linked to cancer development, even though its evolutionary role should impair nonself objects including tumors. The inflammation amplifier, a hyperinducer of chemokines in nonimmune cells, is the principal machinery for inflammation and is activated by the simultaneous stimulation of NF-κB and STAT3. We have redefined inflammation as local activation of the inflammation amplifier, which causes an accumulation of various immune cells followed by dysregulation of local homeostasis. Genes related to the inflammation amplifier have been genetically associated with various human inflammatory diseases. Here, we describe how cancer-associated genes, including interleukin (IL)-6, Ptgs2, ErbB1, Gas1, Serpine1, cMyc, and Vegf-α, are strongly enriched in genes related to the amplifier. The inflammation amplifier is activated by the stimulation of cytokines, such as TNF-α, IL-17, and IL-6, resulting in the subsequent expression of various target genes for chemokines and tumor-related genes like BCL2L11, CPNE7, FAS, HIF1-α, IL-1RAP, and SOD2. Thus, we conclude that inflammation does indeed associate with the development of cancer. The identified genes associated with the inflammation amplifier may thus make potential therapeutic targets of can…
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The IL-6 amplifier plays a key role in inflammatory diseases including cytokine storm syndromes, autoimmune diseases and cancer.
“It too plays a key role in inflammatory diseases including cytokine storm syndromes, autoimmune diseases and cancer (10, 11, 15, 41, 66–68)”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [11]
IL-6 is a major player in chronic inflammatory diseases, autoimmune diseases, cancer and cytokine storm.
“Among them, IL-6 is a major player in chronic inflammatory diseases, autoimmune diseases, cancer and cytokine storm (1, 3, 10–26).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [11]
The IL-6 Amp is related with various types of cancer, including hematologic malignancies, tumors in lung, and colorectal/intestinal, urinary/bladder/vulvar, breast, stomach and liver cancers.
“Moreover, the IL-6 Amp is related with various types of cancer, including hematologic malignancies, tumors in lung, and colorectal/intestinal, urinary/bladder/vulvar, breast, stomach and liver cancers (11).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [11]
Many cancer-associated genes were identified as regulators or target genes of the IL-6 Amp.
“Furthermore, many cancer-associated genes were identified as regulators or target genes of the IL-6 Amp (11).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [11]
Target molecules of the IL-6 Amp include EGFR, c-Myc, Pim1, VEGFα, hypoxia-inducible factor 1-alpha, MMPs and many pro-inflammatory cytokines and growth factors involved in cell survival, proliferation, angiogenesis and metastasis.
“Target molecules of the IL-6 Amp include EGFR, c-Myc, Pim1, VEGFα, hypoxia-inducible factor 1-alpha (HIF1-α), MMPs and many pro-inflammatory cytokines and growth factors involved in cell survival, proliferation, angiogenesis and metastasis (Fig. 3) (10, 11).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [11]
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Li, C., Luo, X., Lin, Y., Tang, X., Ling, L., Wang, L., & Jiang, Y.-F. (2015) · PLoS ONE · doi:10.1371/journal.pone.0141817 · Cited by 34 · see citing works
Evaluation of a New Survivin ELISA and UBC® Rapid for the Detection of Bladder Cancer in Urine
Gleichenhagen, J., Arndt, C., Casjens, S., Meinig, C., Gerullis, H., Raiko, I., Brüning, T., Ecke, T., & Johnen, G. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19010226 · Cited by 32
“A limitation of the markers that has been reported before is the reduced performance associated with other urologic diseases, confounders that would also be expected in a typical clinical setting [45,50,55,56].”
BackgroundRbm10 regulates inflammation development via alternative splicing of Dnmt3b
Atsumi, T., Suzuki, H., Jiang, J., Okuyama, Y., Nakagawa, I., Ota, M., Tanaka, Y., Ohki, T., Katsunuma, K., Nakajima, K., et al. (2017) · International Immunology · doi:10.1093/intimm/dxx067 · Cited by 41 · see citing works
Self-citationHead-to-Head Comparison of Anti-Inflammatory Performance of Known Natural Products In Vitro
Allijn, I. E., Vaessen, S., van Ufford, L. Q., Beukelman, K., de Winther, M., Storm, G., & Schiffelers, R. (2016) · PLoS ONE · doi:10.1371/journal.pone.0155325 · Cited by 32 · see citing works
“Uncontrolled inflammation is underlying most chronic diseases such as cardiovascular disease, arthritis, asthma and type 2 diabetes mellitus [1] and is often linked to cancer development [1,2].”
BackgroundTakada, Y., Kamimura, D., Jiang, J.-J., Higuchi, H., Iwami, D., Hotta, K., Tanaka, Y., Ota, M., Higuchi, M., Nishio, S., et al. (2020) · International Immunology · doi:10.1093/intimm/dxaa032 · Cited by 31 · see citing works
Self-citationChronic inflammation-related DNA damage response: a driving force of gastric cardia carcinogenesis
Lin, R.-H., Xiao, D.-J., Guo, Y., Tian, D.-P., Yun, H., Chen, D., & Su, M. (2014) · OncoTarget · doi:10.18632/oncotarget.3091 · Cited by 31
“Clinical epidemiological studies revealed that over 15%-20% of all solid tumors may be related to chronic inflammation [12-15].”
BackgroundSabharwal, L., Kamimura, D., Meng, J., Bando, H., Ogura, H., Nakayama, C., Jiang, J., Kumai, N., Suzuki, H., Atsumi, T., et al. (2014) · The Journal of Biochemistry · doi:10.1093/jb/mvu057 · Cited by 34 · see citing works
“In addition, genes genetically linked with neurodegenerative diseases such as Alzheimer’s disease, Parkinson’s disease and amyotrophic lateral sclerosis were also significantly enriched in the gene lists (27, 28), suggesting that the inflammation amplifier contributes to the pathogenesis of these neuroinflammatory dis…”
BackgroundSelf-citationAdvances in research on the interaction between inflammation and cancer
Song, X.-D., Wang, Y.-N., Zhang, A., & Liu, B. (2019) · Journal of International Medical Research · doi:10.1177/0300060519895347 · Cited by 30
“In particular, some cytokines activate the NF-jB and STAT family of transcription factors, which in turn link the inflammatory environment, tumours and immune cells with other components of the tumour ‘secreting proteome’ and directly control TME by regulating survival factors.(61) Taking IL-6 as an example, its effec…”
BackgroundŠtofková, A., Kamimura, D., Ohki, T., Ota, M., Arima, Y., & Murakami, M. (2019) · Scientific Reports · doi:10.1038/s41598-019-38895-y · Cited by 35 · see citing works
Self-citationHuseby, E. S., Kamimura, D., Arima, Y., Parello, C. S. L., Sasaki, K., & Murakami, M. (2015) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2015.00295 · Cited by 25 · see citing works
“We termed this synergistic effect the inflammation amplifier (Atsumi et al., 2014).”
BackgroundSelf-citationXu, Y., Sun, D., Xiong, L., Zhang, Z., Li, Y., Li, H., Li, H., & Chen, L. (2024) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2024.107190 · Cited by 27 · see citing works
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“Inflammation amplifiers play key roles in the development and progression of various human diseases, including autoimmune, neurodegenerative, and other inflammatory diseases [35].”
BackgroundOta, M., Tanaka, Y., Nakagawa, I., Jiang, J.-J., Arima, Y., Kamimura, D., Onodera, T., Iwasaki, N., & Murakami, M. (2019) · Arthritis & Rheumatology · doi:10.1002/art.41182 · Cited by 28 · see citing works
“As a key molecular mechanism in chronic inflammation, we have previously reported on the topic of the interleukin6 (IL6) amplifier (13,14).”
BackgroundSelf-citationA critical role of mir-199a in the cell biological behaviors of colorectal cancer
Ye, H., Pang, L.-P., Wu, Q., Zhu, Y.-Z., Guo, C., Deng, Y., & Zheng, X. (2015) · Diagnostic Pathology · doi:10.1186/s13000-015-0260-x · Cited by 28 · see citing works
“In advance, HIF-1α is reported to be involved in kinds of progresses of tumorigenesis including proliferation, angiogenesis, metastasis, and chemotherapy resistance [5].”
BackgroundBidirectional communication between neural and immune systems
Kamimura, D., Tanaka, Y., Hasebe, R., & Murakami, M. (2019) · International Immunology · doi:10.1093/intimm/dxz083 · Cited by 40 · see citing works
Self-citationELKAHLOUN, A. G., Rodríguez, Y., Alaiyed, S., Wenzel, E. D., & Saavedra, J. M. (2018) · Molecular Neurobiology · doi:10.1007/s12035-018-1300-9 · Cited by 30 · see citing works
“cer is not surprising, since inflammation has been earlier characterized as a major factor in the development and progression of malignancies [89, 90].”
Meseure, D., Vacher, S., Alsibai, K. D., Trassard, M., Nicolas, A., Leclère, R., Lerebours, F., Guinebretière, J., Marangoni, E., Lidereau, R., et al. (2016) · Cancer Microenvironment · doi:10.1007/s12307-016-0186-1 · Cited by 27
“TLRs are actually considered as major actors implicated in chronic inflammatory-driven carcinogenesis [28, 29].”
BackgroundResultShan, Y., Hsu, H.-P., Lai, M., Yen, M., Fang, J.-H., Weng, T.-Y., & Chen, Y.-L. (2014) · Oncology Report · doi:10.3892/or.2014.3544 · Cited by 27 · see citing works
“IL-6 can also regulate the immune microenvironment surrounding the tumor (14).”
BackgroundAdvances in nuclei targeted delivery of nanoparticles for the management of cancer
Goyal, P., & Malviya, R. (2023) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2023.188881 · Cited by 33 · see citing works
IL-1RAP, a Key Therapeutic Target in Cancer
Frenay, J., Bellaye, P., Oudot, A., Helbling, A., Petitot, C., Ferrand, C., Collin, B., & Dias, A. M. M. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms232314918 · Cited by 29 · see citing works
“In this context, numerous cytokines and their pathways are broadly over-expressed among the different kinds of cancer, representing potential therapeutic targets [10,17,18].”
BackgroundProliferative Pathways of Vascular Smooth Muscle Cells in Response to Intermittent Hypoxia
Kyotani, Y., Takasawa, S., & Yoshizumi, M. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20112706 · Cited by 24 · see citing works
“This is consistent with the previously proposed paradigm that activation of inflammation amplifiers is associated with the development of various tumors [105].”
Liu, Y., Zhang, Z., Han, D., Zhao, Y., Yan, X., & Cui, S. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.980987 · Cited by 30 · see citing works
Cao, J., Yang, X., Xiong, L., Wu, M., Chen, S., Xu, H., Gong, Y., Zhang, L., Zhang, Q., & Zhang, X. L. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.990469 · Cited by 24 · see citing works
“The IL6 amplifier (IL6 Amp) is an amplification mechanism, the synergistic interaction of STAT3 with nuclear factor-κB (NF-κB) produces IL6 and various other cytokines and chemokines (Hirano, 2010; Murakami et al., 2013; Atsumi et al., 2014).”
BackgroundPharmacological Potential of Lathyrane-Type Diterpenoids from Phytochemical Sources
Vela, F., Ezzanad, A., Hunter, A., Macías-Sánchez, A., & Hernández-Galán, R. (2022) · Pharmaceuticals · doi:10.3390/ph15070780 · Cited by 25 · see citing works
“Inflammation is considered to be the body’s normal response to defend itself against pathogens and injuries, but excessive inflammation can affect the normal function of tissues and organs, leading to chronic diseases and sometimes the development of cancer [60,61].”
BackgroundJiang, X., Wang, J., Chen, X.-J., Hong, Y., Wu, T., Chen, X.-B., Xia, J., & Cheng, B. (2016) · OncoTarget · doi:10.18632/oncotarget.7585 · Cited by 25 · see citing works
Oliveira, H., Cai, X.-S., Zhang, Q., de Freitas, V. D., Mateus, N., He, J.-R., & Fernandes, I. (2017) · Food & Function · doi:10.1039/c7fo00091j · Cited by 24 · see citing works
“TRP inflammation” relationship in cardiovascular system
Numata, T., Takahashi, K., & Inoue, R. (2015) · Seminars in Immunopathology · doi:10.1007/s00281-015-0536-y · Cited by 23 · see citing works
“Under these pathological conditions, the activation of transcription factors, e.g., NF-κB, nuclear factor of activated T cell (NFAT), STAT3, and HIF-1, by inflammatory cytokines appears crucial for the amplification loop of inflammasomes [94] [95] [96] [97] .”
BackgroundYan, J., & Huang, J. (2014) · Oncoimmunology · doi:10.4161/21624011.2014.953423 · Cited by 24 · see citing works
“These tumor cells can secrete inflammatory cytokines, chemokines, metabolites, and other tumor-promoting molecules such as prostaglandin E2 (PGE2), matrix metalloproteinases (MMPs), and vascular endothelial growth factor (VEGF).(2) Among these, the cytokine IL-17 has recently drawn more attention due to its role in tu…”
BackgroundLiu, P., Jia, S., Lou, Y., He, K., & Xu, L. X. (2019) · International Journal of Hyperthermia · doi:10.1080/02656736.2019.1579373 · Cited by 24 · see citing works
“Acute inflammation caused by physical, chemical injury or an infectious agent can initiate an inflammatory cascade to help activation of innate and adaptive immunity [4], and skew the immune response toward Th1 type immunity, which is a characteristic of immune cell-mediated cytotoxic killing [5,6].”
BackgroundCho, Y., Kim, C. H., Ha, T., & Ahn, H. (2016) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2015-0150 · Cited by 23
Interlinking pathways: a narrative review on the role of IL-6 in cancer and atherosclerosis
Cau, R., & Saba, L. (2023) · Cardiovascular Diagnosis and Therapy · doi:10.21037/cdt-24-344 · Cited by 22 · see citing works
“In particular, classical IL-6 signaling is regarded as crucial for maintaining homeostatic processes, while trans-signaling has been shown to specifically amplify inflammation and promote inflammation-induced carcinogenesis (18,45).”
Diterpenoids with anti-inflammatory activity from Euphorbia wallichii.
Wang, Y.-L., Sun, D.-J., Jiang, Q.-H., Xiong, L., Zhang, N., Li, H., & Chen, L.-X. (2022) · Phytochemistry · doi:10.1016/j.phytochem.2022.113486 · Cited by 22 · see citing works
Breakpoint Cluster Region–Mediated Inflammation Is Dependent on Casein Kinase II
Meng, J., Jiang, J.-J., Atsumi, T., Bando, H., Okuyama, Y., Sabharwal, L., Nakagawa, I., Higuchi, H., Ota, M., Okawara, M., et al. (2016) · Journal of Immunology · doi:10.4049/jimmunol.1601082 · Cited by 22 · see citing works
“The main functional molecules of the inflammation amplifier are chemokines and growth factors, which deregulate local homeostasis via an accumulation of various immune cells and proliferate various regional cells, whereas IL-6 mainly acts as fuel to maintain the activation of STAT3 (16, 17).”
BackgroundInfluentialSelf-citation
- Authors
- Atsumi, T., Singh, R., Sabharwal, L., Bando, H., Meng, J., Arima, Y., Yamada, M., Harada, M., Jiang, J.-J., Kamimura, D., Ogura, H., Hirano, T., & Murakami, M.
- Affiliations
- Japan Science and Technology Agency (JP)
- ORCID
- Venue
- Cancer Research
- Published
- 2014-01-01
- Volume
- 74
- Issue
- 1
- Pages
- 8-14
- ISSN
- 0008-5472 (ISSN-L)
- 1538-7445
- OpenAlex
- W2101899879
- Cited by
- 217
- References
- 0
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 18 · 2023: 13 · 2022: 16 · 2021: 14 · 2020: 12 · 2019: 18 · 2018: 18 · 2017: 20 · 2016: 20 · 2015: 33 · 2014: 14 · 2013: 1
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (24790472, 24249028, 26460574, 24390098)
- Topics
- Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Keywords
- tumor inflammation, chronic inflammation, carcinogenesis, NF-κB, STAT3, tumor microenvironment, cytokines, interleukin-6, cyclooxygenase-2, EGF receptor, GAS1, SERPINE1, c-Myc, VEGFα, HIF-1α, therapeutic target
- MeSH terms
- Animals, Humans, Inflammation, Neoplasms, Signal Transduction, Tumor Microenvironment
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