Cited by 296Escherichia coli research studiesCancer Research and TreatmentsGut microbiota and health

The bacterial genotoxin colibactin promotes colon tumor growth by modifying the tumor microenvironment

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Dalmasso, Guillaume, Cougnoux, Antony, Delmas, Julien, Darfeuille-Michaud, Arlette, Bonnet, Richard·2014·Gut Microbes

Abstract

The gut microbiota is suspected to promote colorectal cancer (CRC). Escherichia coli are more frequently found in CCR biopsies than in healthy mucosa; furthermore, the majority of mucosa-associated E. coli isolated from CCR harbors the pks genomic island (pks+ E. coli) that is responsible for the synthesis of colibactin, a genotoxic compound. We have recently reported that transient contact of a few malignant cells with colibactin-producing E. coli increases tumor growth in a xenograft mouse model. Growth is sustained by cellular senescence that is accompanied by the production of growth factors. We demonstrated that cellular senescence is a consequence of the pks+ E. coli-induced alteration of p53 SUMOylation, an essential post-translational modification in eukaryotic cells. The underlying mechanisms for this process involve the induction of miR-20a-5p expression, which targets SENP1, a key protein in the regulation of the SUMOylation process. These results are consistent with the expression of SENP1, miR-20a-5p and growth factors that are observed in a CRC mouse model and in human CCR biopsies colonized by pks+ E. coli. Overall, the data reveal a new paradigm for carcinogenesis in which pks+ E. coli infection induces cellular senescence characterized by the production of growth factors that promote the proliferation of uninfected cells and, subsequently, tumor growth.

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Written from the paper’s full text.

TL;DR

Colibactin-producing *E. coli* (pks+ *E. coli*) induce cellular senescence in intestinal epithelial cells via a c-Myc/miR-20a-5p/SENP1 axis that increases SUMO-conjugated p53, and the resulting senescence-associated secretory phenotype (notably HGF) promotes proliferation of uninfected cells and tumor growth. The authors propose that pks+ *E. coli* modify the tumor microenvironment to favor colon tumor promotion.

Key findings

  • Transient infection of HCT116 xenografts in nude mice at low MOI (20) increased tumor growth and Ki67-positive cells, whereas high MOI (100) decreased tumor growth, consistent with tumor dormancy from massive cell-cycle arrest (n = 5/group; *P* < 0.05).
  • Conditioned medium from pks+ *E. coli*-infected cells increased proliferation of uninfected cells to a degree similar to medium with 10% fetal bovine serum; this was reproduced across Int-407, HCT8, Caco-2, HT-29, HCT116 and non-transformed IEC-6 cells.
  • pks+ *E. coli* induced senescence (SA-β-gal, phospho-p53, p21^Cip, Rb accumulation, decreased E2F-1) with increased HGF, FGF and GM-CSF; tumors at day 10 post-implantation showed an ~3-fold increase in the percentage of senescent cells versus pks− controls.
  • An HGF pathway inhibitor (and neutralizing antibodies) abrogated the pro-proliferative activity of conditioned medium and significantly blocked xenograft growth; mechanistically, pks+ *E. coli* induced c-Myc, which drove miR-20a-5p, which bound the SENP1 3′-UTR and reduced SENP1, increasing SUMO1-conjugated p53.
  • In the AOM/DSS model, colonization with a clinical pks+ *E. coli* strain significantly increased colon tumor number versus the isogenic pks mutant, without affecting inflammatory score or tumor size; γH2Ax, miR-20a-5p, SA-β-gal, p21^Cip and HGF pathway activation were increased. Human colon adenocarcinoma biopsies colonized by pks+ *E. coli* showed the same signature (high γH2Ax, miR-20a-5p, senescence markers, HGF mRNA and activated HGF receptors; decreased SENP1-expressing cells), differentiating them from pks−-colonized tumors by redundancy analyses.

Methods

  • Xenograft model: HCT116 cells (2 × 10⁶) subcutaneously injected into nude mice and infected for 3 hours with pks+ *E. coli* or isogenic pks− *E. coli* at MOI 20 or 100; tumor size monitored over time.
  • In vitro assays: conditioned medium transfer to measure proliferation of uninfected cells across multiple intestinal epithelial lines; SA-β-gal, senescence protein profiles, growth factor expression, SUMOylation patterns, miR-20a-5p/SENP1 reporter and transfection experiments, and inhibitor/neutralizing antibody treatments.
  • In vivo validation: AOM/DSS (azoxymethane/dextran sodium sulfate) CRC mouse model colonized with a clinical pks+ *E. coli* strain versus its isogenic pks mutant, plus analysis of human colon adenocarcinoma biopsies colonized by pks+ versus pks− *E. coli* (including redundancy analyses).

Limitations

  • Stated: pks+ *E. coli*-induced senescence was also observed in p53−/− cells, suggesting pathways other than p53 signaling may be involved.
  • Stated: no increase in tumor size was observed with pks+ *E. coli* in the AOM/DSS model in immunocompetent mice, possibly because senescent tumors generate an immune response that constrains expansion; the authors note the promoting effect on intestinal tumor size may be difficult to observe.
  • Stated: the study focused on colibactin as the sole toxin affecting the cell cycle, but clinical pks+ *E. coli* frequently also produce CNF1, whose impact on CRC remains to be explored; overall understanding of the cancer-promoting potential of pks+ *E. coli* remains limited and clinical consequences need clarification.
  • Evident from the text: several supporting results are described as "unpublished data" (e.g., high-MOI growth decrease, SUMOylation patterns, anacardic acid and SENP1 overexpression effects), and the role of the dormancy-type interaction in intestinal tumors "remains to be assessed."

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Integrity signals

Registry

Crossref · 10.4161/19490976.2014.969989

Cites

30 of 30 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

0 of 6 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    miR-20a-5p binds to the SENP1 mRNA 3'-UTR.

    “In addition, using a reporter assay, we demonstrated that miR-20a-5p binds to the SENP1 mRNA 3'-UTR.”
    Quote in the paperSubstantial claim
  • Findingown data

    pksC E. coli-infected cells displayed a modified pattern of SUMO-conjugated proteins compared with pks-E. coli-infected cells or uninfected cells.

    “pksC E. coli-infected cells displayed a modified pattern of SUMO-conjugated proteins compared with pks-E.coliinfected cells or uninfected cells (unpublished data).”
    Quote in the paperSubstantial claim
  • Findingown data

    pksC E. coli, unlike pks-E. coli, induced a time-dependent and dose-dependent increase in SA-b-gal activity in infected cells.

    “pksC E. coli, in contrast to pks-E.coli, induced a time- dependent and dose-dependent increase in SA-b-gal activity.”
    Quote in the paperSubstantial claim
  • Findingown data

    Expression levels of FGF, GM-CSF, and HGF were increased in xenografts at 10 days post-pksC E. coli infection compared to xenografts infected with pks-E. coli.

    “Of note, the expression levels of FGF, GM-CSF and HGF were also increased in xenografts at 10 d post-pksC E. coli infection compared to xenografts infected with pks-E.coli.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The subcutaneous xenograft model in immunodeficient mice is a valid model for the effect of pksC E. coli on human colon tumor growth.
  • Findingown data

    pksC E. coli-infected cells expressed significantly higher levels of HGF, FGF, and GM-CSF than pks-E. coli-infected cells.

    “Interestingly, pksC E. coli-infected cells expressed significantly higher levels of the growth factors HGF, FGF, and GM-CSF than pks-E.coli-infected cells.”
    Quote in the paperSubstantial claim
  • May combine two claims. 12
  • May combine two claims.

    Findingown data

    pksC E. coli did not affect the inflammatory score or the size of tumors in the AOM/DSS model.

    “pksC E. coli did not affect the inflammatory score or the size of the tumors.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The AOM/DSS mouse model is a valid model for human colorectal cancer promotion by pksC E. coli.
  • May combine two claims.

    Findingcitation

    pksC E. coli-infected cells exhibited accumulation of phospho-p53, p21 Cip, and Retinoblastoma protein and decreased E2F-1 expression at day 5 post-infection.

    “pksC E. coli-infected cells exhibited an accumulation of phospho-p53, p21 Cip , and Retinoblastoma protein as well as a decrease in E2F-1 expression at day 5 post-infection, which correspond to a protein expression profile characteristic of senescent cells.12”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [12] source

      Not checked in the free run.

  • May combine two claims.

    Findingown data

    Cells transfected with miR-20a-5p produced significant levels of HGF, and their conditioned medium induced the proliferation of untransfected cells.

    “As observed upon pksC E. coli infection, cells transfected with miR-20a-5p produced significant levels of HGF, and their CM induced the proliferation of untransfected cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    pksC E. coli infection caused accumulation of SUMO1-conjugated p53 and was associated with a decrease in SENP1 expression.

    “Accordingly, we observed an accumulation of SUMO1-conjugated p53, which is known to drive cellular senescence.17 This accumulation was associated with a decrease in SENP1 expression, a key enzyme involved in the control of the SUMOylation process.17”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [17] source

      Not checked in the free run.

  • May combine two claims.

    Findingown data

    pksC E. coli infection induced c-Myc expression and its binding to the miR-20a-5p promoter.

    “Accordingly, we observed that pksC E. coli infection, which is known to induce DNA damage, 9,10 induced c-Myc expression and its binding to the miR-20a-5p promoter.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [9] source

      Not checked in the free run.

    • cites [10] source

      Not checked in the free run.

  • May combine two claims.

    Findingown data

    Time-course experiments showed that pksC E. coli induced c-Myc expression 3 days after infection, followed by modifications of miR-20a-5p and SENP1 expression levels 2 days later.

    “Finally, time-course experiments showed that pksC E. coli induced c-Myc expression 3 d after infection, followed by modifications of miR-20a-5p and SENP1 expression levels 2 d later.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Transfection of pksC E. coli-infected cells with c-Myc siRNA reduced miR-20a-5p expression, increased SENP1 expression, reduced SUMO-conjugated p53, decreased senescent cells, and abolished the pro-proliferative effect of conditioned medium.

    “Transfection of pksC E. coli-infected cells with c-Myc siRNA strongly reduced the expression of miR20a-5p, increased the expression of SENP1, reduced the level of SUMO-conjugated p53, decreased the number of pksC E. coli-induced senescent cells and consequently abolished the pro-proliferative effect of the CM derived from those cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The DNA damage marker gH2Ax, miR-20a-5p expression, and senescence markers were significantly increased in tumors from mice colonized by clinical pksC E. coli compared with those from mice colonized by the isogenic mutant.

    “The DNA damage marker gH2Ax, the miR-20a-5p expression level and senescence markers (SA-b-gal activity and p21 cip expression) were significantly increased in tumors isolated from mice colonized by the clinical pksC E. coli strain compared with those isolated from mice colonized by the corresponding isogenic mutant.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The AOM/DSS mouse model is a valid model for human colorectal cancer promotion by pksC E. coli.
  • May combine two claims.

    Findingown data

    Human biopsies colonized by pksC E. coli harbored high expression levels of gH2Ax, miR-20a-5p, senescence markers, HGF mRNA, activated HGF receptors, and a decrease in the number of SENP1-expressing cells.

    “As observed in the AOM/DSS mouse model, human biopsies colonized by pksC E. coli harbored high expression levels of gH2Ax, miR-20a-5p, senescence markers (SA-b-gal, p21 cip ), and HGF mRNA and activated HGF receptors, as well as a decrease in the number of SENP1-expressing cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    pksC E. coli activate the miR-20a-5p/SENP1/senescence/HGF pathway in human and murine colon adenocarcinomas and therefore may contribute to colorectal cancer development.

    “pksC E. coli activate the miR-20a-5p/SENP1/senescence/HGF pathway (Fig. 1B) in human and murine colon adenocarcinomas and therefore may contribute to CCR development.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Colibactin-producing E. coli modulate the tumor microenvironment by inducing the secretion of several growth factors from senescent cells, which can promote tumor growth.

    “Our findings suggest that colibactin-producing E. coli modulate the tumor microenvironment by inducing the secretion of several growth factors from senescent cells, which can promote tumor growth.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The subcutaneous xenograft model in immunodeficient mice is a valid model for the effect of pksC E. coli on human colon tumor growth.
  • May combine two claims.

    Interpretationreasoning

    Colibactin-producing bacteria can modulate the tumor microenvironment to favor the emergence of senescent cells, which may affect tumor promotion and cancer progression via the secretion of growth factors.

    “Consequently, colibactinproducing bacteria can modulate the tumor microenvironment to favor the emergence of senescent cells, which may also affects tumor promotion and cancer progression via the secretion of growth factors.”
    Quote in the paperSubstantial claim
12 of 12
  • The paper relies on this without support.

    The pks genomic island is responsible for the synthesis of colibactin, a genotoxic compound.

    “the majority of mucosa-associated E. coli isolated from CCR harbors the pks genomic island (pksC E. coli) that is responsible for the synthesis of colibactin, a genotoxic compound.”
  • The paper relies on this without support.

    The subcutaneous xenograft model in immunodeficient mice is a valid model for the effect of pksC E. coli on human colon tumor growth.

    “The promotion of tumor growth was clearly observed in the subcutaneous xenograft model using immunodeficient mice.”
  • The paper relies on this without support.

    The AOM/DSS mouse model is a valid model for human colorectal cancer promotion by pksC E. coli.

    “To confirm the reliability of our findings, we explored the impact of a clinical pksC E. coli strain in an AOM/DSS (azoxymethane/dextran sodium sulfate) CRC mouse model.”
3 of 3

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  1. Matsui S, 2010, Int J Oncol, 37, 289

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Authors
Dalmasso, G., Cougnoux, A., Delmas, J., Darfeuille-Michaud, A., & Bonnet, R.
Affiliations
Inserm (FR)
Corresponding author
Bonnet, Richard
Venue
Gut Microbes
Published
2014-09-03
Volume
5
Issue
5
Pages
675-680
ISSN
  • 1949-0976 (ISSN-L)
  • 1949-0984
OpenAlex
W1964485249
Cited by
296
References
30
Citations by year
2026: 22 · 2025: 32 · 2024: 27 · 2023: 31 · 2022: 35 · 2021: 39 · 2020: 35 · 2019: 24 · 2018: 18 · 2017: 16 · 2016: 11 · 2015: 5
FWCI
7.51
Type
journal article
Language
en
Open access
Locations
  • Gut Microbes (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, other-oa)
Funders
  • Institut National de la Santé et de la Recherche Médicale (USC-2018, U1071)
  • Ligue Contre le Cancer
  • Centre National de la Recherche Scientifique
  • Institut National de la Recherche Agronomique (U1071, USC-2018)
  • Centre Hospitalier Universitaire de Clermont-Ferrand
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Cancer Research and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Keywords
colibactin, Escherichia coli, colorectal cancer, tumor microenvironment, cellular senescence, SENP1, miR-20a-5p, growth factors, gut microbiota, carcinogenesis, xenograft mouse model
MeSH terms
Animals, Colonic Neoplasms, Cysteine Endopeptidases, Escherichia coli, Models, Biological, Mutagens, Endopeptidases, Peptides, Tumor Suppressor Protein p53, MicroRNAs, Mice, Sumoylation, Tumor Microenvironment, Polyketides

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