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Am J Physiol Lung Cell Mol Physiol 289: L438-L445, 2005. First published May 13, 2005; doi:10.1152/ajplung.00033.2005
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Role of IL-6 in neuroendocrine differentiation and chemosensitivity of non-small cell lung cancer

Kuo-Ting Chang,1,2 Chi-Ying F. Huang,1,2 Chun-Ming Tsai,3 Chao-Hua Chiu,3 and Ying-Yung Lok3

1Graduate Institute of Life Sciences, National Defense Medical Center, Taipei; 2Division of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli; and 3Section of Thoracic Oncology, Chest Department, Taipei Veterans General Hospital, and Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China

Submitted 19 January 2005 ; accepted in final form 5 May 2005

Interleukin-6 (IL-6) has been shown to regulate both growth and neuroendocrine (NE) differentiation in some types of human cancer cells, and erbB2 may be a critical component of IL-6 signaling. Non-small cell lung cancer (NSCLC) tumors that demonstrate NE properties have been suggested to have biological characteristics similar to small cell lung cancers with initial responsiveness to chemotherapy. We investigated whether IL-6 is implicated in the cell growth, NE differentiation, and chemosensitivity of NSCLC-NE cells. NSCLC-NE cells were treated with exogenous IL-6, and a subclone of an IL-6-transfected NSCLC cell line that constitutively expressed IL-6 receptor was also generated. These cells were assessed for cell proliferation by cell counting and 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) assays, chemosensitivity to cisplatin and etoposide by MTT assays, and NE differentiation by observing morphological changes and immunoblotting for neuron-specific enolase (NSE). The IL-6-treated cells and the IL-6-transfected cells showed enhanced cell proliferation and downregulated NSE expression, but little change in chemosensitivity. In the culture medium, IL-6-transfected cells grew as looser aggregates than the parental cells. IL-6 could not activate the erbB genes. In conclusion, IL-6 can induce cell proliferation and NE dedifferentiation but has little effect on chemosensitivity in IL-6 receptor-expressing NSCLC-NE cells. The status of NSE expression is unlikely to be a crucial factor for chemosensitivity in NSCLC cells.

interleukin-6



Address for reprint requests and other correspondence: C.-M. Tsai, Section of Thoracic Oncology, Chest Dept., Taipei Veterans General Hospital, Taipei 11217, Taiwan (e-mail: cmtsai{at}vghtpe.gov.tw)




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