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Increased expression of Interleukin (IL)-33 has been detected in intestinal samples of patients with ulcerative colitis, a condition associated with increased risk for colon cancer, but its role in the development of colorectal cancer has yet to be fully examined. Here, we investigated the role of epithelial expressed IL-33 during development of intestinal tumors. IL-33 expression was detected in epithelial cells in colorectal cancer specimens and in the  Apc    Min/ +  mice. To better understand the role of epithelial-derived IL-33 in the intestinal tumorigenesis, we generated transgenic mice expressing IL-33 in intestinal epithelial cells ( V33  mice).  V33 Apc    Min/ +  mice, resulting from the cross of  V33  with  Apc    Min/ +  mice, had increased intestinal tumor burden compared with littermate  Apc    Min/ +  mice. Consistently,  Apc    Min/ +  mice deficient for IL-33 receptor (ST2), had reduced polyp burden. Mechanistically, overexpression of IL-33 promoted expansion of ST2 +  regulatory T cells, increased Th2 cytokine milieu, and induced alternatively activated macrophages in the gut. IL-33 promoted marked changes in the expression of antimicrobial peptides, and antibiotic treatment of  V33 Apc    Min/ +  mice abrogated the tumor promoting-effects of IL-33 in the colon. In conclusion, elevated IL-33 signaling increases tumor development in the  Apc    Min/ +  mice.

Epithelial-derived IL-33 promotes intestinal tumorigenesis in Apc Min/+ mice