Paraneoplastic renal dysfunction in fly cancer models driven by inflammatory activation of stem cells.

Tumors cause pathophysiological changes to host tissues, including distant organs. Here we use fruit fly cancer models to uncover mechanisms underlying paraneoplastic renal dysfunction. IL-6-like signaling from the tumor induces inflammatory signaling in renal tubule cells. Defects in these cells are sensed by normally quiescent renal stem cells, leading to inappropriate proliferation in a damage-like response. Chronic activation in the tumor context results in physical obstruction of tubule ducts and thus failures in fluid clearance. This fly work can prompt investigation of analogous mechanisms underlying renal dysfunction in cancer patients.