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      Interaction of tumor cells and astrocytes promotes breast cancer brain metastases through TGF-β2/ANGPTL4 axes

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          Abstract

          Metastatic outcomes depend on the interactions of metastatic cells with a specific organ microenvironment. Our previous studies have shown that triple-negative breast cancer (TNBC) MDA-MB-231 cells passaged in astrocyte-conditioned medium (ACM) show proclivity to form brain metastases, but the underlying mechanism is unknown. The combination of microarray analysis, qPCR, and ELISA assay were carried out to demonstrate the ACM-induced expression of angiopoietin-like 4 (ANGPTL4) in TNBC cells. A stable ANGPTL4-knockdown MDA-MB-231 cell line was generated by ANGPTL4 short-hairpin RNA (shRNA) and inoculated into mice via left ventricular injection to evaluate the role of ANGPTL4 in brain metastasis formation. The approaches of siRNA, neutralizing antibodies, inhibitors, and immunoprecipitation were used to demonstrate the involved signaling molecules. We first found that ACM-conditioned TNBC cells upregulated the expression of ANGPTL4, a secreted glycoprotein whose effect on tumor progression is known to be tumor microenvironment- and tumor-type dependent. Knockdown of ANGPTL4 in TNBC MDA-MB-231 cells with shRNA decreased ACM-induced tumor cell metastatic growth in the brain and attributed to survival in a mouse model. Furthermore, we identified that astrocytes produced transforming growth factor-beta 2 (TGF-β2), which in part is responsible for upregulation of ANGPTL4 expression in TNBC through induction of SMAD signaling. Moreover, we identified that tumor cells communicate with astrocytes, where tumor cell-derived interleukin-1 beta (IL-1β) and tumor necrosis factor alpha (TNF-α) increased the expression of TGF-β2 in astrocytes. Collectively, these findings indicate that the invading TNBC cells interact with astrocytes in the brain microenvironment that facilitates brain metastases of TNBC cells through a TGF-β2/ANGPTL4 axis. This provides groundwork to target ANGPTL4 as a treatment for breast cancer brain metastases.

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          Genes that mediate breast cancer metastasis to the brain.

          The molecular basis for breast cancer metastasis to the brain is largely unknown. Brain relapse typically occurs years after the removal of a breast tumour, suggesting that disseminated cancer cells must acquire specialized functions to take over this organ. Here we show that breast cancer metastasis to the brain involves mediators of extravasation through non-fenestrated capillaries, complemented by specific enhancers of blood-brain barrier crossing and brain colonization. We isolated cells that preferentially infiltrate the brain from patients with advanced disease. Gene expression analysis of these cells and of clinical samples, coupled with functional analysis, identified the cyclooxygenase COX2 (also known as PTGS2), the epidermal growth factor receptor (EGFR) ligand HBEGF, and the alpha2,6-sialyltransferase ST6GALNAC5 as mediators of cancer cell passage through the blood-brain barrier. EGFR ligands and COX2 were previously linked to breast cancer infiltration of the lungs, but not the bones or liver, suggesting a sharing of these mediators in cerebral and pulmonary metastases. In contrast, ST6GALNAC5 specifically mediates brain metastasis. Normally restricted to the brain, the expression of ST6GALNAC5 in breast cancer cells enhances their adhesion to brain endothelial cells and their passage through the blood-brain barrier. This co-option of a brain sialyltransferase highlights the role of cell-surface glycosylation in organ-specific metastatic interactions.
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            The distribution of secondary growths in cancer of the breast. 1889.

            S. PAGET (1989)
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              Carcinoma-astrocyte gap junctions promote brain metastasis by cGAMP transfer

              SUMMARY Brain metastasis represents a substantial source of morbidity and mortality in various cancers, and is characterized by high resistance to chemotherapy. Here we define the role of the most abundant cell type in the brain, the astrocyte, in promoting brain metastasis. Breast and lung cancer cells express protocadherin 7 (PCDH7) to favor the assembly of carcinoma-astrocyte gap junctions composed of connexin 43 (Cx43). Once engaged with the astrocyte gap-junctional network, brain metastatic cancer cells employ these channels to transfer the second messenger cGAMP to astrocytes, activating the STING pathway and production of inflammatory cytokines IFNα and TNFα. As paracrine signals, these factors activate the STAT1 and NF-κB pathways in brain metastatic cells, which support tumour growth and chemoresistance. The orally bioavailable modulators of gap junctions meclofenamate and tonabersat break this paracrine loop, and we provide proof-of-principle for the applicability of this therapeutic strategy to treat established brain metastasis.
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                Author and article information

                Contributors
                (414)955-2396 , lingwang@mcw.edu
                Journal
                NPJ Precis Oncol
                NPJ Precis Oncol
                NPJ Precision Oncology
                Nature Publishing Group UK (London )
                2397-768X
                3 October 2019
                3 October 2019
                2019
                : 3
                : 24
                Affiliations
                [1 ]ISNI 0000 0001 2111 8460, GRID grid.30760.32, Department of Obstetrics & Gynecology, , Medical College of Wisconsin, ; 8701 Watertown Plank Road, Milwaukee, WI 53226 USA
                [2 ]ISNI 0000 0000 9999 1211, GRID grid.64939.31, Key Laboratory for Biomechanics and Mechanobiology of Chinese Education Ministry, School of Biological Science and Medical Engineering, , Beihang University, ; Xue Yuan Road No. 37, Haidian District Beijing, 100083 P. R. China
                [3 ]ISNI 0000 0004 1799 2675, GRID grid.417031.0, Division of Obstetrics & Gynecology, , Tianjin Union Medical Center, ; 130 Jianyuan Dao, Honqiao District Tianjin, 300190 P. R. China
                [4 ]ISNI 0000 0001 2111 8460, GRID grid.30760.32, Department of Pediatrics, Children’s Research Institute, , Medical College of Wisconsin, ; 8701 Watertown Plank Road, Milwaukee, WI 53226 USA
                [5 ]ISNI 0000 0001 2111 8460, GRID grid.30760.32, Department of Pathology, , Medical College of Wisconsin, ; 8701 Watertown Plank Road, Milwaukee, WI 53226 USA
                [6 ]ISNI 0000 0004 1770 1022, GRID grid.412901.f, Department of Breast Surgery, , West China Hospital, Sichuan University, ; Chengdu, Sichuan 610041 P. R. China
                [7 ]ISNI 0000 0001 2111 8460, GRID grid.30760.32, Section of Quantitative Health Sciences, Department of Pediatrics, , Medical College of Wisconsin, ; 8701 Watertown Plank Road, Milwaukee, WI 53226 USA
                [8 ]ISNI 0000 0000 9999 1211, GRID grid.64939.31, Beijing Advanced Innovation Center for Biomedical Engineering, , Beihang University, ; Xue Yuan Road No. 37, Haidian District Beijing, 100083 P. R. China
                [9 ]ISNI 0000 0001 2111 8460, GRID grid.30760.32, Department of Physiology, , Medical College of Wisconsin, ; 8701 Watertown Plank Road, Milwaukee, WI 53226 USA
                [10 ]ISNI 0000 0001 2111 8460, GRID grid.30760.32, Department of Cell Biology, , Neurobiology and Anatomy, Medical College of Wisconsin, ; 8701 Watertown Plank Road, Milwaukee, WI 53226 USA
                Author information
                http://orcid.org/0000-0002-3555-6119
                Article
                94
                10.1038/s41698-019-0094-1
                6776663
                31602400
                20e93b90-e11e-4fc9-87e6-7ba00f562657
                © The Author(s) 2019

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 7 March 2019
                : 9 August 2019
                Funding
                Funded by: FundRef https://doi.org/10.13039/100000005, U.S. Department of Defense (United States Department of Defense);
                Award ID: BC161839
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/100000050, U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI);
                Award ID: HL112639
                Award Recipient :
                Categories
                Article
                Custom metadata
                © The Author(s) 2019

                cancer microenvironment,breast cancer
                cancer microenvironment, breast cancer

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