van Golen Kenneth L, Bao Li Wei, Pan Quintin, Miller Fred R, Wu Zhi Fen, Merajver Sofia D
Department of Internal Medicine, University of Michigan Comprehensive Cancer Center, Ann Arbor 48109-0948, USA.
Clin Exp Metastasis. 2002;19(4):301-11. doi: 10.1023/a:1015518114931.
Inflammatory breast cancer (IBC) is the most lethal form of locally advanced breast cancer known. IBC carries a guarded prognosis primarily due to rapid onset of disease, typically within six months, and the propensity of tumor emboli to invade the dermal lymphatics and spread systemically. Although the clinical manifestations of IBC have been well documented, until recently little was known about the genetic mechanisms underlying the disease. In a comprehensive study aimed at identifying the molecular mechanisms responsible for the unique IBC phenotype, our laboratory identified overexpression of RhoC GTPase in over 90% of IBC tumors in contrast to 36% of stage-matched non-IBC tumors. We also demonstrated that overexpression of RhoC GTPase in human mammary epithelial (HME) cells nearly recapitulated the IBC phenotype with regards to invasion, motility and angiogenesis. In the current study we sought to delineate which signaling pathways were responsible for each aspect of the IBC phenotype. Using well-established inhibitors to the mitogen activated protein kinase (MAPK) and phosphatidylinositol-3 kinase (PI3K) pathways. We found that activation of the MAPK pathway was responsible for motility, invasion and production of angiogenic factors. In contrast, growth under anchorage independent conditions was dependent on the PI3K pathway.
炎性乳腺癌(IBC)是已知的局部晚期乳腺癌中最致命的形式。IBC的预后不佳,主要是因为疾病发病迅速,通常在六个月内,且肿瘤栓子易于侵入真皮淋巴管并发生全身扩散。尽管IBC的临床表现已有充分记录,但直到最近,对该疾病潜在的遗传机制仍知之甚少。在一项旨在确定导致IBC独特表型的分子机制的综合性研究中,我们实验室发现,超过90%的IBC肿瘤中RhoC GTP酶过表达,而在分期匹配的非IBC肿瘤中这一比例为36%。我们还证明,在人乳腺上皮(HME)细胞中RhoC GTP酶的过表达在侵袭、运动和血管生成方面几乎重现了IBC表型。在当前的研究中,我们试图确定哪些信号通路对IBC表型的各个方面负责。使用针对丝裂原活化蛋白激酶(MAPK)和磷脂酰肌醇-3激酶(PI3K)通路的成熟抑制剂。我们发现,MAPK通路的激活负责运动、侵袭和血管生成因子的产生。相比之下,在非贴壁条件下的生长则依赖于PI3K通路。