Department of Molecular and Experimental Medicine, The Scripps Research Institute, 10550 North Torrey Pines Road, MEM-150, La Jolla, CA 92037, USA.
Am J Pathol. 2010 Jun;176(6):2958-71. doi: 10.2353/ajpath.2010.090838. Epub 2010 Apr 9.
Brain metastases are difficult to treat and mostly develop late during progressive metastatic disease. Patients at risk would benefit from the development of prevention and improved treatments. This requires knowledge of the initial events that lead to brain metastasis. The present study reveals cellular events during the initiation of brain metastasis by breast cancer cells and documents the earliest host responses to incoming cancer cells after carotid artery injection in immunodeficient and immunocompetent mouse models. Our findings capture and characterize heterogeneous astrocytic and microglial reactions to the arrest and extravasation of cancer cells in the brain, showing immediate and drastic changes in the brain microenvironment on arrival of individual cancer cells. We identified reactive astrocytes as the most active host cell population that immediately localizes to individual invading tumor cells and continuously associates with growing metastatic lesions. Up-regulation of matrix metalloproteinase-9 associated with astrocyte activation in the immediate vicinity of extravasating cancer cells might support their progression. Early involvement of different host cell types indicates environmental clues that might codetermine whether a single cancer cell progresses to macrometastasis or remains dormant. Thus, information on the initial interplay between brain homing tumor cells and reactive host cells may help develop strategies for prevention and treatment of symptomatic breast cancer brain metastases.
脑转移瘤难以治疗,且大多在转移性疾病进展后期出现。有患病风险的患者将从预防和治疗改进中受益。这需要了解导致脑转移的初始事件。本研究通过乳腺癌细胞揭示了脑转移起始过程中的细胞事件,并记录了在免疫缺陷和免疫功能正常的小鼠模型中,颈动脉注射后,宿主对进入的癌细胞的最早反应。我们的研究结果捕捉并描述了星形胶质细胞和小胶质细胞对癌细胞在脑内停滞和渗出的异质反应,显示了单个癌细胞到达时大脑微环境的即刻和剧烈变化。我们发现反应性星形胶质细胞是最活跃的宿主细胞群体,它立即定位于单个侵袭性肿瘤细胞,并持续与不断生长的转移性病变相关联。与渗出癌细胞附近星形胶质细胞激活相关的基质金属蛋白酶-9的上调可能支持其进展。不同宿主细胞类型的早期参与表明,环境线索可能共同决定单个癌细胞是否进展为大转移灶或保持休眠状态。因此,有关归巢肿瘤细胞与反应性宿主细胞之间初始相互作用的信息可能有助于制定预防和治疗有症状的乳腺癌脑转移的策略。