Department of Medical Oncology and The Jefferson Stem Cell Biology and Regenerative Medicine Center, Thomas Jefferson University, Philadelphia, PA, USA.
Cell Cycle. 2010 Sep 1;9(17):3515-33. doi: 10.4161/cc.9.17.12928. Epub 2010 Sep 9.
Recently, using a co-culture system, we demonstrated that MCF7 epithelial cancer cells induce oxidative stress in adjacent cancer-associated fibroblasts, resulting in the autophagic/lysosomal degradation of stromal caveolin-1 (Cav-1). However, the detailed signaling mechanism(s) underlying this process remain largely unknown. Here, we show that hypoxia is sufficient to induce the autophagic degradation of Cav-1 in stromal fibroblasts, which is blocked by the lysosomal inhibitor chloroquine. Concomitant with the hypoxia-induced degradation of Cav-1, we see the upregulation of a number of well-established autophagy/mitophagy markers, namely LC3, ATG16L, BNIP3, BNIP3L, HIF-1α and NFκB. In addition, pharmacological activation of HIF-1α drives Cav-1 degradation, while pharmacological inactivation of HIF-1 prevents the downregulation of Cav-1. Similarly, pharmacological inactivation of NFκB--another inducer of autophagy-prevents Cav-1 degradation. Moreover, treatment with an inhibitor of glutathione synthase, namely BSO, which induces oxidative stress via depletion of the reduced glutathione pool, is sufficient to induce the autophagic degradation of Cav-1. Thus, it appears that oxidative stress mediated induction of HIF1- and NFκB-activation in fibroblasts drives the autophagic degradation of Cav-1. In direct support of this hypothesis, we show that MCF7 cancer cells activate HIF-1α- and NFκB-driven luciferase reporters in adjacent cancer-associated fibroblasts, via a paracrine mechanism. Consistent with these findings, acute knock-down of Cav-1 in stromal fibroblasts, using an siRNA approach, is indeed sufficient to induce autophagy, with the upregulation of both lysosomal and mitophagy markers. How does the loss of stromal Cav-1 and the induction of stromal autophagy affect cancer cell survival? Interestingly, we show that a loss of Cav-1 in stromal fibroblasts protects adjacent cancer cells against apoptotic cell death. Thus, autophagic cancer-associated fibroblasts, in addition to providing recycled nutrients for cancer cell metabolism, also play a protective role in preventing the death of adjacent epithelial cancer cells. We demonstrate that cancer-associated fibroblasts upregulate the expression of TIGAR in adjacent epithelial cancer cells, thereby conferring resistance to apoptosis and autophagy. Finally, the mammary fat pads derived from Cav-1 (-/-) null mice show a hypoxia-like response in vivo, with the upregulation of autophagy markers, such as LC3 and BNIP3L. Taken together, our results provide direct support for the "Autophagic Tumor Stroma Model of Cancer Metabolism", and explain the exceptional prognostic value of a loss of stromal Cav-1 in cancer patients. Thus, a loss of stromal fibroblast Cav-1 is a biomarker for chronic hypoxia, oxidative stress and autophagy in the tumor microenvironment, consistent with its ability to predict early tumor recurrence, lymph node metastasis and tamoxifen-resistance in human breast cancers. Our results imply that cancer patients lacking stromal Cav-1 should benefit from HIF-inhibitors, NFκB-inhibitors, anti-oxidant therapies, as well as autophagy/lysosomal inhibitors. These complementary targeted therapies could be administered either individually or in combination, to prevent the onset of autophagy in the tumor stromal compartment, which results in a "lethal" tumor microenvironment.
最近,我们使用共培养系统证明 MCF7 上皮癌细胞会在邻近的癌相关成纤维细胞中诱导氧化应激,导致基质 Cav-1(Cav-1)的自噬/溶酶体降解。然而,这一过程背后的详细信号机制在很大程度上仍不清楚。在这里,我们表明缺氧足以诱导基质成纤维细胞中 Cav-1 的自噬降解,而溶酶体抑制剂氯喹可阻断这一过程。与缺氧诱导的 Cav-1 降解同时发生的是,我们观察到许多已确立的自噬/线粒体自噬标志物的上调,即 LC3、ATG16L、BNIP3、BNIP3L、HIF-1α 和 NFκB。此外,药理学激活 HIF-1α 可驱动 Cav-1 降解,而药理学失活 HIF-1 则可防止 Cav-1 的下调。同样,药理学失活 NFκB——另一种自噬诱导剂——可防止 Cav-1 降解。此外,用谷胱甘肽合酶抑制剂 BSO 处理,通过耗尽还原型谷胱甘肽池引起氧化应激,足以诱导 Cav-1 的自噬降解。因此,似乎是氧化应激介导的成纤维细胞中 HIF1 和 NFκB 的激活驱动了 Cav-1 的自噬降解。直接支持这一假设的是,我们表明 MCF7 癌细胞通过旁分泌机制激活邻近癌相关成纤维细胞中的 HIF-1α 和 NFκB 驱动的荧光素酶报告基因。与这些发现一致,使用 siRNA 方法急性敲低基质成纤维细胞中的 Cav-1 确实足以诱导自噬,溶酶体和线粒体自噬标志物上调。基质 Cav-1 的缺失和基质自噬的诱导如何影响癌细胞的存活?有趣的是,我们表明基质成纤维细胞中 Cav-1 的缺失可保护邻近的癌细胞免受细胞凋亡。因此,除了为癌细胞代谢提供再循环营养物外,自噬性癌相关成纤维细胞在防止邻近上皮癌细胞死亡方面也发挥保护作用。我们证明,癌相关成纤维细胞上调相邻上皮癌细胞中的 TIGAR 表达,从而赋予其对细胞凋亡和自噬的抗性。最后,来自 Cav-1(-/-)基因敲除小鼠的乳腺脂肪垫在体内表现出类似缺氧的反应,自噬标志物如 LC3 和 BNIP3L 上调。总之,我们的研究结果为“癌症代谢中的自噬性肿瘤基质模型”提供了直接支持,并解释了基质 Cav-1 缺失在癌症患者中的特殊预后价值。因此,基质成纤维细胞中 Cav-1 的缺失是肿瘤微环境中慢性缺氧、氧化应激和自噬的生物标志物,与其预测乳腺癌患者早期肿瘤复发、淋巴结转移和他莫昔芬耐药的能力一致。我们的研究结果意味着缺乏基质 Cav-1 的癌症患者应该受益于 HIF 抑制剂、NFκB 抑制剂、抗氧化疗法以及自噬/溶酶体抑制剂。这些互补的靶向治疗可以单独或联合使用,以防止肿瘤基质区发生自噬,从而导致“致命”的肿瘤微环境。
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