Division of Hematology/Oncology, Tisch Cancer Institute, Mount Sinai School of Medicine, New York, NY 10029, USA.
Breast Cancer Res. 2010;12(5):R79. doi: 10.1186/bcr2724. Epub 2010 Oct 5.
Retinoic acid signaling pathways are disabled in human breast cancer suggesting a controlling role in normal mammary growth that might be lost in tumorigenesis. We tested a single receptor isotype, RARα1, for its role in mouse mammary gland morphogenesis and MMTV-wnt1-induced oncogenesis.
The role of RARα1 in mammary morphogenesis was tested in RARα1-knockout (KO) mice and in mammary tumorigenesis in bi-genic (RARα1/KO crossed with MMTV-wnt1) mice. We used whole mounts analysis, stem cells/progenitor quantification, mammary gland repopulation, Q-PCR, test of tumor-free survival, tumor fragments and cell transplantation.
In 2 genetic backgrounds (129/Bl-6 and FVB) the neo-natal RARα1/KO-mammary epithelial tree was 2-fold larger and the pubertal tree had 2-fold more branch points and 5-fold more mature end buds, a phenotype that was predominantly epithelial cell autonomous. The stem/progenitor compartment of the RARα1/KO mammary, defined as CD24(low)/ALDH(high activity) was increased by a median 1.7 fold, but the mammary stem cell (MaSC)-containing compartment, (CD24(low)/CD29(high)), was larger (~1.5 fold) in the wt-glands, and the mammary repopulating ability of the wt-gland epithelium was ~2-fold greater. In MMTV-wnt1 transgenic glands the progenitor (CD24(low)/ALDH(high activity)) content was 2.6-fold greater than in the wt and was further increased in the RARα1/KO-wnt1 glands. The tumor-free survival of RARα1/KO-wnt1 mice was significantly (p=0.0002, Kaplan Meier) longer, the in vivo growth of RARα1/KO-wnt1 transplanted tumor fragments was significantly (p=0.01) slower and RARα1/KO-wnt1 tumors cell suspension produced tumors after much longer latency.
In vitamin A-replete mice, RARα1 is required to maintain normal mammary morphogenesis, but paradoxically, also efficient tumorigenesis. While its loss increases the density of the mammary epithelial tree and the content of luminal mammary progenitors, it appears to reduce the size of the MaSC-containing compartment, the mammary repopulating activity, and to delay significantly the MMTV-wnt1-mammary tumorigenesis. Whether the delay in tumorigenesis is solely due to a reduction in wnt1 target cells or due to additional mechanisms remains to be determined. These results reveal the intricate nature of the retinoid signaling pathways in mammary development and carcinogenesis and suggest that a better understanding will be needed before retinoids can join the armament of effective anti- breast cancer therapies.
视黄酸信号通路在人类乳腺癌中失活,表明其在正常乳腺生长中具有控制作用,而这种作用可能在肿瘤发生过程中丧失。我们测试了一种单一的受体同种型 RARα1,以研究其在小鼠乳腺形态发生和 MMTV-wnt1 诱导的致癌作用中的作用。
在 RARα1 敲除(KO)小鼠中测试 RARα1 在乳腺形态发生中的作用,并在双基因(RARα1/KO 与 MMTV-wnt1 杂交)小鼠中测试其在乳腺肿瘤发生中的作用。我们使用全挂载分析、干细胞/祖细胞定量、乳腺再定植、Q-PCR、无肿瘤生存测试、肿瘤片段和细胞移植。
在 2 种遗传背景(129/Bl-6 和 FVB)下,新生 RARα1/KO-乳腺上皮树的大小增加了 2 倍,青春期的树具有 2 倍多的分支点和 5 倍多的成熟终芽,这是一种主要是上皮细胞自主性的表型。RARα1/KO 乳腺的干细胞/祖细胞区室,定义为 CD24(low)/ALDH(high activity),中位数增加了 1.7 倍,但 wt-乳腺中的乳腺干细胞(MaSC)包含区室(CD24(low)/CD29(high))更大(~1.5 倍),wt-乳腺上皮的乳腺再定植能力约增加 2 倍。在 MMTV-wnt1 转基因腺中,祖细胞(CD24(low)/ALDH(high activity))含量比 wt 高 2.6 倍,在 RARα1/KO-wnt1 腺中进一步增加。RARα1/KO-wnt1 小鼠的无肿瘤生存时间显著(p=0.0002,Kaplan Meier)延长,RARα1/KO-wnt1 移植肿瘤片段的体内生长显著(p=0.01)减慢,RARα1/KO-wnt1 肿瘤细胞悬浮液产生肿瘤的潜伏期长得多。
在维生素 A 充足的小鼠中,RARα1 是维持正常乳腺形态发生所必需的,但矛盾的是,它也能有效地促进肿瘤发生。虽然它的缺失增加了乳腺上皮树的密度和管腔乳腺祖细胞的含量,但它似乎降低了 MaSC 包含区室的大小、乳腺再定植活性,并显著延迟了 MMTV-wnt1-乳腺肿瘤发生。肿瘤发生的延迟是否仅仅是由于 wnt1 靶细胞的减少,还是由于其他机制,仍有待确定。这些结果揭示了视黄酸信号通路在乳腺发育和癌变中的复杂性质,并表明在视黄酸成为有效的抗乳腺癌治疗手段之前,需要更好地了解这一过程。