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非甾体抗炎药作用于产后乳腺的促肿瘤细胞外基质。

Non-steroidal anti-inflammatory drugs target the pro-tumorigenic extracellular matrix of the postpartum mammary gland.

作者信息

O'Brien Jenean, Hansen Kirk, Barkan Dalit, Green Jeffrey, Schedin Pepper, O'Brien Jenean, Hansen Kirk, Barkan Dalit, Green Jeffrey, Schedin Pepper

机构信息

School of Medicine, Division of Medical Oncology, University of Colorado Anschutz Medical Campus, 12801 E 17th Ave, Aurora, CO, USA.

出版信息

Int J Dev Biol. 2011;55(7-9):745-55. doi: 10.1387/ijdb.113379jo.

Abstract

Breast cancer patients diagnosed postpartum have poor prognosis. The postpartum mammary gland undergoes tissue regression to return to the pre-pregnant state. This involution is characterized by wound healing programs known to be tumor promotional in other contexts. Previous studies have shown that mammary extracellular matrix (ECM) from nulliparous rats has tumor suppressive attributes, while mammary ECM from involuting mammary glands is promotional. In models of pregnancy-associated breast cancer, non-steroidal anti-inflammatory drug (NSAID) treatment targeted to postpartum involution inhibits tumor progression, in part by suppressing COX-2 dependent collagen deposition. Because mammary ECM proteins are coordinately regulated, NSAID treatment is anticipated to result in additional protective changes in the mammary extracellular matrix. Here, systemic NSAID treatment was utilized during postpartum involution to reduce mammary COX-2 activity. ECM was isolated from actively involuting glands of rats treated with NSAIDs and compared to ECM isolated from control-involution and nulliparous rats in 3D cell culture and xenograft assays. Compositional changes in ECM between groups were identified by proteomics. In four distinct 3D culture assays, normal and transformed mammary epithelial cells plated in NSAID-involution ECM, phenocopied cells plated in ECM from nulliparous rats rather than ECM from control-involution rats. Tumor cells mixed with NSAID-involution ECM and injected orthotopically in mice formed smaller tumors than cells mixed with control-involution ECM. Proteomic analyses identified and 3D culture assays implicated the ECM protein tenascin-C as a potential mediator of tumor progression during involution that is decreased by NSAID treatment. In summary, NSAID treatment decreases tumor-promotional attributes of postpartum involution mammary ECM.

摘要

产后被诊断出患有乳腺癌的患者预后较差。产后乳腺会经历组织退化以恢复到孕前状态。这种退化的特征是具有在其他情况下已知可促进肿瘤生长的伤口愈合程序。先前的研究表明,未生育大鼠的乳腺细胞外基质(ECM)具有肿瘤抑制特性,而处于退化期的乳腺的ECM则具有促进作用。在妊娠相关乳腺癌模型中,针对产后退化进行的非甾体抗炎药(NSAID)治疗可抑制肿瘤进展,部分原因是通过抑制COX-2依赖性胶原蛋白沉积。由于乳腺ECM蛋白是协同调节的,因此预计NSAID治疗会导致乳腺细胞外基质发生额外的保护性变化。在此,在产后退化期间采用全身NSAID治疗以降低乳腺COX-2活性。从用NSAIDs治疗的大鼠的活跃退化腺体中分离出ECM,并在3D细胞培养和异种移植试验中与从对照退化和未生育大鼠中分离出的ECM进行比较。通过蛋白质组学确定了各组之间ECM的组成变化。在四个不同的3D培养试验中,接种在NSAID-退化ECM中的正常和转化乳腺上皮细胞,其表现类似于接种在未生育大鼠的ECM中而非对照退化大鼠的ECM中的细胞。与NSAID-退化ECM混合并原位注射到小鼠体内的肿瘤细胞形成的肿瘤比与对照退化ECM混合的细胞形成的肿瘤更小。蛋白质组学分析确定并通过3D培养试验表明ECM蛋白腱生蛋白-C是退化期间肿瘤进展的潜在介质,NSAID治疗可使其减少。总之,NSAID治疗可降低产后退化乳腺ECM的肿瘤促进特性。

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