Division of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Nat Med. 2012 Sep;18(9):1359-68. doi: 10.1038/nm.2890.
Acquired resistance to anticancer treatments is a substantial barrier to reducing the morbidity and mortality that is attributable to malignant tumors. Components of tissue microenvironments are recognized to profoundly influence cellular phenotypes, including susceptibilities to toxic insults. Using a genome-wide analysis of transcriptional responses to genotoxic stress induced by cancer therapeutics, we identified a spectrum of secreted proteins derived from the tumor microenvironment that includes the Wnt family member wingless-type MMTV integration site family member 16B (WNT16B). We determined that WNT16B expression is regulated by nuclear factor of κ light polypeptide gene enhancer in B cells 1 (NF-κB) after DNA damage and subsequently signals in a paracrine manner to activate the canonical Wnt program in tumor cells. The expression of WNT16B in the prostate tumor microenvironment attenuated the effects of cytotoxic chemotherapy in vivo, promoting tumor cell survival and disease progression. These results delineate a mechanism by which genotoxic therapies given in a cyclical manner can enhance subsequent treatment resistance through cell nonautonomous effects that are contributed by the tumor microenvironment.
获得性抗癌治疗耐药是降低恶性肿瘤发病率和死亡率的一个重大障碍。组织微环境的组成部分被认为会深刻影响细胞表型,包括对毒性损伤的敏感性。通过对癌症治疗引起的遗传毒性应激的转录反应进行全基因组分析,我们鉴定出了一组来源于肿瘤微环境的分泌蛋白,其中包括 Wnt 家族成员无翅型 MMV 整合位点家族成员 16B(WNT16B)。我们确定 WNT16B 的表达在 DNA 损伤后受 B 细胞核因子κ轻肽基因增强子 1(NF-κB)调控,随后以旁分泌的方式信号转导,激活肿瘤细胞中的经典 Wnt 程序。前列腺肿瘤微环境中 WNT16B 的表达减弱了体内细胞毒性化疗的作用,促进了肿瘤细胞的存活和疾病进展。这些结果描绘了一种机制,即周期性给予遗传毒性治疗可以通过肿瘤微环境贡献的非自主细胞效应增强随后的治疗耐药性。