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BRCA1 突变驱动肿瘤微环境中的氧化应激和糖酵解:抗氧化治疗预防乳腺癌的意义。

BRCA1 mutations drive oxidative stress and glycolysis in the tumor microenvironment: implications for breast cancer prevention with antioxidant therapies.

机构信息

Jefferson Stem Cell Biology and Regenerative Medicine Center, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA USA.

出版信息

Cell Cycle. 2012 Dec 1;11(23):4402-13. doi: 10.4161/cc.22776. Epub 2012 Nov 21.

Abstract

Mutations in the BRCA1 tumor suppressor gene are commonly found in hereditary breast cancer. Similarly, downregulation of BRCA1 protein expression is observed in the majority of basal-like breast cancers. Here, we set out to study the effects of BRCA1 mutations on oxidative stress in the tumor microenvironment. To mimic the breast tumor microenvironment, we utilized an in vitro co-culture model of human BRCA1-mutated HCC1937 breast cancer cells and hTERT-immortalized human fibroblasts. Notably, HCC1937 cells induce the generation of hydrogen peroxide in the fibroblast compartment during co-culture, which can be inhibited by genetic complementation with the wild-type BRCA1 gene. Importantly, treatment with powerful antioxidants, such as NAC and Tempol, induces apoptosis in HCC1937 cells, suggesting that microenvironmental oxidative stress supports cancer cell survival. In addition, Tempol treatment increases the apoptotic rates of MDA-MB-231 cells, which have wild-type BRCA1, but share a basal-like breast cancer phenotype with HCC1937 cells. MCT4 is the main exporter of L-lactate out of cells and is a marker for oxidative stress and glycolytic metabolism. Co-culture with HCC1937 cells dramatically induces MCT4 protein expression in fibroblasts, and this can be prevented by either BRCA1 overexpression or by pharmacological treatment with NAC. We next evaluated caveolin-1 (Cav-1) expression in stromal fibroblasts. Loss of Cav-1 is a marker of the cancer-associated fibroblast (CAF) phenotype, which is linked to high stromal glycolysis, and is associated with a poor prognosis in numerous types of human cancers, including breast cancers. Remarkably, HCC1937 cells induce a loss of Cav-1 in adjacent stromal cells during co-culture. Conversely, Cav-1 expression in fibroblasts can be rescued by administration of NAC or by overexpression of BRCA1 in HCC1937 cells. Notably, BRCA1-deficient human breast cancer samples (9 out of 10) also showed a glycolytic stromal phenotype, with intense mitochondrial staining specifically in BRCA1-deficient breast cancer cells. In summary, loss of BRCA1 function leads to hydrogen peroxide generation in both epithelial breast cancer cells and neighboring stromal fibroblasts, and promotes the onset of a reactive glycolytic stroma, with increased MCT4 and decreased Cav-1 expression. Importantly, these metabolic changes can be reversed by antioxidants, which potently induce cancer cell death. Thus, antioxidant therapy appears to be synthetically lethal with a BRCA1-deficiency in breast cancer cells and should be considered for future cancer prevention trials. In this regard, immunostaining with Cav-1 and MCT4 could be used as cost-effective biomarkers to monitor the response to antioxidant therapy.

摘要

BRCA1 肿瘤抑制基因的突变在遗传性乳腺癌中很常见。同样,在大多数基底样乳腺癌中观察到 BRCA1 蛋白表达下调。在这里,我们着手研究 BRCA1 突变对肿瘤微环境中氧化应激的影响。为了模拟乳腺肿瘤微环境,我们利用体外共培养模型,将人 BRCA1 突变 HCC1937 乳腺癌细胞和 hTERT 永生化人成纤维细胞进行共培养。值得注意的是,在共培养过程中,HCC1937 细胞诱导成纤维细胞中过氧化氢的产生,而野生型 BRCA1 基因的遗传互补可以抑制这种产生。重要的是,使用强大的抗氧化剂,如 NAC 和 Tempol,可诱导 HCC1937 细胞凋亡,表明微环境中的氧化应激支持癌细胞存活。此外,Tempol 处理增加了 MDA-MB-231 细胞的凋亡率,MDA-MB-231 细胞具有野生型 BRCA1,但与 HCC1937 细胞具有基底样乳腺癌表型。MCT4 是细胞内 L-乳酸的主要输出载体,是氧化应激和糖酵解代谢的标志物。与 HCC1937 细胞共培养可显著诱导成纤维细胞中 MCT4 蛋白表达,而 BRCA1 过表达或用 NAC 进行药物处理均可防止这种表达。接下来,我们评估了基质成纤维细胞中 Cav-1(窖蛋白-1)的表达。Cav-1 的缺失是癌症相关成纤维细胞(CAF)表型的标志物,与高基质糖酵解有关,并与包括乳腺癌在内的多种人类癌症的不良预后相关。值得注意的是,HCC1937 细胞在共培养过程中诱导相邻基质细胞中 Cav-1 的缺失。相反,NAC 处理或 HCC1937 细胞中 BRCA1 的过表达可挽救成纤维细胞中 Cav-1 的表达。值得注意的是,BRCA1 缺陷的人乳腺癌样本(10 个中有 9 个)也表现出代谢活跃的基质表型,BRCA1 缺陷的乳腺癌细胞中特异性出现强烈的线粒体染色。总之,BRCA1 功能丧失会导致上皮性乳腺癌细胞和邻近基质成纤维细胞中过氧化氢的产生,并促进活性糖酵解基质的发生,MCT4 增加,Cav-1 表达减少。重要的是,抗氧化剂可逆转这些代谢变化,并强烈诱导癌细胞死亡。因此,抗氧化剂治疗似乎与乳腺癌细胞中的 BRCA1 缺陷具有合成致死性,应考虑用于未来的癌症预防试验。在这方面,用 Cav-1 和 MCT4 进行免疫染色可作为具有成本效益的生物标志物,用于监测对抗氧化剂治疗的反应。

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