Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021;Department of Otolaryngology, Anhui Provincial Hospital, Anhui Medical University, Anhui 230001, China;
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021;
Proc Natl Acad Sci U S A. 2014 May 13;111(19):E2008-17. doi: 10.1073/pnas.1402944111. Epub 2014 Apr 28.
The ability of cancer cells to invade along nerves is associated with aggressive disease and diminished patient survival rates. Perineural invasion (PNI) may be mediated by nerve secretion of glial cell line-derived neurotrophic factor (GDNF) attracting cancer cell migration through activation of cell surface Ret proto-oncogene (RET) receptors. GDNF family receptor (GFR)α1 acts as coreceptor with RET, with both required for response to GDNF. We demonstrate that GFRα1 released by nerves enhances PNI, even in the absence of cancer cell GFRα1 expression. Cancer cell migration toward GDNF, RET phosphorylation, and MAPK pathway activity are increased with exposure to soluble GFRα1 in a dose-dependent fashion. Dorsal root ganglia (DRG) release soluble GFRα1, which potentiates RET activation and cancer cell migration. In vitro DRG coculture assays of PNI show diminished PNI with DRG from GFRα1(+/-) mice compared with GFRα1(+/+) mice. An in vivo murine model of PNI demonstrates that cancer cells lacking GFRα1 maintain an ability to invade nerves and impair nerve function, whereas those lacking RET lose this ability. A tissue microarray of human pancreatic ductal adenocarcinomas demonstrates wide variance of cancer cell GFRα1 expression, suggesting an alternate source of GFRα1 in PNI. These findings collectively demonstrate that GFRα1 released by nerves enhances PNI through GDNF-RET signaling and that GFRα1 expression by cancer cells enhances but is not required for PNI. These results advance a mechanistic understanding of PNI and implicate the nerve itself as a key facilitator of this adverse cancer cell behavior.
癌细胞沿着神经侵袭的能力与侵袭性疾病和患者生存率降低有关。神经周围浸润(PNI)可能是通过神经分泌胶质细胞系衍生的神经营养因子(GDNF)介导的,通过激活细胞表面原癌基因 Ret(RET)受体吸引癌细胞迁移。GDNF 家族受体(GFR)α1 与 RET 作为共受体,两者都需要对 GDNF 作出反应。我们证明,神经释放的 GFRα1 增强了 PNI,即使在没有癌细胞 GFRα1 表达的情况下也是如此。癌细胞向 GDNF 的迁移、RET 磷酸化和 MAPK 通路活性随着暴露于可溶性 GFRα1 而呈剂量依赖性增加。背根神经节(DRG)释放可溶性 GFRα1,其增强 RET 激活和癌细胞迁移。PNI 的体外 DRG 共培养测定显示,与 GFRα1(+/+)小鼠相比,GFRα1(+/-)小鼠的 DRG 释放的可溶性 GFRα1 减少了 PNI。PNI 的体内小鼠模型表明,缺乏 GFRα1 的癌细胞仍然能够侵袭神经并损害神经功能,而缺乏 RET 的癌细胞则丧失了这种能力。人类胰腺导管腺癌的组织微阵列显示癌细胞 GFRα1 表达的广泛差异,表明 PNI 中有 GFRα1 的替代来源。这些发现共同表明,神经释放的 GFRα1 通过 GDNF-RET 信号增强 PNI,并且癌细胞的 GFRα1 表达增强但不是 PNI 所必需的。这些结果推进了对 PNI 的机制理解,并暗示神经本身是促进这种癌细胞不良行为的关键促进因素。