Fornetti Jaime, Martinson Holly A, Betts Courtney B, Lyons Traci R, Jindal Sonali, Guo Qiuchen, Coussens Lisa M, Borges Virginia F, Schedin Pepper
Department of Medicine, Division of Medical Oncology, University of Colorado Anschutz Medical Campus, 12801 East 17th Avenue, Aurora, CO, 80045, USA.
J Mammary Gland Biol Neoplasia. 2014 Jul;19(2):213-28. doi: 10.1007/s10911-014-9322-z. Epub 2014 Jun 22.
Postpartum mammary gland involution has been identified as tumor-promotional and is proposed to contribute to the increased rates of metastasis and poor survival observed in postpartum breast cancer patients. In rodent models, the involuting mammary gland microenvironment is sufficient to induce enhanced tumor cell growth, local invasion, and metastasis. Postpartum involution shares many attributes with wound healing, including upregulation of genes involved in immune responsiveness and infiltration of tissue by immune cells. In rodent models, treatment with non-steroidal anti-inflammatory drugs (NSAIDs) ameliorates the tumor-promotional effects of involution, consistent with the immune milieu of the involuting gland contributing to tumor promotion. Currently, immunotherapy is being investigated as a means of breast cancer treatment with the purpose of identifying ways to enhance anti-tumor immune responses. Here we review evidence for postpartum mammary gland involution being a uniquely defined 'hot-spot' of pro-tumorigenic immune cell infiltration, and propose that immunotherapy should be explored for prevention and treatment of breast cancers that arise in this environment.
产后乳腺 involution 已被确定具有促肿瘤作用,并被认为是导致产后乳腺癌患者转移率增加和生存率低下的原因。在啮齿动物模型中, involuting 的乳腺微环境足以诱导肿瘤细胞生长增强、局部侵袭和转移。产后 involution 与伤口愈合有许多共同特征,包括参与免疫反应的基因上调和免疫细胞对组织的浸润。在啮齿动物模型中,使用非甾体抗炎药(NSAIDs)治疗可改善 involution 的促肿瘤作用,这与 involuting 腺体的免疫微环境促进肿瘤发生一致。目前,免疫疗法正在作为一种乳腺癌治疗手段进行研究,目的是确定增强抗肿瘤免疫反应的方法。在这里,我们综述了产后乳腺 involution 是促肿瘤免疫细胞浸润的独特定义的“热点”的证据,并建议探索免疫疗法来预防和治疗在这种环境中发生的乳腺癌。