Sangaletti Sabina, Tripodo Claudio, Santangelo Alessandra, Castioni Nadia, Portararo Paola, Gulino Alessandro, Botti Laura, Parenza Mariella, Cappetti Barbara, Orlandi Rosaria, Tagliabue Elda, Chiodoni Claudia, Colombo Mario P
Molecular Immunology Unit, Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale Tumori, 20133 Milan, Italy.
Tumor Immunology Unit, Human Pathology Section, Department of Health Science, Palermo University School of Medicine, 90129 Palermo, Italy.
Cell Rep. 2016 Sep 27;17(1):233-248. doi: 10.1016/j.celrep.2016.08.075.
The extracellular matrix (ECM) contributes to the biological and clinical heterogeneity of breast cancer, and different prognostic groups can be identified according to specific ECM signatures. In high-grade, but not low-grade, tumors, an ECM signature characterized by high SPARC expression (ECM3) identifies tumors with increased epithelial-to-mesenchymal transition (EMT), reduced treatment response, and poor prognosis. To better understand how this ECM3 signature is contributing to tumorigenesis, we expressed SPARC in isogenic cell lines and found that SPARC overexpression in tumor cells reduces their growth rate and induces EMT. SPARC expression also results in the formation of a highly immunosuppressive microenvironment, composed by infiltrating T regulatory cells, mast cells, and myeloid-derived suppressor cells (MDSCs). The ability of SPARC to induce EMT depended on the localization and suppressive function of myeloid cells, and inhibition of the suppressive function MDSCs by administration of aminobisphosphonates could revert EMT, rendering SPARC-overexpressing tumor cells sensitive to Doxil. We conclude that that SPARC is regulating the interplay between MDSCs and the ECM to drive the induction of EMT in tumor cells.
细胞外基质(ECM)促成了乳腺癌的生物学和临床异质性,并且可以根据特定的ECM特征识别出不同的预后组。在高级别而非低级别肿瘤中,一种以富含半胱氨酸的酸性分泌蛋白(SPARC)高表达为特征的ECM特征(ECM3)可识别出具有上皮-间质转化(EMT)增加、治疗反应降低和预后不良的肿瘤。为了更好地理解这种ECM3特征如何促进肿瘤发生,我们在同基因细胞系中表达了SPARC,发现肿瘤细胞中SPARC的过表达会降低其生长速率并诱导EMT。SPARC的表达还会导致形成由浸润性调节性T细胞、肥大细胞和髓源性抑制细胞(MDSC)组成的高度免疫抑制微环境。SPARC诱导EMT的能力取决于髓样细胞的定位和抑制功能,通过给予氨基双膦酸盐抑制MDSC的抑制功能可以逆转EMT,使过表达SPARC的肿瘤细胞对阿霉素脂质体敏感。我们得出结论,SPARC正在调节MDSC与ECM之间的相互作用,以驱动肿瘤细胞中EMT的诱导。