Ter Braak Bas, Siezen Christine L, Lee Joo S, Rao Pooja, Voorhoeve Charlotte, Ruppin Eytan, van der Laan Jan Willem, van de Water Bob
Division of Toxicology, Leiden Academic Centre for Drug Research, Leiden University, Einsteinweg 55, 2333, CC, Leiden, The Netherlands.
Medicines Evaluation Board (MEB), Graadt van Roggenweg 500, 3531, AH, Utrecht, The Netherlands.
Breast Cancer Res. 2017 Feb 7;19(1):14. doi: 10.1186/s13058-017-0802-0.
The insulin-like growth factor 1 (IGF1) signaling axis plays a major role in tumorigenesis. In a previous experiment, we chronically treated mice with several agonists of the IGF1 receptor (IGF1R). We found that chronic treatment with insulin analogues with high affinity towards the IGF1R (IGF1 and X10) decreased the mammary gland tumor latency time in a p53WAPCre mouse model. Frequent injections with insulin analogues that only mildly activated the IGF1R in vivo (glargine and insulin) did not significantly decrease the tumor latency time in this mouse model.
Here, we performed next-generation RNA sequencing (40 million, 100 bp reads) on 50 mammary gland tumors to unravel the underlying mechanisms of IGF1R-promoted tumorigenesis. Mutational profiling of the individual tumors was performed to screen for treatment-specific mutations. The transcriptomic data were used to construct a support vector machine (SVM) classifier so that the phenotypic characteristics of tumors exposed to the different insulin analogue treatments could be predicted. For translational purposes, we ran the same classifiers on transcriptomic (micro-array) data of insulin analogue-exposed human breast cancer cell lines. Genome-scale metabolic modeling was performed with iMAT.
We found that chronic X10 and IGF1 treatment resulted in tumors with an increased and sustained proliferative and invasive transcriptomic profile. Furthermore, a Warburg-like effect with increased glycolysis was observed in tumors of the X10/IGF1 groups and, to a lesser extent, also in glargine-induced tumors. A metabolic flux analysis revealed that this enhanced glycolysis programming in X10/IGF1 tumors was associated with increased biomass production programs. Although none of the treatments induced genetic instability or enhanced mutagenesis, mutations in Ezh2 and Hras were enriched in X10/IGF1 treatment tumors.
Overall, these data suggest that the decreased mammary gland tumor latency time caused by chronic IGF1R activation is related to modulation of tumor progression rather than increased tumor initiation.
胰岛素样生长因子1(IGF1)信号轴在肿瘤发生中起主要作用。在先前的实验中,我们用几种IGF1受体(IGF1R)激动剂长期处理小鼠。我们发现,用对IGF1R具有高亲和力的胰岛素类似物(IGF1和X10)长期处理可缩短p53WAPCre小鼠模型中的乳腺肿瘤潜伏期。在该小鼠模型中,频繁注射仅在体内轻度激活IGF1R的胰岛素类似物(甘精胰岛素和胰岛素)并未显著缩短肿瘤潜伏期。
在此,我们对50个乳腺肿瘤进行了下一代RNA测序(4000万条,100bp读段),以揭示IGF1R促进肿瘤发生的潜在机制。对单个肿瘤进行突变分析以筛选治疗特异性突变。转录组数据用于构建支持向量机(SVM)分类器,以便预测暴露于不同胰岛素类似物治疗的肿瘤的表型特征。为了便于转化应用,我们在暴露于胰岛素类似物的人乳腺癌细胞系的转录组(微阵列)数据上运行相同的分类器。使用iMAT进行基因组规模的代谢建模。
我们发现,长期用X10和IGF1处理导致肿瘤具有增加且持续的增殖和侵袭性转录组特征。此外,在X10/IGF1组的肿瘤中观察到类似瓦伯格效应的糖酵解增加,在甘精胰岛素诱导的肿瘤中程度较轻。代谢通量分析表明,X10/IGF1肿瘤中这种增强的糖酵解编程与生物量产生程序增加有关。尽管没有一种治疗诱导遗传不稳定或增强诱变,但Ezh2和Hras突变在X10/IGF1治疗的肿瘤中富集。
总体而言,这些数据表明,慢性IGF1R激活导致的乳腺肿瘤潜伏期缩短与肿瘤进展的调节有关,而非肿瘤起始增加。