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趋化因子信号通过成纤维细胞依赖性机制促进早期乳腺癌的存活和侵袭。

Chemokine Signaling Facilitates Early-Stage Breast Cancer Survival and Invasion through Fibroblast-Dependent Mechanisms.

机构信息

Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas.

出版信息

Mol Cancer Res. 2018 Feb;16(2):296-308. doi: 10.1158/1541-7786.MCR-17-0308. Epub 2017 Nov 13.

Abstract

Ductal carcinoma (DCIS) is the most common form of breast cancer, with 50,000 cases diagnosed every year in the United States. Overtreatment and undertreatment remain significant clinical challenges in patient care. Identifying key mechanisms associated with DCIS progression could uncover new biomarkers to better predict patient prognosis and improve guided treatment. Chemokines are small soluble molecules that regulate cellular homing through molecular gradients. CCL2-mediated recruitment of CCR2 macrophages are a well-established mechanism for metastatic progression. Although the CCL2/CCR2 pathway is a therapeutic target of interest, little is known about the role of CCR2 expression in breast cancer. Here, using a mammary intraductal injection (MIND) model to mimic DCIS formation, the role of CCR2 was explored in minimally invasive SUM225 and highly invasive DCIS.com breast cancer cells. CCR2 overexpression increased SUM225 breast cancer survival and invasion associated with accumulation of CCL2 expressing fibroblasts. CCR2-deficient DCIS.com breast cancer cells formed fewer invasive lesions with fewer CCL2 fibroblasts. Cografting CCL2-deficient fibroblasts with DCIS.com breast cancer cells in the subrenal capsule model inhibited tumor invasion and survival associated with decreased expression of aldehyde dehydrogenase (ALDH1), a proinvasive factor, and decreased expression of HTRA2, a proapoptotic serine protease. Through data mining analysis, high expression of CCR2 and ALDH1 and low HTRA2 expression were correlated with poor prognosis of breast cancer patients. This study demonstrates that CCR2 overexpression in breast cancer drives early-stage breast cancer progression through stromal-dependent expression of CCL2 with important insight into prognosis and treatment of DCIS. .

摘要

导管癌 (DCIS) 是最常见的乳腺癌形式,在美国每年诊断出 50,000 例。过度治疗和治疗不足仍然是患者护理中的重大临床挑战。确定与 DCIS 进展相关的关键机制可以发现新的生物标志物,以更好地预测患者的预后并改善指导治疗。趋化因子是调节细胞归巢的小可溶性分子,通过分子梯度。CCL2 介导的 CCR2 巨噬细胞募集是转移进展的既定机制。尽管 CCL2/CCR2 途径是一个治疗靶点,但对 CCR2 表达在乳腺癌中的作用知之甚少。在这里,使用乳腺管内注射 (MIND) 模型模拟 DCIS 形成,研究了 CCR2 在微创 SUM225 和高度侵袭性 DCIS.com 乳腺癌细胞中的作用。CCR2 过表达增加了 SUM225 乳腺癌的存活和侵袭,与 CCL2 表达成纤维细胞的积累有关。CCR2 缺陷的 DCIS.com 乳腺癌细胞形成的侵袭性病变较少,CCL2 成纤维细胞较少。在肾包膜下模型中将 CCL2 缺陷成纤维细胞与 DCIS.com 乳腺癌细胞共移植,可抑制肿瘤侵袭和存活,与醛脱氢酶 (ALDH1) 的表达降低有关,ALDH1 是一种促侵袭因子,以及 htra2 的表达降低,htra2 是一种促凋亡丝氨酸蛋白酶。通过数据分析,CCR2 和 ALDH1 的高表达以及 HTRA2 的低表达与乳腺癌患者的预后不良相关。这项研究表明,乳腺癌中 CCR2 的过表达通过基质依赖性表达 CCL2 驱动早期乳腺癌进展,为 DCIS 的预后和治疗提供了重要的见解。

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