Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata City, Niigata, Japan.
Division of Surgical Oncology, Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Cancer Res. 2018 Apr 1;78(7):1713-1725. doi: 10.1158/0008-5472.CAN-17-1423. Epub 2018 Jan 19.
Although obesity with associated inflammation is now recognized as a risk factor for breast cancer and distant metastases, the functional basis for these connections remain poorly understood. Here, we show that in breast cancer patients and in animal breast cancer models, obesity is a sufficient cause for increased expression of the bioactive sphingolipid mediator sphingosine-1-phosphate (S1P), which mediates cancer pathogenesis. A high-fat diet was sufficient to upregulate expression of sphingosine kinase 1 (SphK1), the enzyme that produces S1P, along with its receptor S1PR1 in syngeneic and spontaneous breast tumors. Targeting the SphK1/S1P/S1PR1 axis with FTY720/fingolimod attenuated key proinflammatory cytokines, macrophage infiltration, and tumor progression induced by obesity. S1P produced in the lung premetastatic niche by tumor-induced SphK1 increased macrophage recruitment into the lung and induced IL6 and signaling pathways important for lung metastatic colonization. Conversely, FTY720 suppressed IL6, macrophage infiltration, and S1P-mediated signaling pathways in the lung induced by a high-fat diet, and it dramatically reduced formation of metastatic foci. In tumor-bearing mice, FTY720 similarly reduced obesity-related inflammation, S1P signaling, and pulmonary metastasis, thereby prolonging survival. Taken together, our results establish a critical role for circulating S1P produced by tumors and the SphK1/S1P/S1PR1 axis in obesity-related inflammation, formation of lung metastatic niches, and breast cancer metastasis, with potential implications for prevention and treatment. These findings offer a preclinical proof of concept that signaling by a sphingolipid may be an effective target to prevent obesity-related breast cancer metastasis. .
虽然肥胖症及其相关炎症现在被认为是乳腺癌和远处转移的一个风险因素,但这些关联的功能基础仍知之甚少。在这里,我们表明,在乳腺癌患者和动物乳腺癌模型中,肥胖症是导致生物活性鞘脂介质 1-磷酸鞘氨醇(S1P)表达增加的充分原因,而 S1P 介导了癌症的发病机制。高脂肪饮食足以上调同基因和自发乳腺癌肿瘤中 S1P 的产生酶鞘氨醇激酶 1(SphK1)以及其受体 S1PR1 的表达。用 FTY720/ fingolimod 靶向 SphK1/S1P/S1PR1 轴,可减弱肥胖引起的关键促炎细胞因子、巨噬细胞浸润和肿瘤进展。肿瘤诱导的 SphK1 在肺前转移龛中产生的 S1P 增加了巨噬细胞向肺的募集,并诱导了 IL6 和对肺转移定植很重要的信号通路。相反,FTY720 抑制了高脂肪饮食诱导的肺中由 S1P 产生的 IL6、巨噬细胞浸润和 S1P 介导的信号通路,并显著减少了转移性灶的形成。在荷瘤小鼠中,FTY720 同样减少了肥胖相关的炎症、S1P 信号和肺转移,从而延长了生存期。总之,我们的研究结果确立了肿瘤产生的循环 S1P 和 SphK1/S1P/S1PR1 轴在肥胖相关炎症、肺转移龛形成和乳腺癌转移中的关键作用,这可能对预防和治疗具有重要意义。这些发现为鞘脂信号可能是预防肥胖相关乳腺癌转移的有效靶点提供了临床前概念验证。