Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children of Ministry of Education and State Key Laboratory of Biotherapy, West China Second University Hospital, Sichuan University and Collaborative Innovation Center, 610041 Chengdu, People's Republic of China.
Shanghai Key Laboratory of Tuberculosis, Clinical Translational Research Center, Shanghai Pulmonary Hospital, Tongji University, 200433 Shanghai, People's Republic of China.
Proc Natl Acad Sci U S A. 2018 Apr 17;115(16):E3673-E3681. doi: 10.1073/pnas.1803291115. Epub 2018 Mar 28.
Metastases constitute the greatest causes of deaths from cancer. However, no effective therapeutic options currently exist for cancer patients with metastasis. Estrogen receptor β (ERβ), as a member of the nuclear receptor superfamily, shows potent tumor-suppressive activities in many cancers. To investigate whether modulation of ERβ could serve as a therapeutic strategy for cancer metastasis, we examined whether the selective ERβ agonist LY500307 could suppress lung metastasis of triple-negative breast cancer (TNBC) and melanoma. Mechanistically, while we observed that LY500307 potently induced cell death of cancer cells metastasized to lung in vivo, it does not mediate apoptosis of cancer cells in vitro, indicating that the cell death-inducing effects of LY500307 might be mediated by the tumor microenvironment. Pathological examination combined with flow cytometry assays indicated that LY500307 treatment induced significant infiltration of neutrophils in the metastatic niche. Functional experiments demonstrated that LY500307-treated cancer cells show chemotactic effects for neutrophils and that in vivo neutrophil depletion by Ly6G antibody administration could reverse the effects of LY500307-mediated metastasis suppression. RNA sequencing analysis showed that LY500307 could induce up-regulation of IL-1β in TNBC and melanoma cells, which further triggered antitumor neutrophil chemotaxis. However, the therapeutic effects of LY500307 treatment for suppression of lung metastasis was attenuated in murine models, due to failure to induce antitumor neutrophil infiltration in the metastatic niche. Collectively, our study demonstrated that pharmacological activation of ERβ could augment innate immunity to suppress cancer metastatic colonization to lung, thus providing alternative therapeutic options for cancer patients with metastasis.
转移是癌症患者死亡的主要原因。然而,目前转移性癌症患者尚无有效的治疗选择。雌激素受体β(ERβ)作为核受体超家族的一员,在许多癌症中表现出强大的肿瘤抑制活性。为了研究 ERβ 的调节是否可以作为癌症转移的治疗策略,我们研究了选择性 ERβ 激动剂 LY500307 是否可以抑制三阴性乳腺癌(TNBC)和黑色素瘤的肺转移。从机制上讲,虽然我们观察到 LY500307 强烈诱导体内转移到肺部的癌细胞死亡,但它不会介导体外癌细胞凋亡,这表明 LY500307 的细胞死亡诱导作用可能是由肿瘤微环境介导的。病理检查结合流式细胞术检测表明,LY500307 治疗诱导转移灶中中性粒细胞的显著浸润。功能实验表明,LY500307 处理的癌细胞对中性粒细胞具有趋化作用,而 Ly6G 抗体给药体内中性粒细胞耗竭可逆转 LY500307 介导的转移抑制作用。RNA 测序分析表明,LY500307 可诱导 TNBC 和黑色素瘤细胞中 IL-1β 的上调,进而触发抗肿瘤中性粒细胞趋化作用。然而,由于未能在转移灶中诱导抗肿瘤中性粒细胞浸润,LY500307 治疗抑制肺转移的疗效在小鼠模型中减弱。综上所述,我们的研究表明,ERβ 的药理学激活可以增强先天免疫,抑制癌症转移到肺部的定植,从而为转移性癌症患者提供替代治疗选择。