Translational Medical Oncology, CIBERONC, Health Research Institute of Santiago (IDIS) , University Hospital of Santiago (SERGAS) , Santiago de Compostela 15706 , Spain.
Proteomics Group-PBR2-ProteoRed/ISCIII, Rheumatology Division, Instituto de Investigación Biomédica de A Coruña (INIBIC) , University Hospital A Coruña (SERGAS), Universidade da Coruña , A Coruña 15006 , Spain.
J Proteome Res. 2019 Mar 1;18(3):1043-1053. doi: 10.1021/acs.jproteome.8b00750. Epub 2019 Jan 11.
Endometrial cancer (EC) is the most frequent gynecological cancer. Tumor dissemination affecting ∼20% of EC patients is characterized at the primary carcinoma by epithelial-to-mesenchymal transition (EMT) associated with myometrial infiltration. At distant sites, the interaction of circulating tumor cells (CTCs) with the microenvironment is crucial for metastatic colonization, with a participation of the extracellular vesicles (EVs). We comprehensively approached these primary and secondary sites to study the impact of tumor EVs on the metastatic efficiency of CTCs in EC. Tumor EVs in circulation reproduce the epithelial phenotype predominant in the primary carcinoma, whereas CTCs are characterized by an EMT phenotype. We modeled this EMT-related clinical scenario in the Hec1A endometrial cell line and characterized the epithelial-like EVs in circulation by SILAC proteome analysis. The identification of proteins involved in cell-cell and cell-matrix interaction and binding, together with in vitro evidence of an improved adhesion of CTC to a functionalized endothelium, suggests a contribution of the epithelial-like EVs in the homing of CTCs at metastatic sites. Accordingly, adhesion protein LGALS3BP was found to be significantly enriched in circulating EVs from a cohort of EC patients with a high risk of recurrence by targeted proteomics (multiple reaction monitoring), highlighting its potential in liquid biopsy in EC.
子宫内膜癌(EC)是最常见的妇科癌症。约 20%的 EC 患者存在肿瘤扩散,其特征是原发性癌中上皮-间充质转化(EMT)伴随着子宫肌层浸润。在远处部位,循环肿瘤细胞(CTC)与微环境的相互作用对于转移定植至关重要,其中细胞外囊泡(EVs)发挥了作用。我们全面研究了这些原发性和继发性部位,以研究肿瘤 EVs 对 EC 中 CTC 转移效率的影响。循环中的肿瘤 EVs 再现了原发性癌中占主导地位的上皮表型,而 CTCs 则表现出 EMT 表型。我们在 Hec1A 子宫内膜细胞系中模拟了这种与 EMT 相关的临床情况,并通过 SILAC 蛋白质组分析对循环中的上皮样 EVs 进行了表征。鉴定出参与细胞-细胞和细胞-基质相互作用以及结合的蛋白质,以及体外证据表明 CTC 与功能化内皮的粘附能力得到改善,这表明上皮样 EVs 有助于 CTC 在转移部位的归巢。因此,通过靶向蛋白质组学(多重反应监测)在具有高复发风险的 EC 患者队列中发现循环 EVs 中 LGALS3BP 蛋白显著富集,这突出了其在 EC 液体活检中的潜在应用。
J Proteome Res. 2019-1-11
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