Cayrol Florencia, Sterle Helena A, Díaz Flaqué Maria Celeste, Barreiro Arcos Maria Laura, Cremaschi Graciela A
Instituto de Investigaciones Biomédicas, Consejo Nacional de Investigaciones Científicas y Técnicas, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Buenos Aires, Argentina.
Laboratorio de Radioisótopos, Cátedra de Física, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.
Front Endocrinol (Lausanne). 2019 Feb 13;10:63. doi: 10.3389/fendo.2019.00063. eCollection 2019.
T-cell lymphomas (TCL) are a heterogeneous group of aggressive clinical lymphoproliferative disorders with considerable clinical, morphological, immunophenotypic, and genetic variation, including ~10-15% of all lymphoid neoplasms. Several evidences indicate an important role of the non-neoplastic microenvironment in promoting both tumor growth and dissemination in T cell malignancies. Thus, dysregulation of integrin expression and activity is associated with TCL survival and proliferation. We found that thyroid hormones acting via the integrin αvβ3 receptor are crucial factors in tumor microenvironment (TME) affecting the pathophysiology of TCL cells. Specifically, TH-activated αvβ3 integrin signaling promoted TCL proliferation and induced and an angiogenic program via the up-regulation of the vascular endothelial growth factor (VEGF). This was observed both on different TCL cell lines representing the different subtypes of human hematological malignancy, and in preclinical models of TCL tumors xenotransplanted in immunodeficient mice as well. Moreover, development of solid tumors by inoculation of murine TCLs in syngeneic hyperthyroid mice, showed increased tumor growth along with increased expression of cell cycle regulators. The genomic or pharmacological inhibition of integrin αvβ3 decreased VEGF production, induced TCL cell death and decreased tumor growth and angiogenesis. Here, we review the non-genomic actions of THs on TCL regulation and their contribution to TCL development and evolution. These actions not only provide novel new insights on the endocrine modulation of TCL, but also provide a potential molecular target for its treatment.
T细胞淋巴瘤(TCL)是一组异质性的侵袭性临床淋巴增殖性疾病,在临床、形态学、免疫表型和遗传学方面存在相当大的差异,约占所有淋巴样肿瘤的10%-15%。有多项证据表明,非肿瘤微环境在促进T细胞恶性肿瘤的肿瘤生长和扩散中发挥着重要作用。因此,整合素表达和活性的失调与TCL的存活和增殖相关。我们发现,通过整合素αvβ3受体起作用的甲状腺激素是影响TCL细胞病理生理学的肿瘤微环境(TME)中的关键因素。具体而言,TH激活的αvβ3整合素信号传导促进TCL增殖,并通过上调血管内皮生长因子(VEGF)诱导血管生成程序。这在代表人类血液恶性肿瘤不同亚型的不同TCL细胞系以及免疫缺陷小鼠体内异种移植的TCL肿瘤的临床前模型中均有观察到。此外,在同基因甲状腺功能亢进小鼠中接种鼠TCL形成实体瘤,显示肿瘤生长增加以及细胞周期调节因子的表达增加。整合素αvβ3的基因组或药理学抑制降低了VEGF的产生,诱导TCL细胞死亡,并减少了肿瘤生长和血管生成。在此,我们综述了甲状腺激素对TCL调节的非基因组作用及其对TCL发生发展的贡献。这些作用不仅为TCL的内分泌调节提供了新的见解,也为其治疗提供了潜在的分子靶点。