Epithelial Interactions in Cancer (EPIC) group, i3S, Institute of Investigation and Innovation in Health, University of Porto, 4200-135 Porto, Portugal.
IPATIMUP- Institute of Pathology and Immunology, University of Porto, 4200-135 Porto, Portugal.
Cells. 2020 Nov 9;9(11):2442. doi: 10.3390/cells9112442.
Brain metastases remain an unmet clinical need in breast oncology, being frequently found in HER2-overexpressing and triple-negative carcinomas. These tumors were reported to be highly cancer stem-like cell-enriched, suggesting that brain metastases probably arise by the seeding of cancer cells with stem features. Accordingly, we found that brain-tropic breast cancer cells show increased stem cell activity and tumorigenic capacity in the chick embryo choriallantoic membrane when compared to the parental cell line. These observations were supported by a significant increase in their stem cell frequency and by the enrichment for the breast cancer stem cell (BCSC) phenotype CD44CD24. Based on this data, the expression of BCSC markers (CD44, CD49f, P-cadherin, EpCAM, and ALDH1) was determined and found to be significantly enriched in breast cancer brain metastases when compared to primary tumors. Therefore, a brain (BR)-BCSC signature was defined (3-5 BCSC markers), which showed to be associated with decreased brain metastases-free and overall survival. Interestingly, this signature significantly predicted a worse prognosis in lymph node-positive patients, acting as an independent prognostic factor. Thus, an enrichment of a BCSC signature was found in brain metastases, which can be used as a new prognostic factor in clinically challenging breast cancer patients.
脑转移仍然是乳腺癌领域未满足的临床需求,常发生于 HER2 过表达和三阴性乳腺癌中。这些肿瘤被报道富含高度癌症干细胞样细胞,表明脑转移可能是通过具有干细胞特征的癌细胞播种而来。因此,与亲本细胞系相比,我们发现脑趋向性乳腺癌细胞在鸡胚绒毛尿囊膜中表现出更高的干细胞活性和致瘤能力。这些观察结果得到了以下数据的支持:它们的干细胞频率显著增加,并且富集了乳腺癌干细胞(BCSC)表型 CD44CD24。基于这些数据,确定了 BCSC 标志物(CD44、CD49f、P-钙黏蛋白、EpCAM 和 ALDH1)的表达,并发现与原发性肿瘤相比,其在乳腺癌脑转移中明显富集。因此,定义了一个脑(BR)-BCSC 特征(3-5 个 BCSC 标志物),该特征与脑转移无进展生存期和总生存期缩短相关。有趣的是,该特征在淋巴结阳性患者中显著预测预后不良,可作为独立的预后因素。因此,在脑转移中发现了 BCSC 特征的富集,可作为临床挑战性乳腺癌患者的新预后因素。