Department of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA, USA.
Neoplasia. 2021 Feb;23(2):197-209. doi: 10.1016/j.neo.2020.12.007. Epub 2020 Dec 28.
Pro-inflammatory conditions have long been associated with mammary carcinogenesis and breast cancer progression. The underlying mechanisms are incompletely understood but signaling of pro-inflammatory cytokine TNFα through its receptors TNFR1 and TNFR2 is a major mediator of inflammation in both obesity and in the response of tissues to radiation, 2 known risk factors for the development of breast cancer. Here, we demonstrated the loss of one TNFR2 allele led to ductal hyperplasia in the mammary gland with increased numbers of mammary epithelial stem cell and terminal end buds. Furthermore, loss of one TNFR2 allele increased the incidence of breast cancer in MMTV-Wnt1 mice and resulted in tumors with a more aggressive phenotype and metastatic potential. The underlying mechanisms include a preferential activation of canonical NF-κB signaling pathway and autocrine production of TNFα. Analysis of the TCGA dataset indicated inferior overall survival for patients with down-regulated TNFR2 expression. These findings unravel the imbalances in TNFR signaling promote the development and progression of breast cancer, indicating that selective agonists of TNFR2 could potentially modulate the risk for breast cancer in high-risk populations.
促炎状态长期以来与乳腺癌的发生和进展相关。其潜在机制尚不完全清楚,但促炎细胞因子 TNFα 通过其受体 TNFR1 和 TNFR2 的信号转导是肥胖和组织对辐射反应中炎症的主要介质,这两种情况均是乳腺癌发生的已知风险因素。在这里,我们证明了 TNFR2 等位基因的缺失导致乳腺中的导管增生,乳腺上皮干细胞和终末芽的数量增加。此外,TNFR2 等位基因的缺失增加了 MMTV-Wnt1 小鼠乳腺癌的发生率,并导致具有侵袭性表型和转移潜能的肿瘤。潜在的机制包括对经典 NF-κB 信号通路的优先激活和 TNFα 的自分泌产生。TCGA 数据集的分析表明,TNFR2 表达下调的患者总生存率降低。这些发现揭示了 TNFR 信号转导的失衡促进了乳腺癌的发生和发展,表明 TNFR2 的选择性激动剂可能有潜力调节高危人群患乳腺癌的风险。
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