Clinical Pharmacology Institute, Nanchang University, Nanchang 330031, PR China.
The Second Affiliated Hospital of Nanchang University, Nanchang 330006, PR China.
Biochem Pharmacol. 2021 Jun;188:114527. doi: 10.1016/j.bcp.2021.114527. Epub 2021 Mar 17.
Cancer-associated fibroblasts (CAFs) play an important role in the initiation, metastasis, and invasion of breast cancer. However, whether autophagy acts as a tumor promotion mechanism by inducing epithelial-mesenchymal transition (EMT) is still controversial and remains undefined at the mechanistic levels. In this study, we investigated whether autophagy or FAP-α is required for the invasion, pulmonary metastasis and EMT of breast cancer cells and underlying mechanism. We employed an in vitro model of NIH3T3 fibroblasts treated with HO and confirmed that TGF-β1 could convert fibroblasts into CAFs through autophagy under oxidative stress in the tumor microenvironment. Modulation of autophagy by rapamycin, 3-methyladenine or ATG-5 knockdown regulated the expression of CAFs markers, suggesting a role of autophagy in the tumor promotion mechanism of TGF-β1-induced CAFs activation. Furthermore, we established an indirect co-culture model and a mixed xenograft as a corresponding in vivo model. We demonstrated that TGF-β1-activated CAFs promote tumor invasion, pulmonary metastasis and EMT, which act through autophagy and overexpression of FAP-α in both models, while autophagy inhibitor 3-methyladenine blocked these effects induced by TGF-β1-activated CAFs. Moreover, the co-localization of LC3β and EMT marker vimentin in mixed xenograft also revealed that TGF-β1-activated CAFs promote tumor growth, pulmonary metastasis, and EMT program partly through autophagy. In addition, knockdown of FAP-α resulted in reversed EMT and abolished tumor invasion and pulmonary metastasis induced by TGF-β1-activated CAFs. Taken together, we conclude that both autophagy and FAP-α are required for breast cancer cell invasion and metastasis. Targeting autophagy or FAP-α rather than both can serve as a potential approach to improve the prognosis for human breast cancer.
癌相关成纤维细胞(CAFs)在乳腺癌的发生、转移和浸润中发挥重要作用。然而,自噬是否通过诱导上皮-间充质转化(EMT)而作为促进肿瘤的机制仍存在争议,在机制水平上仍未确定。在本研究中,我们研究了自噬或 FAP-α 是否是乳腺癌细胞浸润、肺转移和 EMT 所必需的,以及潜在的机制。我们采用 NIH3T3 成纤维细胞在 HO 处理下的体外模型,并证实 TGF-β1 在肿瘤微环境中的氧化应激下可以通过自噬将成纤维细胞转化为 CAFs。雷帕霉素、3-甲基腺嘌呤或 ATG-5 敲低对自噬的调节调控了 CAFs 标志物的表达,提示自噬在 TGF-β1 诱导的 CAFs 激活的肿瘤促进机制中发挥作用。此外,我们建立了间接共培养模型和混合异种移植作为相应的体内模型。我们证明了 TGF-β1 激活的 CAFs 通过自噬和 FAP-α 的过表达促进肿瘤侵袭、肺转移和 EMT,这在两种模型中均起作用,而自噬抑制剂 3-甲基腺嘌呤则阻断了 TGF-β1 激活的 CAFs 诱导的这些作用。此外,混合异种移植中 LC3β 和 EMT 标志物波形蛋白的共定位也表明 TGF-β1 激活的 CAFs 部分通过自噬促进肿瘤生长、肺转移和 EMT 程序。此外,FAP-α 的敲低导致 EMT 的逆转,并消除了 TGF-β1 激活的 CAFs 诱导的肿瘤侵袭和肺转移。总之,我们得出结论,自噬和 FAP-α 均是乳腺癌细胞侵袭和转移所必需的。靶向自噬或 FAP-α 而不是两者都可以作为改善人类乳腺癌预后的潜在方法。
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