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ΔN63 抑制妊娠鉴定的乳腺上皮细胞 (PIMEC) 驱动 HER2 阳性乳腺癌的能力。

ΔN63 suppresses the ability of pregnancy-identified mammary epithelial cells (PIMECs) to drive HER2-positive breast cancer.

机构信息

Department of Pathology and Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY, 11794-8691, USA.

出版信息

Cell Death Dis. 2021 May 22;12(6):525. doi: 10.1038/s41419-021-03795-5.

Abstract

While pregnancy is known to reduce a woman's life-long risk of breast cancer, clinical data suggest that it can specifically promote HER2 (human EGF receptor 2)-positive breast cancer subtype (HER2+ BC). HER2+ BC, characterized by amplification of HER2, comprises about 20% of all sporadic breast cancers and is more aggressive than hormone receptor-positive breast cancer (the majority of cases). Consistently with human data, pregnancy strongly promotes HER2+ BC in genetic mouse models. One proposed mechanism of this is post-pregnancy accumulation of PIMECs (pregnancy-identified mammary epithelial cells), tumor-initiating cells for HER2+ BC in mice. We previously showed that p63, a homologue of the tumor suppressor p53, is required to maintain the post-pregnancy number of PIMECs and thereby promotes HER2+ BC. Here we set to test whether p63 also affects the intrinsic tumorigenic properties of PIMECs. To this end, we FACS-sorted YFP-labeled PIMECs from p63+/-;ErbB2 and control p63+/+;ErbB2 females and injected their equal amounts into immunodeficient recipients. To our surprise, p63+/- PIMECs showed increased, rather than decreased, tumorigenic capacity in vivo, i.e., significantly accelerated tumor onset and tumor growth, as well as increased self-renewal in mammosphere assays and proliferation in vitro and in vivo. The underlying mechanism of these phenotypes seems to be a specific reduction of the tumor suppressor TAp63 isoform in p63+/- luminal cells, including PIMECs, with concomitant aberrant upregulation of the oncogenic ΔNp63 isoform, as determined by qRT-PCR and scRNA-seq analyses. In addition, scRNA-seq revealed upregulation of several cancer-associated (Il-4/Il-13, Hsf1/HSP), oncogenic (TGFβ, NGF, FGF, MAPK) and self-renewal (Wnt, Notch) pathways in p63+/-;ErbB2 luminal cells and PIMECs per se. Altogether, these data reveal a complex role of p63 in PIMECs and pregnancy-associated HER2+ BC: maintaining the amount of PIMECs while suppressing their intrinsic tumorigenic capacity.

摘要

虽然妊娠已知会降低女性的终身乳腺癌风险,但临床数据表明,它可能特别促进 HER2(人表皮生长因子受体 2)阳性乳腺癌亚型(HER2+BC)。HER2+BC 以 HER2 扩增为特征,约占所有散发性乳腺癌的 20%,比激素受体阳性乳腺癌(大多数病例)更具侵袭性。与人类数据一致,妊娠强烈促进遗传小鼠模型中的 HER2+BC。一种提出的机制是产后 PIMECs(妊娠鉴定的乳腺上皮细胞)的积累,PIMECs 是小鼠中 HER2+BC 的肿瘤起始细胞。我们之前表明,p63,一种肿瘤抑制因子 p53 的同源物,需要维持产后 PIMECs 的数量,从而促进 HER2+BC。在这里,我们着手测试 p63 是否也会影响 PIMECs 的内在致瘤特性。为此,我们从 p63+/-;ErbB2 和对照 p63+/+;ErbB2 雌性中通过 FACS 分选 YFP 标记的 PIMECs,并将其等量注入免疫缺陷受体中。令我们惊讶的是,p63+/-PIMECs 在体内显示出增加而不是减少的致瘤能力,即显着加速肿瘤发生和肿瘤生长,以及在体内和体外的乳腺球体测定中自我更新增加和增殖增加。这些表型的潜在机制似乎是 p63+/- 腔细胞(包括 PIMECs)中肿瘤抑制因子 TAp63 同工型的特异性减少,同时伴有致癌ΔNp63 同工型的异常上调,这通过 qRT-PCR 和 scRNA-seq 分析确定。此外,scRNA-seq 显示 p63+/-;ErbB2 腔细胞和 PIMECs 本身中几种癌症相关(IL-4/IL-13、Hsf1/HSP)、致癌(TGFβ、NGF、FGF、MAPK)和自我更新(Wnt、Notch)途径的上调。总之,这些数据揭示了 p63 在 PIMECs 和妊娠相关 HER2+BC 中的复杂作用:维持 PIMECs 的数量,同时抑制其内在的致瘤能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4155/8141055/c5dc043520aa/41419_2021_3795_Fig1_HTML.jpg

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