Laboratory of Cancer Pathology, Center for Advanced Studies and Technology (CAST), "G. d' Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy; Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Laboratory of Cancer Pathology, Center for Advanced Studies and Technology (CAST), "G. d' Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy; Oncoxx Biotech, 66034 Lanciano (Chieti), Italy.
Neoplasia. 2021 Sep;23(9):898-911. doi: 10.1016/j.neo.2021.07.002. Epub 2021 Jul 25.
We recently reported that activation of Trop-2 through its cleavage at R87-T88 by ADAM10 underlies Trop-2-driven progression of colon cancer. However, the mechanism of action and pathological impact of Trop-2 in metastatic diffusion remain unexplored. Through searches for molecular determinants of cancer metastasis, we identified TROP2 as unique in its up-regulation across independent colon cancer metastasis models. Overexpression of wild-type Trop-2 in KM12SM human colon cancer cells increased liver metastasis rates in vivo in immunosuppressed mice. Metastatic growth was further enhanced by a tail-less, activated ΔcytoTrop-2 mutant, indicating the Trop-2 tail as a pivotal inhibitory signaling element. In primary tumors and metastases, transcriptome analysis showed no down-regulation of CDH1 by transcription factors for epithelial-to-mesenchymal transition, thus suggesting that the pro-metastatic activity of Trop-2 is through alternative mechanisms. Trop-2 can tightly interact with ADAM10. Here, Trop-2 bound E-cadherin and stimulated ADAM10-mediated proteolytic cleavage of E-cadherin intracellular domain. This induced detachment of E-cadherin from β-actin, and loss of cell-cell adhesion, acquisition of invasive capability, and membrane-driven activation of β-catenin signaling, which were further enhanced by the ΔcytoTrop-2 mutant. This Trop-2/E-cadherin/β-catenin program led to anti-apoptotic signaling, increased cell migration, and enhanced cancer-cell survival. In patients with colon cancer, activation of this Trop-2-centered program led to significantly reduced relapse-free and overall survival, indicating a major impact on progression to metastatic disease. Recently, the anti-Trop-2 mAb Sacituzumab govitecan-hziy was shown to be active against metastatic breast cancer. Our findings define the key relevance of Trop-2 as a target in metastatic colon cancer.
我们最近报道,ADAM10 通过裂解 Trop-2 的 R87-T88 激活 Trop-2,是 Trop-2 驱动结肠癌进展的基础。然而,Trop-2 在转移性扩散中的作用机制和病理影响仍未被探索。通过寻找癌症转移的分子决定因素,我们发现 TROP2 在独立的结肠癌转移模型中均被上调,这是独特的。在 KM12SM 人结肠癌细胞中过表达野生型 Trop-2 ,可增加免疫抑制小鼠体内的肝转移率。无尾、激活的ΔcytoTrop-2 突变体进一步增强了转移性生长,表明 Trop-2 尾部是关键的抑制信号元件。在原发肿瘤和转移灶中,转录组分析显示上皮间质转化的转录因子并未下调 CDH1,因此表明 Trop-2 的促转移活性是通过替代机制。Trop-2 可以与 ADAM10 紧密相互作用。在这里,Trop-2 与 E-cadherin 结合,并刺激 ADAM10 介导的 E-cadherin 细胞内结构域的蛋白水解裂解。这导致 E-cadherin 从β-肌动蛋白上脱离,丧失细胞间粘附,获得侵袭能力,并激活膜驱动的β-catenin 信号,而ΔcytoTrop-2 突变体进一步增强了这一过程。这个 Trop-2/E-cadherin/β-catenin 程序导致抗凋亡信号,增加细胞迁移,并增强癌细胞的存活。在结肠癌患者中,这种 Trop-2 为中心的程序的激活导致无复发生存率和总生存率显著降低,表明其对转移性疾病进展有重大影响。最近,抗 Trop-2 mAb Sacituzumab govitecan-hziy 被证明对转移性乳腺癌有效。我们的研究结果定义了 Trop-2 作为转移性结肠癌靶点的关键相关性。