Department of Oncology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Department of Oncology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Int Immunopharmacol. 2022 Feb;103:108454. doi: 10.1016/j.intimp.2021.108454. Epub 2021 Dec 18.
Patients with TNBC are associated with an increased risk of developing brain metastasis and shortest median survival post-brain metastasis-diagnosis. However, the regulatory mechanism of TNBC brain metastasis has not been addressed. Here, by a series of integrated analyses of differential gene expression profile from brain metastases and primary triple negative breast cancer, we identified 15 differentially expressed genes in both TNBC brain metastasis tissue samples and TNBC brain metastasis cell line. After analyzing the prognostic value of those 15 differentially expressed genes, we found that CXCL8 was the only gene associated with multiple prognostic indicators in both all-breast cancer and TNBC populations. Functional and pathway enrichment analyses demonstrated that CXCL8 was associated with humoral immune response and immune cell infiltration. CXCL8 expression had a positive correlation with three immune-related scores (ImmuneScore, ESTIMATEScore and StromalScore), and multiple types of immune cell infiltration, including macrophages, neutrophils and Th1 cells. Besides, we also verified the prometastatic effect of CXCL8, by treating MDA-MB-231 and Hs578t cells with different concentrations of recombinant human CXCL8. Taken together, our results suggest that CXCL8 can be used as a prognostic biomarker and is associated with TNBC brain metastasis and immune infiltration. Our findings provide a new perspective on TNBC brain metastasis and illustrate great potential to develop new CXCL8-targeted therapy for clinical TNBC patients.
三阴性乳腺癌(TNBC)患者发生脑转移的风险增加,且脑转移诊断后的中位生存时间最短。然而,TNBC 脑转移的调控机制尚未得到解决。在这里,我们通过对脑转移和原发性三阴性乳腺癌的差异基因表达谱进行一系列综合分析,鉴定出了 15 个在 TNBC 脑转移组织样本和 TNBC 脑转移细胞系中均有差异表达的基因。在分析了这 15 个差异表达基因的预后价值后,我们发现 CXCL8 是唯一一个在所有乳腺癌和 TNBC 人群中与多个预后指标相关的基因。功能和通路富集分析表明,CXCL8 与体液免疫反应和免疫细胞浸润有关。CXCL8 的表达与三个免疫相关评分(ImmuneScore、ESTIMATEScore 和 StromalScore)以及多种类型的免疫细胞浸润呈正相关,包括巨噬细胞、中性粒细胞和 Th1 细胞。此外,我们还通过用不同浓度的重组人 CXCL8 处理 MDA-MB-231 和 Hs578t 细胞,验证了 CXCL8 的促转移作用。综上所述,我们的研究结果表明,CXCL8 可以作为一个预后生物标志物,与 TNBC 脑转移和免疫浸润有关。我们的研究结果为 TNBC 脑转移提供了新的视角,并阐明了为临床 TNBC 患者开发新的 CXCL8 靶向治疗的巨大潜力。