Department of Pathology, NYU School of Medicine, New York, New York.
Neuroscience Institute, NYU Langone Health, New York, New York.
Cancer Discov. 2022 May 2;12(5):1314-1335. doi: 10.1158/2159-8290.CD-21-1006.
UNLABELLED: Brain metastasis is a significant cause of morbidity and mortality in multiple cancer types and represents an unmet clinical need. The mechanisms that mediate metastatic cancer growth in the brain parenchyma are largely unknown. Melanoma, which has the highest rate of brain metastasis among common cancer types, is an ideal model to study how cancer cells adapt to the brain parenchyma. Our unbiased proteomics analysis of melanoma short-term cultures revealed that proteins implicated in neurodegenerative pathologies are differentially expressed in melanoma cells explanted from brain metastases compared with those derived from extracranial metastases. We showed that melanoma cells require amyloid beta (Aβ) for growth and survival in the brain parenchyma. Melanoma-secreted Aβ activates surrounding astrocytes to a prometastatic, anti-inflammatory phenotype and prevents phagocytosis of melanoma by microglia. Finally, we demonstrate that pharmacologic inhibition of Aβ decreases brain metastatic burden. SIGNIFICANCE: Our results reveal a novel mechanistic connection between brain metastasis and Alzheimer's disease, two previously unrelated pathologies; establish Aβ as a promising therapeutic target for brain metastasis; and demonstrate suppression of neuroinflammation as a critical feature of metastatic adaptation to the brain parenchyma. This article is highlighted in the In This Issue feature, p. 1171.
无标签:脑转移是多种癌症类型发病率和死亡率的重要原因,也是未满足的临床需求。介导脑实质转移癌生长的机制在很大程度上尚不清楚。黑色素瘤是常见癌症类型中脑转移率最高的一种,是研究癌细胞如何适应脑实质的理想模型。我们对黑色素瘤短期培养物进行的无偏蛋白组学分析显示,与源自颅外转移的细胞相比,源自脑转移的黑色素瘤细胞中涉及神经退行性病变的蛋白质表达存在差异。我们表明,黑色素瘤细胞在脑实质中生长和存活需要淀粉样蛋白β(Aβ)。黑色素瘤分泌的 Aβ 可激活周围星形胶质细胞,使其向促转移、抗炎表型转化,并阻止小胶质细胞吞噬黑色素瘤。最后,我们证明了 Aβ 的药物抑制可降低脑转移负担。 意义:我们的结果揭示了脑转移和阿尔茨海默病这两种以前不相关的病理之间的新的机制联系;确立 Aβ 作为脑转移的一个有前途的治疗靶点;并证明抑制神经炎症是转移性适应脑实质的关键特征。本文在本期特色文章中重点介绍,第 1171 页。
Cancer Discov. 2022-5-2
J Neuroinflammation. 2022-7-2
Nat Rev Cancer. 2025-7-24
EBioMedicine. 2025-6-27
Int J Mol Sci. 2025-5-23
Acta Neuropathol Commun. 2025-4-15
Front Cell Infect Microbiol. 2025-3-6
Immunity. 2021-2-9
J Clin Invest. 2020-8-3
Front Immunol. 2019-6-11
Acta Neuropathol Commun. 2019-4-10
Proc Natl Acad Sci U S A. 2019-3-8
Cancer Discov. 2019-2-20
Proc Natl Acad Sci U S A. 2019-2-5