肿瘤细胞释放的 LC3 阳性细胞外囊泡通过增强转移前生态位形成促进乳腺癌肺转移。

Tumor cell-released LC3-positive EVs promote lung metastasis of breast cancer through enhancing premetastatic niche formation.

机构信息

Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Immunology, Medical School of Southeast University, Nanjing, China.

Department of Oncology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.

出版信息

Cancer Sci. 2022 Oct;113(10):3405-3416. doi: 10.1111/cas.15507. Epub 2022 Aug 7.

Abstract

Most breast cancer-related deaths are caused by metastasis in vital organs including the lungs. Development of supportive metastatic microenvironments, referred to as premetastatic niches (PMNs), in certain distant organs before arrival of metastatic cells, is critical in metastasis. However, the mechanisms of PMN formation are not fully clear. Here, we demonstrated that chemoattractant C-C motif chemokine ligand 2 (CCL2) could be stimulated by heat shock protein 60 (HSP60) on the surface of murine 4 T1 breast cancer cell-released LC3 extracellular vesicles (LC3 EVs) via the TLR2-MyD88-NF-κB signal cascade in lung fibroblasts, which subsequently promoted lung PMN formation through recruiting monocytes and suppressing T cell function. Consistently, reduction of LC3 EV release or HSP60 level or neutralization of CCL2 markedly attenuated PMN formation and lung metastasis. Furthermore, the number of circulating LC3 EVs and HSP60 level on LC3 EVs in the plasma of breast cancer patients were positively correlated with disease progression and lung metastasis, which might have potential value as biomarkers of lung metastasis in breast cancer patients (AUC = 0.898, 0.694, respectively). These findings illuminate a novel mechanism of PMN formation and might provide therapeutic targets for anti-metastasis therapy for patients with breast cancer.

摘要

大多数与乳腺癌相关的死亡是由转移引起的,转移发生在包括肺部在内的重要器官。在转移细胞到达之前,某些远处器官中支持转移性的微环境(称为前转移龛(PMN))的发展,在转移中是至关重要的。然而,PMN 形成的机制尚不完全清楚。在这里,我们证明了趋化因子 C-C 基序趋化因子配体 2(CCL2)可以通过 TLR2-MyD88-NF-κB 信号级联在肺成纤维细胞中被热休克蛋白 60(HSP60)刺激,该级联存在于来源于小鼠 4T1 乳腺癌细胞的 LC3 细胞外囊泡(LC3 EVs)的表面,随后通过募集单核细胞和抑制 T 细胞功能来促进肺 PMN 的形成。一致地,减少 LC3 EV 的释放或 HSP60 水平或中和 CCL2 可显著减弱 PMN 的形成和肺转移。此外,乳腺癌患者血浆中循环 LC3 EVs 的数量和 LC3 EVs 上 HSP60 水平与疾病进展和肺转移呈正相关,这可能作为乳腺癌患者肺转移的潜在生物标志物(AUC 分别为 0.898、0.694)。这些发现阐明了 PMN 形成的新机制,并可能为乳腺癌患者的抗转移治疗提供治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9a1/9530874/cfe8350d7340/CAS-113-3405-g008.jpg

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