Breast Cancer Risk and Prevention Laboratory, Peter MacCallum Cancer Centre, 305 Grattan St, Melbourne, VIC, 3000, Australia.
The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.
Sci Rep. 2022 Nov 8;12(1):18986. doi: 10.1038/s41598-022-21871-4.
Breast cancer (BCa) incidence increases following aberrant hormone exposure, which has been linked to direct effects on estrogen receptor (ER) mammary epithelium. While estrogen exposure during mammary involution has been shown to drive tumour growth via neutrophils, the potential for the ER + immune microenvironment to mediate part (in addition to mammary epithelial cells) of hormonally controlled BCa risk during normal development has not been assessed. We collected mammary tissue, lymph nodes and blood from tumour naïve mice treated with, oophorectomy, estrogen (17β estradiol) or Fulvestrant. Flow cytometry was used to examine the impact on the frequency of innate and adaptive immune cells. Oophorectomy and fulvestrant decreased the proportion of macrophages, particularly pro-tumour polarized M2 macrophages and neutrophils. Conversely, dendritic cells were increased by these therapies, as were eosinophils. Estrogen increased the proportion of M2 macrophages and to a lesser extent CD4-CD8- double negative and FoxP3 regulatory T cells but decreased CD8 + T cells and B cells. Excluding eosinophils, these changes were restricted to the mammary tissue. This suggests that inhibiting estrogen action lowers the immune suppressive myeloid cells, increases in antigen presentation and eosinophil-mediated direct or indirect cytotoxic effects. In contrast, estrogen exposure, which drives BCa risk, increases the suppressive myeloid cells and reduces anti-tumour cytotoxic T cells. The impact of hormonal exposure on BCa risk, may in part be linked to its immune modulatory activity.
乳腺癌(BCa)的发病率在激素暴露异常后增加,这与雌激素受体(ER)乳腺上皮的直接作用有关。虽然已经表明,在乳腺退化期间暴露于雌激素会通过中性粒细胞促进肿瘤生长,但 ER+免疫微环境是否有可能在正常发育过程中调节部分(除了乳腺上皮细胞)激素控制的 BCa 风险,尚未得到评估。我们从接受卵巢切除术、雌激素(17β雌二醇)或氟维司群治疗的无肿瘤小鼠中收集乳腺组织、淋巴结和血液。流式细胞术用于检查对固有和适应性免疫细胞频率的影响。卵巢切除术和氟维司群减少了巨噬细胞的比例,特别是促肿瘤极化的 M2 巨噬细胞和中性粒细胞。相反,这些治疗方法增加了树突状细胞和嗜酸性粒细胞。雌激素增加了 M2 巨噬细胞的比例,在较小程度上增加了 CD4-CD8-双阴性和 FoxP3 调节性 T 细胞,但减少了 CD8+T 细胞和 B 细胞。排除嗜酸性粒细胞后,这些变化仅限于乳腺组织。这表明抑制雌激素作用会降低免疫抑制性髓样细胞,增加抗原呈递和嗜酸性粒细胞介导的直接或间接细胞毒性作用。相比之下,雌激素暴露会增加抑制性髓样细胞并减少抗肿瘤细胞毒性 T 细胞,从而增加 BCa 风险。激素暴露对 BCa 风险的影响可能部分与其免疫调节活性有关。
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