Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Internal Medicine III, Hematology and Medical Oncology, University Hospital Regensburg, Regensburg, Germany.
Nat Cancer. 2023 Mar;4(3):401-418. doi: 10.1038/s43018-023-00519-w. Epub 2023 Feb 16.
Brain metastasis still encompass very grim prognosis and therefore understanding the underlying mechanisms is an urgent need toward developing better therapeutic strategies. We uncover the intricate interactions between recruited innate immune cells and resident astrocytes in the brain metastatic niche that facilitate metastasis of melanoma and breast cancer. We show that granulocyte-derived lipocalin-2 (LCN2) induces inflammatory activation of astrocytes, leading to myeloid cell recruitment to the brain. LCN2 is central to inducing neuroinflammation as its genetic targeting or bone-marrow transplantation from LCN2 mice was sufficient to attenuate neuroinflammation and inhibit brain metastasis. Moreover, high LCN2 levels in patient blood and brain metastases in multiple cancer types were strongly associated with disease progression and poor survival. Our findings uncover a previously unknown mechanism, establishing a central role for the reciprocal interactions between granulocytes and astrocytes in promoting brain metastasis and implicate LCN2 as a prognostic marker and potential therapeutic target.
脑转移仍然预后极差,因此了解其潜在机制是开发更好治疗策略的当务之急。我们揭示了在脑转移微环境中募集的固有免疫细胞和固有星形胶质细胞之间的复杂相互作用,这些相互作用促进了黑色素瘤和乳腺癌的转移。我们发现粒细胞衍生的脂联素 2(LCN2)诱导星形胶质细胞的炎症激活,导致髓样细胞募集到大脑。LCN2 是诱导神经炎症的核心,因为其基因靶向或从 LCN2 小鼠进行骨髓移植足以减轻神经炎症并抑制脑转移。此外,患者血液和多种癌症类型的脑转移中高 LCN2 水平与疾病进展和预后不良密切相关。我们的发现揭示了一个以前未知的机制,确立了粒细胞和星形胶质细胞之间相互作用在促进脑转移中的核心作用,并表明 LCN2 是一种预后标志物和潜在的治疗靶点。