一种混合的乳腺癌/间充质干细胞群体增强了化疗耐药性和转移。
A hybrid breast cancer/mesenchymal stem cell population enhances chemoresistance and metastasis.
机构信息
Department of Pathology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy.
出版信息
JCI Insight. 2023 Sep 22;8(18):e164216. doi: 10.1172/jci.insight.164216.
Patients with triple-negative breast cancer remain at risk for metastatic disease despite treatment. The acquisition of chemoresistance is a major cause of tumor relapse and death, but the mechanisms are far from understood. We have demonstrated that breast cancer cells (BCCs) can engulf mesenchymal stem/stromal cells (MSCs), leading to enhanced dissemination. Here, we show that clinical samples of primary invasive carcinoma and chemoresistant breast cancer metastasis contain a unique hybrid cancer cell population coexpressing pancytokeratin and the MSC marker fibroblast activation protein-α. We show that hybrid cells form in primary tumors and that they promote breast cancer metastasis and chemoresistance. Using single-cell microfluidics and in vivo models, we found that there are polyploid senescent cells within the hybrid cell population that contribute to metastatic dissemination. Our data reveal that Wnt Family Member 5A (WNT5A) plays a crucial role in supporting the chemoresistance properties of hybrid cells. Furthermore, we identified that WNT5A mediates hybrid cell formation through a phagocytosis-like mechanism that requires BCC-derived IL-6 and MSC-derived C-C Motif Chemokine Ligand 2. These findings reveal hybrid cell formation as a mechanism of chemoresistance and suggest that interrupting this mechanism may be a strategy in overcoming breast cancer drug resistance.
尽管经过治疗,三阴性乳腺癌患者仍然存在转移疾病的风险。获得化疗耐药性是肿瘤复发和死亡的主要原因,但机制还远未被理解。我们已经证明乳腺癌细胞(BCC)可以吞噬间充质干细胞/基质细胞(MSCs),从而增强其扩散性。在这里,我们显示原发性浸润性癌和化疗耐药性乳腺癌转移的临床样本中含有独特的混合癌细胞群体,该群体共同表达细胞角蛋白和 MSC 标志物成纤维细胞激活蛋白-α。我们表明,杂交细胞在原发性肿瘤中形成,并且它们促进乳腺癌转移和化疗耐药性。通过单细胞微流控和体内模型,我们发现混合细胞群体中存在多倍体衰老细胞,这些细胞有助于转移的扩散。我们的数据表明,Wnt 家族成员 5A(WNT5A)在支持杂交细胞的化疗耐药特性方面发挥着关键作用。此外,我们发现 WNT5A 通过吞噬样机制介导杂交细胞的形成,该机制需要 BCC 衍生的白细胞介素 6 和 MSC 衍生的 C-C 基序趋化因子配体 2。这些发现揭示了杂交细胞形成是化疗耐药性的一种机制,并表明中断这种机制可能是克服乳腺癌药物耐药性的一种策略。