Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI 53705, USA.
Department of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA.
Sci Adv. 2024 Apr 26;10(17):eadl4463. doi: 10.1126/sciadv.adl4463.
Slowing peritoneal spread in high-grade serous ovarian cancer (HGSOC) would improve patient prognosis and quality of life. HGSOC spreads when single cells and spheroids detach, float through the peritoneal fluid and take over new sites, with spheroids thought to be more aggressive than single cells. Using our in vitro model of spheroid collective detachment, we determine that increased substrate stiffness led to the detachment of more spheroids. We identified a mechanism where Piezo1 activity increased MMP-1/MMP-10, decreased collagen I and fibronectin, and increased spheroid detachment. Piezo1 expression was confirmed in omental masses from patients with stage III/IV HGSOC. Using OV90 and CRISPR-modified OV90 in a mouse xenograft model, we determined that while both genotypes efficiently took over the omentum, loss of Piezo1 significantly decreased ascitic volume, tumor spheroids in the ascites, and the number of macroscopic tumors in the mesentery. These results support that slowing collective detachment may benefit patients and identify Piezo1 as a potential therapeutic target.
减缓高级别浆液性卵巢癌 (HGSOC) 的腹膜扩散将改善患者的预后和生活质量。当单细胞和球体脱离、漂浮在腹腔液中并占据新部位时,HGSOC 就会扩散,而球体被认为比单细胞更具侵袭性。我们使用球体集体脱离的体外模型,确定增加基质硬度会导致更多球体脱离。我们确定了一种机制,其中 Piezo1 活性增加 MMP-1/MMP-10,减少胶原蛋白 I 和纤维连接蛋白,并增加球体脱离。在患有 III/IV 期 HGSOC 的患者的网膜肿块中证实了 Piezo1 的表达。在小鼠异种移植模型中使用 OV90 和经 CRISPR 修饰的 OV90,我们确定虽然两种基因型都能有效地占据网膜,但 Piezo1 的缺失显著减少腹水、腹水中的肿瘤球体和肠系膜中的宏观肿瘤数量。这些结果支持减缓集体脱离可能使患者受益,并确定 Piezo1 为潜在的治疗靶点。