1. COX-2 mediates tumor-stromal prolactin signaling to initiate tumorigenesis.
- Author
-
Zheng Y, Comaills V, Burr R, Boulay G, Miyamoto DT, Wittner BS, Emmons E, Sil S, Koulopoulos MW, Broderick KT, Tai E, Rengarajan S, Kulkarni AS, Shioda T, Wu CL, Ramaswamy S, Ting DT, Toner M, Rivera MN, Maheswaran S, and Haber DA
- Subjects
- Animals, Carcinogenesis drug effects, Celecoxib pharmacology, Cell Transformation, Neoplastic drug effects, Cell Transformation, Neoplastic metabolism, Cell Transformation, Neoplastic pathology, Cyclooxygenase 2 metabolism, Cyclooxygenase 2 Inhibitors pharmacology, Dinoprostone metabolism, Disease Models, Animal, Fibroblasts drug effects, Fibroblasts metabolism, Humans, Male, Mice, Nuclear Receptor Subfamily 4, Group A, Member 1 metabolism, Prostatic Neoplasms drug therapy, Retinoid X Receptors metabolism, Signal Transduction drug effects, Stromal Cells drug effects, Stromal Cells pathology, Up-Regulation drug effects, Up-Regulation physiology, Carcinogenesis metabolism, Prolactin metabolism, Prostatic Neoplasms metabolism, Prostatic Neoplasms pathology, Signal Transduction physiology, Stromal Cells metabolism
- Abstract
Tumor-stromal communication within the microenvironment contributes to initiation of metastasis and may present a therapeutic opportunity. Using serial single-cell RNA sequencing in an orthotopic mouse prostate cancer model, we find up-regulation of prolactin receptor as cancer cells that have disseminated to the lungs expand into micrometastases. Secretion of the ligand prolactin by adjacent lung stromal cells is induced by tumor cell production of the COX-2 synthetic product prostaglandin E2 (PGE2). PGE2 treatment of fibroblasts activates the orphan nuclear receptor NR4A (Nur77), with prolactin as a major transcriptional target for the NR4A-retinoid X receptor (RXR) heterodimer. Ectopic expression of prolactin receptor in mouse cancer cells enhances micrometastasis, while treatment with the COX-2 inhibitor celecoxib abrogates prolactin secretion by fibroblasts and reduces tumor initiation. Across multiple human cancers, COX-2, prolactin, and prolactin receptor show consistent differential expression in tumor and stromal compartments. Such paracrine cross-talk may thus contribute to the documented efficacy of COX-2 inhibitors in cancer suppression., Competing Interests: Conflict of interest statement: Massachusetts General Hospital has filed for patent protection for the circulating tumor cell inertial focusing (iChip) technology., (Copyright © 2019 the Author(s). Published by PNAS.)
- Published
- 2019
- Full Text
- View/download PDF