1. Inflammatory Breast Cancer Promotes Development of M2 Tumor-Associated Macrophages and Cancer Mesenchymal Cells through a Complex Chemokine Network.
- Author
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Valeta-Magara A, Gadi A, Volta V, Walters B, Arju R, Giashuddin S, Zhong H, and Schneider RJ
- Subjects
- Apoptosis, Autocrine Communication, Cell Proliferation, Chemokines genetics, Female, Humans, Inflammatory Breast Neoplasms genetics, Inflammatory Breast Neoplasms metabolism, Macrophages metabolism, Mesenchymal Stem Cells metabolism, Neoplastic Stem Cells metabolism, Paracrine Communication, Prognosis, Signal Transduction, Tumor Cells, Cultured, Chemokines metabolism, Epithelial-Mesenchymal Transition, Inflammatory Breast Neoplasms pathology, Macrophages pathology, Mesenchymal Stem Cells pathology, Neoplastic Stem Cells pathology, Tumor Microenvironment
- Abstract
Inflammatory breast cancer (IBC) is a highly aggressive form of breast cancer that displays profound cancer stem cell (CSC) and mesenchymal features that promote rapid metastasis. Another hallmark of IBC is high infiltration of M2 tumor-associated (immune-suppressing) macrophages. The molecular mechanism that drives these IBC phenotypes is not well understood. Using patient breast tumor specimens, breast cancer cell lines, and a patient-derived xenograft model of IBC, we demonstrate that IBC strongly expresses IL8 and growth-regulated oncogene (GRO) chemokines that activate STAT3, which promotes development of high levels of CSC-like cells and a mesenchymal phenotype. We also show that IBC expresses high levels of many monocyte recruitment and macrophage polarization factors that attract and differentiate monocytes into tumor-promoting, immune-suppressing M2-like macrophages. The M2 macrophages in turn were found to secrete high levels of IL8 and GRO chemokines, thereby creating a feed-forward chemokine loop that further drives an IBC epithelial-to-mesenchymal transition. Our study uncovers an intricate IBC-initiated autocrine-paracrine signaling network between IBC cells and monocytes that facilitates development of this highly aggressive form of breast cancer. SIGNIFICANCE: This study uncovers a signaling network in which IBC cells commandeer macrophages to become tumor-promoting, and they in turn drive IBC cells to be more cancer stem-like, mesenchymal, and aggressive. Graphical Abstract: http://cancerres.aacrjournals.org/content/canres/79/13/3360/F1.large.jpg., (©2019 American Association for Cancer Research.)
- Published
- 2019
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