1. Paclitaxel induces lymphatic endothelial cells autophagy to promote metastasis
- Author
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Anne-Catherine Prats, Barbara Garmy-Susini, Melinda Alves, Laurent O. Martinez, Charlotte Vaysse, Souad Najib, Anne Gomez-Brouchet, Julie Guillermet-Guibert, Eric Lacazette, Nicole Therville, Charlotte Chollet, Florence Tatin, Camille Franchet, Audrey Zamora, Tiffany Fougeray, Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Toulouse [Toulouse], Institut Universitaire du Cancer Toulouse - Oncopôle (IUCT), Toxicologie Intégrative & Métabolisme (ToxAlim-TIM), ToxAlim (ToxAlim), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Ecole Nationale Vétérinaire de Toulouse (ENVT), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Ecole d'Ingénieurs de Purpan (INPT - EI Purpan), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Recherche Agronomique (INRA)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Recherche Agronomique (INRA), Institut de pharmacologie et de biologie structurale (IPBS), Centre National de la Recherche Scientifique (CNRS)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées, Garmy-Susini, Barbara, ProdInra, Migration, Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Institut National de la Recherche Agronomique (INRA)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Ecole Nationale Vétérinaire de Toulouse (ENVT), Université Fédérale Toulouse Midi-Pyrénées-Ecole d'Ingénieurs de Purpan (INPT - EI Purpan), and Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)
- Subjects
Cancer Research ,medicine.medical_treatment ,Metastasis ,chemistry.chemical_compound ,Breast cancer ,0302 clinical medicine ,Cell Movement ,Cancer ,0303 health sciences ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,lcsh:Cytology ,Chloroquine ,3. Good health ,Endothelial stem cell ,Lymphatic Endothelium ,Lymphatic system ,medicine.anatomical_structure ,Paclitaxel ,Lymphatic Metastasis ,030220 oncology & carcinogenesis ,Female ,Lymph ,Sentinel Lymph Node ,Endothelium ,Cell Survival ,government.form_of_government ,Immunology ,Médecine humaine et pathologie ,Breast Neoplasms ,Article ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,Cell Line, Tumor ,Autophagy ,Cell Adhesion ,medicine ,Humans ,lcsh:QH573-671 ,Cell Proliferation ,030304 developmental biology ,Chemotherapy ,business.industry ,Endothelial Cells ,Cell Biology ,medicine.disease ,chemistry ,Drug Resistance, Neoplasm ,government ,Cancer research ,Human health and pathology ,Lysosomes ,business ,Proto-Oncogene Proteins c-akt ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
Cytotoxic therapy for breast cancer inhibits the growth of primary tumors, but promotes metastasis to the sentinel lymph nodes through the lymphatic system. However, the effect of first-line chemotherapy on the lymphatic endothelium has been poorly investigated. In this study, we determined that paclitaxel, the anti-cancer drug approved for the treatment of metastatic or locally advanced breast cancer, induces lymphatic endothelial cell (LEC) autophagy to increase metastases. While paclitaxel treatment was largely efficacious in inhibiting LEC adhesion, it had no effect on cell survival. Paclitaxel inhibited LEC migration and branch point formation by inducing an autophagy mechanism independent of Akt phosphorylation. In vivo, paclitaxel mediated a higher permeability of lymphatic endothelium to tumor cells and this effect was reversed by chloroquine, an autophagy-lysosome inhibitor. Despite a strong effect on reducing tumor size, paclitaxel significantly increased metastasis to the sentinel lymph nodes. This effect was restricted to a lymphatic dissemination, as chemotherapy did not affect the blood endothelium. Taken together, our findings suggest that the lymphatic system resists to chemotherapy through an autophagy mechanism to promote malignant progression and metastatic lesions. This study paves the way for new combinative therapies aimed at reducing the number of metastases.
- Published
- 2019