Breast Cancer Cell Detachment from Placenta Conditioned ECM Activates Integrin-TGFβ/JNK Axis and Enhances their Metastatic Potential

Shelly Tartakover Matalon 1,5 Gali Epstein Shochet 1,5 Oded Komemi 1,5 Meir Pomeranz 2,5 Ami Fishman 2,5 Metsada Pasmanik-Chor 4 Liat Drucker 1,5 Michael Lishner 1,3,5
1Oncogenetic Laboratory, Meir Medical Center
2Obstetrics & Gynecology, Meir Medical Center
3Internal Medicine A, Meir Medical Center
4Bioinformatics Unit G.S.W., Faculty of Life Sciences, Tel Aviv University
5Sackler Faculty of Medicine, Tel Aviv University

Background: Extracellular matrix (ECM) affects cell characteristics. Detachment from the ECM induces cell apoptosis, termed anoikis. Cancer cells can develop anoikis resistance, a mandatory step for metastasis, by switching integrins, over-expressing EGFR members and inducing epithelial mesenchymal transition (EMT). The placenta is described in the literature as a non-supportive microenvironment for cancer cells. We showed that breast cancer cells (BCCL) were eliminated from placental implantation sites. During implantation, the placenta manipulates its surrounding matrix, which may induce the BCCL elimination. Aim: Exploring the effect of placental induced ECM manipulations on BCCL. Methods: BCCL (MCF-7/T47D) were cultured on placenta/BCCL conditioned ECM (matrigel used for first trimester placenta/BCCL culture and cleared by NH4OH). Following culture we analyzed BCCL phenotype (death, count, aggregation, MMP) and signaling (microarray analysis and validation (qPCR, western-blot)). Results: BCCL migrated away from previous placental implantation sites, displayed elevated MMP activity and mRNA, formed aggregates in distant areas and enhanced proliferation (all p<0.05). MCF-7 were significantly more affected then T47D, their cell death was modestly elevated (p<0.05), they underwent EMT, expressed elevated level of CD44+\CD24low (stem-cell markers) and developed drug resistance. Microarray analysis of the MCF-7 highlighted changes in integrin, estrogen, EGFR and TGFβ pathways. Indeed, placental ECM reduced ERα, induced Smad3/JNK phosphorylation and elevated integrin-α5 expression (RGD dependent integrin) in the BCCL (all p<0.05). Addition of RGD or TGFβR/JNK inhibitors reversed some of the phenotype observations. Conclusions: BCCL detachment from the placental ECM induces cell characteristics that facilitate metastasis as EMT and drug-resistance. ITGα5, TGFβ/JNK and RGD dependent pathways are activated in these cells. These molecules may be activated in cells that detached from the primary tumors and serve as therapeutic targets.









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