Abstract

Metastasis is the leading cause of cancer death worldwide. Circulating tumor cells (CTCs) are a critical step in the metastatic cascade and a good tool to study this process. We isolated CTCs from a syngeneic mouse model of hepatocellular carcinoma (HCC) and a human xenograft mouse model of castration-resistant prostate cancer (CRPC). From these models, novel primary tumor and CTC cell lines were established. CTCs exhibited greater migration than primary tumor-derived cells, as well as epithelial-to-mesenchymal transition (EMT), as observed from decreased E-cadherin and increased SLUG and fibronectin expression. Additionally, when fibronectin was knocked down in CTCs, integrin B1 and SLUG were decreased, indicating regulation of these molecules by fibronectin. Investigation of cell surface molecules and secreted cytokines conferring immunomodulatory advantage to CTCs revealed decreased major histocompatibility complex class I (MHCI) expression and decreased endostatin, C-X-C motif chemokine 5 (CXCL5), and proliferin secretion by CTCs. Taken together, these findings indicate that CTCs exhibit distinct characteristics from primary tumor-derived cells. Furthermore, CTCs demonstrate enhanced migration in part through fibronectin regulation of integrin B1 and SLUG. Further study of CTC biology will likely uncover additional important mechanisms of cancer metastasis.

Highlights

  • Metastasis is associated with advanced stages of cancer

  • To confirm that the circulating tumor cells (CTCs) obtained from the bloodstream of the hepatocellular carcinoma (HCC) syngeneic mouse models were of liver origin and not other cells potentially isolated from the blood, we performed immunofluorescence staining for CREB3L3, a validated liver specific marker [28,29]

  • Expression in comparison to the T22OH cell line. These findings demonstrate that epithelial-to-mesenchymal transition (EMT) is occurring in CTC lines and may be the reason they are more migratory than primary tumor-derived cell lines

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Summary

Introduction

Metastasis is associated with advanced stages of cancer. Resulting in 90% of cancer deaths worldwide [1], metastasis occurs in a series of steps. These steps include the dissociation of cells from the primary tumor, migration through surrounding tissue, intravasation, circulation through blood, followed by extravasation and re-colonization of distant sites throughout the body. One way to potentially avoid the need for invasive tissue biopsies when studying cancer metastasis is through the use of circulating tumor cells (CTCs). CTCs are cells which have dissociated from the primary tumor and are found traveling in the blood [4,5,6,7,8]. Because CTCs can be obtained from liquid biopsies (from blood), they enable the

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