Abstract

Background: The conventional dogma of treating cancer by focusing on the elimination of tumor cells has been recently refined to include consideration of the tumor microenvironment, which includes host stromal cells. Ephrin-A1, a cell surface protein involved in adhesion and migration, has been shown to be tumor suppressive in the context of the cancer cell. However, its role in the host has not been fully investigated. Here, we examine how ephrin-A1 host deficiency affects cancer growth and metastasis in a murine model of breast cancer. Methods: 4T1 cells were orthotopically implanted into the mammary fat pads or injected into the tail veins of ephrin-A1 wild-type ( Efna1+/+), heterozygous ( Efna1+/-), or knockout ( Efna1-/-) mice. Tumor growth, lung metastasis, and tumor recurrence after surgical resection were measured. Flow cytometry and immunohistochemistry (IHC) were used to analyze various cell populations in primary tumors and tumor-bearing lungs. Results: While primary tumor growth did not differ between Efna1+/+, Efna1+/-, and Efna1-/- mice, lung metastasis and primary tumor recurrence were significantly decreased in knockout mice. Efna1-/- mice had reduced lung colonization of 4T1 cells compared to Efna1+/+ littermate controls as early as 24 hours after tail vein injection. Furthermore, established lung lesions in Efna1-/- mice had reduced proliferation compared to those in Efna1+/+ controls. Conclusions: Our studies demonstrate that host deficiency of ephrin-A1 does not impact primary tumor growth but does affect metastasis by providing a less favorable metastatic niche for cancer cell colonization and growth. Elucidating the mechanisms by which host ephrin-A1 impacts cancer relapse and metastasis may shed new light on novel therapeutic strategies.

Highlights

  • Over the past several decades, the conventional dogma of treating cancer by focusing on the elimination of rapidly dividing tumor cells has been gradually refined to include consideration of the environment in which the tumor thrives – the tumor microenvironment

  • Our studies suggest that host deficiency of ephrin-A1 does not impact initial tumor growth but does affect metastasis through inhibiting cancer cell extravasation and proliferation at the metastatic niche

  • Ephrin-A1-deficient hosts have reduced metastasis in vivo We initially investigated the impact of ephrin-A1 host deficiency on primary tumor growth by implanting 4T1 cells orthotopically into the mammary fat pads of syngeneic BALB/c female Efna1+/+ and Efna1-/- mice

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Summary

Introduction

Over the past several decades, the conventional dogma of treating cancer by focusing on the elimination of rapidly dividing tumor cells has been gradually refined to include consideration of the environment in which the tumor thrives – the tumor microenvironment. Cancer metastasis is a dynamic and complex process that requires tumor cells to undergo many steps, including adopting invasive properties, intravasating into proximal vasculature, surviving in circulation, evading immunosurveillance, extravasating from distant vasculature, and adapting to selective pressures of a new environment[7,8]. Each of these steps involves multiple interactions between cancer cells and different types of host stromal cells. Established lung lesions in Efna1-/- mice had reduced proliferation compared to those in Efna1+/+

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