Abstract
BackgroundMetastatic progression of breast cancer involves phenotypic plasticity of the carcinoma cells moving between epithelial and mesenchymal behaviors. During metastatic seeding and dormancy, even highly aggressive carcinoma cells take on an E-cadherin-positive epithelial phenotype that is absent from the emergent, lethal metastatic outgrowths. These phenotypes are linked to the metastatic microenvironment, though the specific cells and induction signals are still to be deciphered. Recent evidence suggests that macrophages impact tumor progression, and may alter the balance between cancer cell EMT and MErT in the metastatic microenvironment.MethodsHere we explore the role of M1/M2 macrophages in epithelial-mesenchymal plasticity of breast cancer cells by coculturing epithelial and mesenchymal cells lines with macrophages.ResultsWe found that after polarizing the THP-1 human monocyte cell line, the M1 and M2-types were stable and maintained when co-cultured with breast cancer cells. Surprisingly, M2 macrophages may conferred a growth advantage to the epithelial MCF-7 cells, with these cells being driven to a partial mesenchymal phenotypic as indicated by spindle morphology. Notably, E-cadherin protein expression is significantly decreased in MCF-7 cells co-cultured with M2 macrophages. M0 and M1 macrophages had no effect on the MCF-7 epithelial phenotype. However, the M1 macrophages impacted the highly aggressive mesenchymal-like MDA-MB-231 breast cancer cells to take on a quiescent, epithelial phenotype with re-expression of E-cadherin. The M2 macrophages if anything exacerbated the mesenchymal phenotype of the MDA-MB-231 cells.ConclusionOur findings demonstrate M2 macrophages might impart outgrowth and M1 macrophages may contribute to dormancy behaviors in metastatic breast cancer cells. Thus EMT and MErT are regulated by selected macrophage phenotype in the liver metastatic microenvironment. These results indicate macrophage could be a potential therapeutic target for limiting death due to malignant metastases in breast cancer.Electronic supplementary materialThe online version of this article (doi:10.1186/s12885-016-2411-1) contains supplementary material, which is available to authorized users.
Highlights
Metastatic progression of breast cancer involves phenotypic plasticity of the carcinoma cells moving between epithelial and mesenchymal behaviors
As the ultimate goal is to determine the macrophage role in metastatic breast cancer cell dormancy we chose a liver tissue medium that allows for breast cancer survival, but is devoid of serum, hepatocyte maintenance medium (HMM) medium
Using THP-1 cells and a protocol we devised for their differentiation and polarization into macrophage type 1 (M1)- and macrophage type 2 (M2)-like populations, we found that dormancy and emergence from dormancy may hinge upon the M1 or M2 type of the macrophage polarization in the liver metastatic microenvironment, making the metastatic niche a potential therapeutic target to combat breast cancer metastasis
Summary
Metastatic progression of breast cancer involves phenotypic plasticity of the carcinoma cells moving between epithelial and mesenchymal behaviors. During metastatic seeding and dormancy, even highly aggressive carcinoma cells take on an E-cadherin-positive epithelial phenotype that is absent from the emergent, lethal metastatic outgrowths. A small number of the disseminated tumor cells that lodge in secondary organs will eventually grow to form a clinically evident metastasis; cancer cells can remain dormant in secondary organs for years [4, 5]. The existence of such dormant cancer cells at metastatic sites has been described previously as quiescent solitary cells that neither proliferate nor undergo apoptosis [1, 6]. EMT and MErT may determine dormant or active states of the tumour, respectively, and allow for an indeterminate number of metastases formation
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