Abstract

Simple SummaryMetastatic brain melanoma is a common metastatic cancer with a high mortality rate. Current clinical regimens use the anti-angiogenesis drug bevacizumab (Avastin) and/or Lipo-DOX, a drug capable penetrating the blood–brain barrier; however, both commonly result in adverse side effects and limited treatment results. This study provides evidence to support the function of a phyto-glyceroglycolipid, 1,2-di-O-α-linolenoyl-3-O-β-galactopyranosyl-sn-glycerol (dLGG) in inhibiting melanoma brain metastasis (MBM) in mice through reprogramming the tumor microenvironment and interacting with melanoma cells and macrophages. The novel function of oxylipin 9,10-EpOMEs + 12,13-EpOMEs in preventing melanoma cell invasion and microglia/macrophage distribution and polarization in the tumor microenvironment is presented. The novel anti-melanoma function and underlying molecular mechanism of dLGG proposed herein can be considered as a novel therapeutic strategy to combat MBM.Current conventional cancer therapies for melanoma brain metastasis (MBM) remain ineffective. In this study, we demonstrated the bioefficacy of a phyto-glyceroglycolipid, 1,2-di-O-α-linolenoyl-3-O-β-galactopyranosyl-sn-glycerol (dLGG) alone, or in combination with liposomal doxorubicin (Lip-DOX) or Avastin against MBM in a syngeneic B16BM4COX−2/Luc brain-seeking melanoma mouse model. Treatment with dLGG–10, dLGG–25, dLGG–10 + Avastin–5, Lipo-DOX–2, dLGG–10 + Lipo-DOX–2 or Lipo-DOX–2 + Avastin–5 suppressed, respectively, 17.9%, 59.1%, 55.7%, 16.2%, 44.5% and 72.4% of MBM in mice relative to the untreated tumor control. Metastatic PD-L1+ melanoma cells, infiltration of M2-like macrophages and CD31+ endothelial cells, and high expression levels of 15-LOX/CYP450 4A enzymes in the brain tumor microenvironment of the tumor control mice were significantly attenuated in dLGG-treated mice; conversely, M1-like resident microglia and cytotoxic T cells were increased. A lipidomics study showed that dLGG promoted B16BM4 cells to secrete oxylipins 9,10-/12,13-EpOMEs into the culture medium. Furthermore, the conditioned medium of B16BM4 cells pretreated with dLGG or 9,10-EpOMEs + 12,13-EpOMEs drove M2-like macrophages to polarize into M1-like macrophages in vitro. An ex vivo 3D-culture assay further demonstrated that dLGG, 9,10-EpOME or 9,10-EpOME + 12,13-EpOME pretreatment attenuated B16BM4 cells invading brain tissue, and prevented microglia/macrophages infiltrating into the interface of melanoma plug and brain organ/tissue. In summary, this report provides a novel therapeutic strategy and mechanistic insights into phytogalactolipid dLGG for combating MBM.

Highlights

  • Epidemiological evidence shows that approximately 37% of cancer patients with metastatic melanoma develop melanoma brain metastasis (MBM), which causes high morbidity and mortality, with only about 4 to 5 months life expectancy after brain metastasis is diagnosed [1]

  • In order to assess the mechanism of melanoma cell brain metastasis and the deregulating activities of phytogalactolipid dLGG and Lipo-DOX, we established a B16 and B16COX−2/Luc-carrying luciferase reporter gene melanoma brain metastatic mouse model by ica. injection

  • We examined the coronal section of mouse brains and observed that most of the B16BM4/B16BM4COX−2/Luc tumors grew in mouse brain parenchyma, yet B16/B16COX−2/Luc tumors grew in the third ventricle and hippocampus area (Figure S1e)

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Summary

Introduction

Epidemiological evidence shows that approximately 37% of cancer patients with metastatic melanoma develop melanoma brain metastasis (MBM), which causes high morbidity and mortality, with only about 4 to 5 months life expectancy after brain metastasis is diagnosed [1]. Monotherapy using Lipo-DOX, stable vesicle-like liposome-encapsulated doxorubicin, an anti-cancer drug, was effective in treating metastatic melanoma in a phase II clinical trial [2,3]. Bevacizumab (Avastin), a monoclonal antibody directly targeting vascular endothelial growth factor-A (VEGF-A), has been widely used in clinical trials for patients with melanoma, HER2-negative breast cancer, and so on [4,5]. A combination of bevacizumab with an alkylating chemotherapeutic drug temozolomide as a first-line treatment had a suppressive effect on melanoma with uveal metastasis in a phase II study [7]. Targeting the immune check point, PD-1 antibody therapy alone or combined with CTLA-4 could induce response rates of 20% and 55%, respectively, in MBM clinical treatment [8]. The effectiveness of target therapies remains unsatisfactory due to various issues, including melanoma stages, metastatic recurrence, drug resistance, and accompanying side effects [8,9]

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