Abstract

BackgroundHypoxia plays a relevant role in tumor-related inflammation toward the metastatic spread and cancer aggressiveness. The pro-inflammatory cytokine interleukin-1β (IL-β) and its cognate receptor IL1R1 contribute to the initiation and progression of breast cancer determining pro-tumorigenic inflammatory responses. The transcriptional target of the hypoxia inducible factor-1α (HIF-1α) namely the G protein estrogen receptor (GPER) mediates a feedforward loop coupling IL-1β induction by breast cancer-associated fibroblasts (CAFs) to IL1R1 expression by breast cancer cells toward the regulation of target genes and relevant biological responses.MethodsIn order to ascertain the correlation of IL-β with HIF-1α and further hypoxia-related genes in triple-negative breast cancer (TNBC) patients, a bioinformatics analysis was performed using the information provided by The Invasive Breast Cancer Cohort of The Cancer Genome Atlas (TCGA) project and Molecular Taxonomy of Breast Cancer International Consortium (METABRIC) datasets. Gene expression correlation, statistical analysis and gene set enrichment analysis (GSEA) were carried out with R studio packages. Pathway enrichment analysis was evaluated with Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway. TNBC cells and primary CAFs were used as model system. The molecular mechanisms implicated in the regulation of IL-1β by hypoxia toward a metastatic gene expression profile and invasive properties were assessed performing gene and protein expression studies, PCR arrays, gene silencing and immunofluorescence analysis, co-immunoprecipitation and ChiP assays, ELISA, cell spreading, invasion and spheroid formation.ResultsWe first determined that IL-1β expression correlates with the levels of HIF-1α as well as with a hypoxia-related gene signature in TNBC patients. Next, we demonstrated that hypoxia triggers a functional liaison among HIF-1α, GPER and the IL-1β/IL1R1 signaling toward a metastatic gene signature and a feed-forward loop of IL-1β that leads to proliferative and invasive responses in TNBC cells. Furthermore, we found that the IL-1β released in the conditioned medium of TNBC cells exposed to hypoxic conditions promotes an invasive phenotype of CAFs.ConclusionsOur data shed new light on the role of hypoxia in the activation of the IL-1β/IL1R1 signaling, which in turn triggers aggressive features in both TNBC cells and CAFs. Hence, our findings provide novel evidence regarding the mechanisms through which the hypoxic tumor microenvironment may contribute to breast cancer progression and suggest further targets useful in more comprehensive therapeutic strategies.

Highlights

  • Hypoxia plays a relevant role in tumor-related inflammation toward the metastatic spread and cancer aggressiveness

  • We demonstrated that hypoxia triggers a functional liaison among hypoxia inducible factor-1α (HIF-1α), G protein estrogen receptor (GPER) and the IL-1β/Interleukin 1 Receptor Type 1 (IL1R1) signaling toward a metastatic gene signature and a feed-forward loop of IL-1β that leads to proliferative and invasive responses in triple-negative breast cancer (TNBC) cells

  • We found that the IL-1β released in the conditioned medium of TNBC cells exposed to hypoxic conditions promotes an invasive phenotype of cancer-associated fibroblasts (CAFs)

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Summary

Introduction

Hypoxia plays a relevant role in tumor-related inflammation toward the metastatic spread and cancer aggressiveness. Malignant cells may adapt to hypoxia mainly through the action of the hypoxia-inducible factor-1α (HIF-1α) [8], which has been largely involved in tumor growth and vascularization, stromal cell recruitment, extracellular matrix remodeling, premetastatic niche formation, invasion and metastasis [7]. In this regard, it is worth mentioning that an elevated expression of HIF-1α has been associated with the aggressiveness of breast cancer and poor clinical outcomes [9]. The over-expression of HIF-1α and the consequent hyperactivation of its target genes have been indicated as key drivers in the TNBC [10, 11]

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