Abstract

The triple-negative phenotype is the most prevalent form of human breast cancer worldwide and is characterized by poor survival, high aggressiveness, and recurrence. Microvesicles (MV) are shredded plasma membrane components and critically mediate cell-cell communication, but can also induce cancer proliferation and metastasis. Previous studies have revealed that protease-activated receptor 2 (PAR2) contributes significantly to human triple-negative breast cancer (TNBC) progression by releasing nano-size MV and promoting cell proliferation, migration, and invasion. MV isolated from highly aggressive human TNBC cells impart metastatic potential to nonmetastatic cells. Over-expression of microRNA221 (miR221) has also been reported to enhance the metastatic potential of human TNBC, but miR221's relationship to PAR2-induced MV is unclear. Here, using isolated MV, immunoblotting, quantitative RT-PCR, FACS analysis, and enzymatic assays, we show that miR221 is translocated via human TNBC-derived MV, which upon fusion with recipient cells, enhance their proliferation, survival, and metastasis both in vitro and in vivo by inducing the epithelial-to-mesenchymal transition (EMT). Administration of anti-miR221 significantly impaired MV-induced expression of the mesenchymal markers Snail, Slug, N-cadherin, and vimentin in the recipient cells, whereas restoring expression of the epithelial marker E-cadherin. We also demonstrate that MV-associated miR221 targets phosphatase and tensin homolog (PTEN) in the recipient cells, followed by AKT Ser/Thr kinase (AKT)/NF-κB activation, which promotes EMT. Moreover, elevated miR221 levels in MV derived from human TNBC patients' blood could induce cell proliferation and metastasis in recipient cells. In summary, miR221 transfer from TNBC cells via PAR2-derived MV induces EMT and enhances the malignant potential of recipient cells.

Highlights

  • The triple-negative phenotype is the most prevalent form of human breast cancer worldwide and is characterized by poor survival, high aggressiveness, and recurrence

  • MV, generated from MDAMB231 induce epithelial-to-mesenchymal transition (EMT) in MCF7 via AKT/NF-␬B pathway. Based on both in vitro and in vivo observations, we and several other groups have already established that Tissue factor (TF) and protease-activated receptor 2 (PAR2) are over-expressed in highly aggressive breast cancer cells [10, 16, 27, 28]

  • Earlier studies from others and our group have already revealed that a unique class of seven-transmembrane Gprotein– coupled receptor family protein PAR2 signaling is associated with human breast cancer progression and metastasis

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Summary

Edited by Alex Toker

The triple-negative phenotype is the most prevalent form of human breast cancer worldwide and is characterized by poor survival, high aggressiveness, and recurrence. Previous studies have revealed that protease-activated receptor 2 (PAR2) contributes significantly to human triple-negative breast cancer (TNBC) progression by releasing nano-size MV and promoting cell proliferation, migration, and invasion. Previous studies have demonstrated that miR221 reduces epithelial marker, E-cadherin expression to promote migration and invasion of nonmetastatic MCF7 cells via the induction of epithelial-to-mesenchymal transition (EMT) [22]. The fusion of miR221-enriched, MDAMB231MV with the recipient cells results in the down-regulation of PTEN followed by AKT/NF-␬B activation This leads to the up-regulation of EMT-transcription factors (EMT-TFs) Snail, Slug, and the down-regulation of epithelial marker, E-cadherin leading to enhanced proliferation, migration, and invasion of the recipient cells imparting them resistance against anticancer drug, cisplatin. Targeting miR221 could be a potential therapeutic approach to prevent TNBC-derived MV-induced EMT thereby aiding in the disease prognosis

Results
Discussion
Human subjects and IRB details
Cell culture
MV isolation
Experimental design
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