Abstract The majority of cancer deaths are associated with the metastasis of epithelial tumors. This clinical reality presents an interesting conceptual puzzle: homeostatic epithelial cells are tightly adherent to each other and exhibit comparatively modest levels of proliferation and motility. Conversely, metastatic cancer cells must escape from the primary tumor, navigate the local stroma, access the systemic circulation, evade the immune system, and survive in distant sites with molecularly distinct microenvironments. We seek to understand the molecular changes that underlie this large change in epithelial cell behavior. To accomplish this goal, we first developed a series of 3D organotypic assays to elucidate the specific molecular changes downstream of expression of genes associated with metastatic cell behaviors, such as Twist1. We found that Twist1 expression is sufficient to induce mammary cells to disseminate but, surprisingly, its major effectors are proteins that constitute, interpret, or modify the extracellular compartment. We further demonstrated that Twist1 induced dissemination occurs in the presence of membrane localized adherens junction components and requires E-cadherin (Shamir et al, JCB, 2014). We are currently leveraging our bioinformatic analyses to identify molecular targets that can be inhibited to block invasion and dissemination. In addition to candidate gene approaches, we sought to identify invasion and metastasis associated genes in an unbiased fashion. We therefore developed 3D organotypic culture assays using primary and metastatic tumor tissue from mouse models and clinical breast cancer samples (n>150). We discovered a conserved molecular program expressed in the most invasive breast cancer cells across molecular subtypes (Cheung et al, Cell, 2013). We next used lineage analysis in vivo to demonstrate that the majority of metastases in the MMTV-PyMT mouse model are founded by multicellular groups of cancer cells. Importantly, the keratin-14+ (K14+) invasive molecular phenotype is common in invasion strands, locally disseminated cancer cells, CTC clusters, and micrometastases but rare in the macrometastases. We are now focused on understanding how the microenvironment determines the likelihood of dissemination from the primary tumor and metastatic outgrowth in distant organs. Citation Format: Andrew J. Ewald. Microenvironmental regulation of breast cancer invasion, dissemination, and lung colonization. [abstract]. In: Proceedings of the AACR Special Conference: Function of Tumor Microenvironment in Cancer Progression; 2016 Jan 7–10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2016;76(15 Suppl):Abstract nr IA19.
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