Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling

Abstract Background Ovarian cancer has the highest mortality among gynecological cancers due to late diagnosis and lack of effective targeted therapy. Although the study of interplay between cancer cells with their microenvironment is emerging, how ovarian cancer triggers signaling that coordinates...

Full description

Bibliographic Details
Main Authors: Sheng-Chieh Lin, Yi-Chu Liao, Po-Ming Chen, Ya-Yu Yang, Yi-Hsiang Wang, Shiao-Lin Tung, Chi-Mu Chuang, Yu-Wen Sung, Te-Hsuan Jang, Shuang-En Chuang, Lu-Hai Wang
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Journal of Biomedical Science
Subjects:
Online Access:https://doi.org/10.1186/s12929-022-00888-x
_version_ 1797774012260024320
author Sheng-Chieh Lin
Yi-Chu Liao
Po-Ming Chen
Ya-Yu Yang
Yi-Hsiang Wang
Shiao-Lin Tung
Chi-Mu Chuang
Yu-Wen Sung
Te-Hsuan Jang
Shuang-En Chuang
Lu-Hai Wang
author_facet Sheng-Chieh Lin
Yi-Chu Liao
Po-Ming Chen
Ya-Yu Yang
Yi-Hsiang Wang
Shiao-Lin Tung
Chi-Mu Chuang
Yu-Wen Sung
Te-Hsuan Jang
Shuang-En Chuang
Lu-Hai Wang
author_sort Sheng-Chieh Lin
collection DOAJ
description Abstract Background Ovarian cancer has the highest mortality among gynecological cancers due to late diagnosis and lack of effective targeted therapy. Although the study of interplay between cancer cells with their microenvironment is emerging, how ovarian cancer triggers signaling that coordinates with immune cells to promote metastasis is still elusive. Methods Microarray and bioinformatics analysis of low and highly invasive ovarian cancer cell lines were used to reveal periostin (POSTN), a matrix protein with multifunctions in cancer, with elevated expression in the highly invasive cells. Anchorage independent assay, Western blot, RNA interference, confocal analysis and neutralizing antibody treatment were performed to analyze the effects of POSTN on tumor promotion and to explore the underlying mechanism. Chemotaxis, flow cytometry and cytokine array analyses were undertaken to analyze the involvement of POSTN in cancer-associated fibroblast (CAF) and macrophage modulation. Correlations between POSTN expression levels and clinical characteristics were analyzed using the Oncomine, commercial ovarian cancer cDNA and China Medical University Hospital patient cohort. In vivo effect of POSTN on metastasis was studied using a mouse xenograft model. Results Expression of POSTN was found to be elevated in highly invasive ovarian cancer cells. We observed that POSTN was co-localized with integrin β3 and integrin β5, which was important for POSTN-mediated activation of ERK and NF-κB. Ectopic expression of POSTN enhanced whereas knockdown of POSTN decreased cancer cell migration and invasion in vitro, as well as tumor growth and metastasis in vivo. POSTN enhanced integrin/ERK/NF-κB signaling through an autocrine effect on cancer cells to produce macrophage attracting and mobilizing cytokines including MIP-1β, MCP-1, TNFα and RANTES resulting in increased chemotaxis of THP-1 monocytes and their polarization to M2 macrophages in vitro. In agreement, tumors derived from POSTN-overexpressing SKOV3 harbored more tumor-associated macrophages than the control tumors. POSTN induced TGF-β2 expression from ovarian cancer cells to promote activation of adipose-derived stromal cells to become CAF-like cells expressing alpha smooth muscle actin and fibroblast activation protein alpha. Consistently, increased CAFs were observed in POSTN overexpressing SKOV3 cells-derived metastatic tumors. In clinical relevance, we found that expression of POSTN was positively correlated with advanced-stage diseases and poor overall survival of patients. Conclusions Our study revealed a POSTN-integrin-NF-κB-mediated signaling and its involvement in enhancing M2 macrophages and CAFs, which could potentially participate in promoting tumor growth. Our results suggest that POSTN could be a useful prognosis marker and potential therapeutic target.
first_indexed 2024-03-12T22:14:46Z
format Article
id doaj.art-4091e35327aa44ed87ac21be9b28eec1
institution Directory Open Access Journal
issn 1423-0127
language English
last_indexed 2024-03-12T22:14:46Z
publishDate 2022-12-01
publisher BMC
record_format Article
series Journal of Biomedical Science
spelling doaj.art-4091e35327aa44ed87ac21be9b28eec12023-07-23T11:21:49ZengBMCJournal of Biomedical Science1423-01272022-12-0129111710.1186/s12929-022-00888-xPeriostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signalingSheng-Chieh Lin0Yi-Chu Liao1Po-Ming Chen2Ya-Yu Yang3Yi-Hsiang Wang4Shiao-Lin Tung5Chi-Mu Chuang6Yu-Wen Sung7Te-Hsuan Jang8Shuang-En Chuang9Lu-Hai Wang10Graduate Institute of Integrated Medicine and Chinese Medicine Research Center, China Medical UniversityInstitute of Molecular and Genomic Medicine, National Health Research InstitutesGraduate Institute of Integrated Medicine and Chinese Medicine Research Center, China Medical UniversityNational Institute of Cancer Research, National Health Research InstitutesInstitute of Molecular and Genomic Medicine, National Health Research InstitutesDepartment of Hematology and Oncology, Ton-Yen General HospitalDepartment of Obstetrics and Gynecology, Taipei Veterans General HospitalGraduate Institute of Biomedical Sciences, China Medical UniversityNational Institute of Cancer Research, National Health Research InstitutesNational Institute of Cancer Research, National Health Research InstitutesGraduate Institute of Integrated Medicine and Chinese Medicine Research Center, China Medical UniversityAbstract Background Ovarian cancer has the highest mortality among gynecological cancers due to late diagnosis and lack of effective targeted therapy. Although the study of interplay between cancer cells with their microenvironment is emerging, how ovarian cancer triggers signaling that coordinates with immune cells to promote metastasis is still elusive. Methods Microarray and bioinformatics analysis of low and highly invasive ovarian cancer cell lines were used to reveal periostin (POSTN), a matrix protein with multifunctions in cancer, with elevated expression in the highly invasive cells. Anchorage independent assay, Western blot, RNA interference, confocal analysis and neutralizing antibody treatment were performed to analyze the effects of POSTN on tumor promotion and to explore the underlying mechanism. Chemotaxis, flow cytometry and cytokine array analyses were undertaken to analyze the involvement of POSTN in cancer-associated fibroblast (CAF) and macrophage modulation. Correlations between POSTN expression levels and clinical characteristics were analyzed using the Oncomine, commercial ovarian cancer cDNA and China Medical University Hospital patient cohort. In vivo effect of POSTN on metastasis was studied using a mouse xenograft model. Results Expression of POSTN was found to be elevated in highly invasive ovarian cancer cells. We observed that POSTN was co-localized with integrin β3 and integrin β5, which was important for POSTN-mediated activation of ERK and NF-κB. Ectopic expression of POSTN enhanced whereas knockdown of POSTN decreased cancer cell migration and invasion in vitro, as well as tumor growth and metastasis in vivo. POSTN enhanced integrin/ERK/NF-κB signaling through an autocrine effect on cancer cells to produce macrophage attracting and mobilizing cytokines including MIP-1β, MCP-1, TNFα and RANTES resulting in increased chemotaxis of THP-1 monocytes and their polarization to M2 macrophages in vitro. In agreement, tumors derived from POSTN-overexpressing SKOV3 harbored more tumor-associated macrophages than the control tumors. POSTN induced TGF-β2 expression from ovarian cancer cells to promote activation of adipose-derived stromal cells to become CAF-like cells expressing alpha smooth muscle actin and fibroblast activation protein alpha. Consistently, increased CAFs were observed in POSTN overexpressing SKOV3 cells-derived metastatic tumors. In clinical relevance, we found that expression of POSTN was positively correlated with advanced-stage diseases and poor overall survival of patients. Conclusions Our study revealed a POSTN-integrin-NF-κB-mediated signaling and its involvement in enhancing M2 macrophages and CAFs, which could potentially participate in promoting tumor growth. Our results suggest that POSTN could be a useful prognosis marker and potential therapeutic target.https://doi.org/10.1186/s12929-022-00888-xOvarian cancerMetastasisPeriostinMacrophagesCancer-associated fibroblastNF-κB
spellingShingle Sheng-Chieh Lin
Yi-Chu Liao
Po-Ming Chen
Ya-Yu Yang
Yi-Hsiang Wang
Shiao-Lin Tung
Chi-Mu Chuang
Yu-Wen Sung
Te-Hsuan Jang
Shuang-En Chuang
Lu-Hai Wang
Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling
Journal of Biomedical Science
Ovarian cancer
Metastasis
Periostin
Macrophages
Cancer-associated fibroblast
NF-κB
title Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling
title_full Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling
title_fullStr Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling
title_full_unstemmed Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling
title_short Periostin promotes ovarian cancer metastasis by enhancing M2 macrophages and cancer-associated fibroblasts via integrin-mediated NF-κB and TGF-β2 signaling
title_sort periostin promotes ovarian cancer metastasis by enhancing m2 macrophages and cancer associated fibroblasts via integrin mediated nf κb and tgf β2 signaling
topic Ovarian cancer
Metastasis
Periostin
Macrophages
Cancer-associated fibroblast
NF-κB
url https://doi.org/10.1186/s12929-022-00888-x
work_keys_str_mv AT shengchiehlin periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT yichuliao periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT pomingchen periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT yayuyang periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT yihsiangwang periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT shiaolintung periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT chimuchuang periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT yuwensung periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT tehsuanjang periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT shuangenchuang periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling
AT luhaiwang periostinpromotesovariancancermetastasisbyenhancingm2macrophagesandcancerassociatedfibroblastsviaintegrinmediatednfkbandtgfb2signaling