Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma

Breast cancer (BC) and obesity are two heterogeneous conditions with a tremendous impact on health. BC is the most commonly diagnosed neoplasm and the leading cause of cancer-related mortality among women, and the prevalence of obesity in women worldwide reaches pandemic proportions. Obesity is a si...

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Main Authors: Daniela Nahmias Blank, Esther Hermano, Amir Sonnenblick, Ofra Maimon, Ariel M. Rubinstein, Emmy Drai, Bella Maly, Israel Vlodavsky, Aron Popovtzer, Tamar Peretz, Amichay Meirovitz, Michael Elkin
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/18/2844
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author Daniela Nahmias Blank
Esther Hermano
Amir Sonnenblick
Ofra Maimon
Ariel M. Rubinstein
Emmy Drai
Bella Maly
Israel Vlodavsky
Aron Popovtzer
Tamar Peretz
Amichay Meirovitz
Michael Elkin
author_facet Daniela Nahmias Blank
Esther Hermano
Amir Sonnenblick
Ofra Maimon
Ariel M. Rubinstein
Emmy Drai
Bella Maly
Israel Vlodavsky
Aron Popovtzer
Tamar Peretz
Amichay Meirovitz
Michael Elkin
author_sort Daniela Nahmias Blank
collection DOAJ
description Breast cancer (BC) and obesity are two heterogeneous conditions with a tremendous impact on health. BC is the most commonly diagnosed neoplasm and the leading cause of cancer-related mortality among women, and the prevalence of obesity in women worldwide reaches pandemic proportions. Obesity is a significant risk factor for both incidence and worse prognosis in estrogen receptor positive (ER+) BC. Yet, the mechanisms underlying the association between excess adiposity and increased risk/therapy resistance/poorer outcome of ER+, but not ER−negative (ER−), BC are not fully understood. Tumor-promoting action of obesity, predominantly in ER + BC patients, is often attributed to the augmented production of estrogen in ‘obese’ adipose tissue. However, in addition to the estrogen production, expression levels of ER represent a key determinant in hormone-driven breast tumorigenesis and therapy response. Here, utilizing in vitro and in vivo models of BC, we show that macrophages, whose adverse activation by obesogenic substances is fueled by heparanase (extracellular matrix-degrading enzyme), are capable of upregulating ER expression in tumor cells, in the setting of obesity-associated BC. These findings underscore a previously unknown mechanism through which interplay between cellular/extracellular elements of obesity-associated BC microenvironment influences estrogen sensitivity—a critical component in hormone-related cancer progression and resistance to therapy.
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spelling doaj.art-43e814592e8b4fbd90b25060eb5d6b0d2023-11-23T15:33:11ZengMDPI AGCells2073-44092022-09-011118284410.3390/cells11182844Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast CarcinomaDaniela Nahmias Blank0Esther Hermano1Amir Sonnenblick2Ofra Maimon3Ariel M. Rubinstein4Emmy Drai5Bella Maly6Israel Vlodavsky7Aron Popovtzer8Tamar Peretz9Amichay Meirovitz10Michael Elkin11Sharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelOncology Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 64239, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelDepartment of Pathology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelCancer and Vascular Biology Research Center, The Rappaport Faculty of Medicine, Technion, Haifa 31096, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelSharett Institute of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, IsraelBreast cancer (BC) and obesity are two heterogeneous conditions with a tremendous impact on health. BC is the most commonly diagnosed neoplasm and the leading cause of cancer-related mortality among women, and the prevalence of obesity in women worldwide reaches pandemic proportions. Obesity is a significant risk factor for both incidence and worse prognosis in estrogen receptor positive (ER+) BC. Yet, the mechanisms underlying the association between excess adiposity and increased risk/therapy resistance/poorer outcome of ER+, but not ER−negative (ER−), BC are not fully understood. Tumor-promoting action of obesity, predominantly in ER + BC patients, is often attributed to the augmented production of estrogen in ‘obese’ adipose tissue. However, in addition to the estrogen production, expression levels of ER represent a key determinant in hormone-driven breast tumorigenesis and therapy response. Here, utilizing in vitro and in vivo models of BC, we show that macrophages, whose adverse activation by obesogenic substances is fueled by heparanase (extracellular matrix-degrading enzyme), are capable of upregulating ER expression in tumor cells, in the setting of obesity-associated BC. These findings underscore a previously unknown mechanism through which interplay between cellular/extracellular elements of obesity-associated BC microenvironment influences estrogen sensitivity—a critical component in hormone-related cancer progression and resistance to therapy.https://www.mdpi.com/2073-4409/11/18/2844breast cancerheparanaseobesityestrogenestrogen receptor αmacrophages
spellingShingle Daniela Nahmias Blank
Esther Hermano
Amir Sonnenblick
Ofra Maimon
Ariel M. Rubinstein
Emmy Drai
Bella Maly
Israel Vlodavsky
Aron Popovtzer
Tamar Peretz
Amichay Meirovitz
Michael Elkin
Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma
Cells
breast cancer
heparanase
obesity
estrogen
estrogen receptor α
macrophages
title Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma
title_full Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma
title_fullStr Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma
title_full_unstemmed Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma
title_short Macrophages Upregulate Estrogen Receptor Expression in the Model of Obesity-Associated Breast Carcinoma
title_sort macrophages upregulate estrogen receptor expression in the model of obesity associated breast carcinoma
topic breast cancer
heparanase
obesity
estrogen
estrogen receptor α
macrophages
url https://www.mdpi.com/2073-4409/11/18/2844
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