Therapy-induced normal tissue damage promotes breast cancer metastasis

Summary: Disseminated tumor cells frequently exhibit a period of dormancy, rendering them chemotherapy insensitive; conversely, the systemic delivery of chemotherapies can result in normal tissue damage. Using multiple mouse and human breast cancer models, we demonstrate that prior chemotherapy admi...

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Main Authors: Douglas W. Perkins, Ivana Steiner, Syed Haider, David Robertson, Richard Buus, Lynda O'Leary, Clare M. Isacke
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004223025804
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author Douglas W. Perkins
Ivana Steiner
Syed Haider
David Robertson
Richard Buus
Lynda O'Leary
Clare M. Isacke
author_facet Douglas W. Perkins
Ivana Steiner
Syed Haider
David Robertson
Richard Buus
Lynda O'Leary
Clare M. Isacke
author_sort Douglas W. Perkins
collection DOAJ
description Summary: Disseminated tumor cells frequently exhibit a period of dormancy, rendering them chemotherapy insensitive; conversely, the systemic delivery of chemotherapies can result in normal tissue damage. Using multiple mouse and human breast cancer models, we demonstrate that prior chemotherapy administration enhances metastatic colonization and outgrowth. In vitro, chemotherapy-treated fibroblasts display a pro-tumorigenic senescence-associated secretory phenotype (SASP) and are effectively eliminated by targeting the anti-apoptotic protein BCL-xL. In vivo, chemotherapy treatment induces SASP expression in normal tissues; however, the accumulation of senescent cells is limited, and BCL-xL inhibitors are unable to reduce chemotherapy-enhanced metastasis. This likely reflects that chemotherapy-exposed stromal cells do not enter a BCL-xL-dependent phenotype or switch their dependency to other anti-apoptotic BCL-2 family members. This study highlights the role of the metastatic microenvironment in controlling outgrowth of disseminated tumor cells and the need to identify additional approaches to limit the pro-tumorigenic effects of therapy-induced normal tissue damage.
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spelling doaj.art-c3757f74209d4ff49b816bc840451ae82023-12-10T06:16:55ZengElsevieriScience2589-00422024-01-01271108503Therapy-induced normal tissue damage promotes breast cancer metastasisDouglas W. Perkins0Ivana Steiner1Syed Haider2David Robertson3Richard Buus4Lynda O'Leary5Clare M. Isacke6The Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UKThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UKThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UKThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UKThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UKThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UKThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, 237 Fulham Road, SW3 6JB London, UK; Corresponding authorSummary: Disseminated tumor cells frequently exhibit a period of dormancy, rendering them chemotherapy insensitive; conversely, the systemic delivery of chemotherapies can result in normal tissue damage. Using multiple mouse and human breast cancer models, we demonstrate that prior chemotherapy administration enhances metastatic colonization and outgrowth. In vitro, chemotherapy-treated fibroblasts display a pro-tumorigenic senescence-associated secretory phenotype (SASP) and are effectively eliminated by targeting the anti-apoptotic protein BCL-xL. In vivo, chemotherapy treatment induces SASP expression in normal tissues; however, the accumulation of senescent cells is limited, and BCL-xL inhibitors are unable to reduce chemotherapy-enhanced metastasis. This likely reflects that chemotherapy-exposed stromal cells do not enter a BCL-xL-dependent phenotype or switch their dependency to other anti-apoptotic BCL-2 family members. This study highlights the role of the metastatic microenvironment in controlling outgrowth of disseminated tumor cells and the need to identify additional approaches to limit the pro-tumorigenic effects of therapy-induced normal tissue damage.http://www.sciencedirect.com/science/article/pii/S2589004223025804Cellular therapyCell biologyCancer
spellingShingle Douglas W. Perkins
Ivana Steiner
Syed Haider
David Robertson
Richard Buus
Lynda O'Leary
Clare M. Isacke
Therapy-induced normal tissue damage promotes breast cancer metastasis
iScience
Cellular therapy
Cell biology
Cancer
title Therapy-induced normal tissue damage promotes breast cancer metastasis
title_full Therapy-induced normal tissue damage promotes breast cancer metastasis
title_fullStr Therapy-induced normal tissue damage promotes breast cancer metastasis
title_full_unstemmed Therapy-induced normal tissue damage promotes breast cancer metastasis
title_short Therapy-induced normal tissue damage promotes breast cancer metastasis
title_sort therapy induced normal tissue damage promotes breast cancer metastasis
topic Cellular therapy
Cell biology
Cancer
url http://www.sciencedirect.com/science/article/pii/S2589004223025804
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