All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells

All-trans retinoic acid (ATRA), a recognized differentiating agent, has significant potential in the personalized/stratified treatment of breast cancer. The present study reports on the molecular mechanisms underlying the anti-tumor activity of ATRA in breast cancer. The work is based on transcripto...

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Main Authors: Marco Bolis, Gabriela Paroni, Maddalena Fratelli, Arianna Vallerga, Luca Guarrera, Adriana Zanetti, Mami Kurosaki, Silvio Ken Garattini, Maurizio Gianni’, Monica Lupi, Linda Pattini, Maria Monica Barzago, Mineko Terao, Enrico Garattini
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/12/5/1169
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author Marco Bolis
Gabriela Paroni
Maddalena Fratelli
Arianna Vallerga
Luca Guarrera
Adriana Zanetti
Mami Kurosaki
Silvio Ken Garattini
Maurizio Gianni’
Monica Lupi
Linda Pattini
Maria Monica Barzago
Mineko Terao
Enrico Garattini
author_facet Marco Bolis
Gabriela Paroni
Maddalena Fratelli
Arianna Vallerga
Luca Guarrera
Adriana Zanetti
Mami Kurosaki
Silvio Ken Garattini
Maurizio Gianni’
Monica Lupi
Linda Pattini
Maria Monica Barzago
Mineko Terao
Enrico Garattini
author_sort Marco Bolis
collection DOAJ
description All-trans retinoic acid (ATRA), a recognized differentiating agent, has significant potential in the personalized/stratified treatment of breast cancer. The present study reports on the molecular mechanisms underlying the anti-tumor activity of ATRA in breast cancer. The work is based on transcriptomic experiments performed on ATRA-treated breast cancer cell-lines, short-term tissue cultures of patient-derived mammary-tumors and a xenograft model. ATRA upregulates gene networks involved in interferon-responses, immune-modulation and antigen-presentation in retinoid-sensitive cells and tumors characterized by poor immunogenicity. ATRA-dependent upregulation of these gene networks is caused by a viral mimicry process, involving the activation of endogenous retroviruses. ATRA induces a non-canonical type of viral mimicry, which results in increased expression of the <i>IRF1</i> (Interferon Responsive Factor 1) transcription factor and the DTX3L (Deltex-E3-Ubiquitin-Ligase-3L) downstream effector. Functional knockdown studies indicate that <i>IRF1</i> and <i>DTX3L</i> are part of a negative feedback loop controlling ATRA-dependent growth inhibition of breast cancer cells. The study is of relevance from a clinical/therapeutic perspective. In fact, ATRA stimulates processes controlling the sensitivity to immuno-modulatory drugs, such as immune-checkpoint-inhibitors. This suggests that ATRA and immunotherapeutic agents represent rational combinations for the personalized treatment of breast cancer. Remarkably, ATRA-sensitivity seems to be relatively high in immune-cold mammary tumors, which are generally resistant to immunotherapy.
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spelling doaj.art-e389d39afd9d4fcb887ee5cc3591bae22023-11-19T23:35:18ZengMDPI AGCancers2072-66942020-05-01125116910.3390/cancers12051169All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer CellsMarco Bolis0Gabriela Paroni1Maddalena Fratelli2Arianna Vallerga3Luca Guarrera4Adriana Zanetti5Mami Kurosaki6Silvio Ken Garattini7Maurizio Gianni’8Monica Lupi9Linda Pattini10Maria Monica Barzago11Mineko Terao12Enrico Garattini13Laboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyDepartment of Oncology, Azienda Ospedaliera di Udine, DAME, Dipartimento di Area Medica Università degli Studi di Udine, 33100 Udine, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyDepartment of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via La Masa 19, 20156 Milano, ItalyDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyLaboratory of Molecular Biology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Mario Negri 2, 20156 Milano, ItalyAll-trans retinoic acid (ATRA), a recognized differentiating agent, has significant potential in the personalized/stratified treatment of breast cancer. The present study reports on the molecular mechanisms underlying the anti-tumor activity of ATRA in breast cancer. The work is based on transcriptomic experiments performed on ATRA-treated breast cancer cell-lines, short-term tissue cultures of patient-derived mammary-tumors and a xenograft model. ATRA upregulates gene networks involved in interferon-responses, immune-modulation and antigen-presentation in retinoid-sensitive cells and tumors characterized by poor immunogenicity. ATRA-dependent upregulation of these gene networks is caused by a viral mimicry process, involving the activation of endogenous retroviruses. ATRA induces a non-canonical type of viral mimicry, which results in increased expression of the <i>IRF1</i> (Interferon Responsive Factor 1) transcription factor and the DTX3L (Deltex-E3-Ubiquitin-Ligase-3L) downstream effector. Functional knockdown studies indicate that <i>IRF1</i> and <i>DTX3L</i> are part of a negative feedback loop controlling ATRA-dependent growth inhibition of breast cancer cells. The study is of relevance from a clinical/therapeutic perspective. In fact, ATRA stimulates processes controlling the sensitivity to immuno-modulatory drugs, such as immune-checkpoint-inhibitors. This suggests that ATRA and immunotherapeutic agents represent rational combinations for the personalized treatment of breast cancer. Remarkably, ATRA-sensitivity seems to be relatively high in immune-cold mammary tumors, which are generally resistant to immunotherapy.https://www.mdpi.com/2072-6694/12/5/1169breast cancerretinoic acidantigen presentationinterferonimmune response
spellingShingle Marco Bolis
Gabriela Paroni
Maddalena Fratelli
Arianna Vallerga
Luca Guarrera
Adriana Zanetti
Mami Kurosaki
Silvio Ken Garattini
Maurizio Gianni’
Monica Lupi
Linda Pattini
Maria Monica Barzago
Mineko Terao
Enrico Garattini
All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells
Cancers
breast cancer
retinoic acid
antigen presentation
interferon
immune response
title All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells
title_full All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells
title_fullStr All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells
title_full_unstemmed All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells
title_short All-Trans Retinoic Acid Stimulates Viral Mimicry, Interferon Responses and Antigen Presentation in Breast-Cancer Cells
title_sort all trans retinoic acid stimulates viral mimicry interferon responses and antigen presentation in breast cancer cells
topic breast cancer
retinoic acid
antigen presentation
interferon
immune response
url https://www.mdpi.com/2072-6694/12/5/1169
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