Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages

Obesity represents a risk factor for breast cancer development and therapy resistance, but the molecular players underling these links are unclear. Here, we identify a role for the obesity-cytokine leptin in sustaining aromatase inhibitor (AI) resistant growth and progression in breast cancer. Using...

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Main Authors: Luca Gelsomino, Cinzia Giordano, Giusi La Camera, Diego Sisci, Stefania Marsico, Antonella Campana, Roberta Tarallo, Antonio Rinaldi, Suzanne Fuqua, Antonella Leggio, Fedora Grande, Daniela Bonofiglio, Sebastiano Andò, Ines Barone, Stefania Catalano
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/10/4/543
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author Luca Gelsomino
Cinzia Giordano
Giusi La Camera
Diego Sisci
Stefania Marsico
Antonella Campana
Roberta Tarallo
Antonio Rinaldi
Suzanne Fuqua
Antonella Leggio
Fedora Grande
Daniela Bonofiglio
Sebastiano Andò
Ines Barone
Stefania Catalano
author_facet Luca Gelsomino
Cinzia Giordano
Giusi La Camera
Diego Sisci
Stefania Marsico
Antonella Campana
Roberta Tarallo
Antonio Rinaldi
Suzanne Fuqua
Antonella Leggio
Fedora Grande
Daniela Bonofiglio
Sebastiano Andò
Ines Barone
Stefania Catalano
author_sort Luca Gelsomino
collection DOAJ
description Obesity represents a risk factor for breast cancer development and therapy resistance, but the molecular players underling these links are unclear. Here, we identify a role for the obesity-cytokine leptin in sustaining aromatase inhibitor (AI) resistant growth and progression in breast cancer. Using as experimental models MCF-7 breast cancer cells surviving long-term treatment with the AI anastrozole (AnaR) and Ana-sensitive counterparts, we found that AnaR cells expressed higher levels of leptin and its receptors (ObR) along with a constitutive activation of downstream effectors. Accordingly, leptin signaling inhibition reduced only AnaR cell growth and motility, highlighting the existence of an autocrine loop in mechanisms governing drug-resistant phenotypes. In agreement with ObR overexpression, increasing doses of leptin were able to stimulate to a greater extent growth and migration in AnaR than sensitive cells. Moreover, leptin contributed to enhanced crosstalk between AnaR cells and macrophages within the tumor microenvironment. Indeed, AnaR, through leptin secretion, modulated macrophage profiles and increased macrophage motility through CXCR4 signaling, as evidenced by RNA-sequencing, real-time PCR, and immunoblotting. Reciprocally, activated macrophages increased AnaR cell growth and motility in coculture systems. In conclusion, acquired AI resistance is accompanied by the development of a leptin-driven phenotype, highlighting the potential clinical benefit of targeting this cytokine network in hormone-resistant breast cancers, especially in obese women.
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spelling doaj.art-f431ce584830476ea122576bef8deafd2023-11-19T20:36:26ZengMDPI AGBiomolecules2218-273X2020-04-0110454310.3390/biom10040543Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of MacrophagesLuca Gelsomino0Cinzia Giordano1Giusi La Camera2Diego Sisci3Stefania Marsico4Antonella Campana5Roberta Tarallo6Antonio Rinaldi7Suzanne Fuqua8Antonella Leggio9Fedora Grande10Daniela Bonofiglio11Sebastiano Andò12Ines Barone13Stefania Catalano14Department of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyLaboratory of Molecular Medicine and Genomics, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, 84081 Baronissi (SA), ItalyLaboratory of Molecular Medicine and Genomics, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, 84081 Baronissi (SA), ItalyLester and Sue Smith Breast Center, Baylor College of Medicine, One Baylor Plaza, MS: 600 N1220.01 Alkek Building, Houston, TX 77030, USADepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyDepartment of Pharmacy, Health and Nutritional Sciences, Via P Bucci, University of Calabria, 87036 Arcavacata di Rende (CS), ItalyObesity represents a risk factor for breast cancer development and therapy resistance, but the molecular players underling these links are unclear. Here, we identify a role for the obesity-cytokine leptin in sustaining aromatase inhibitor (AI) resistant growth and progression in breast cancer. Using as experimental models MCF-7 breast cancer cells surviving long-term treatment with the AI anastrozole (AnaR) and Ana-sensitive counterparts, we found that AnaR cells expressed higher levels of leptin and its receptors (ObR) along with a constitutive activation of downstream effectors. Accordingly, leptin signaling inhibition reduced only AnaR cell growth and motility, highlighting the existence of an autocrine loop in mechanisms governing drug-resistant phenotypes. In agreement with ObR overexpression, increasing doses of leptin were able to stimulate to a greater extent growth and migration in AnaR than sensitive cells. Moreover, leptin contributed to enhanced crosstalk between AnaR cells and macrophages within the tumor microenvironment. Indeed, AnaR, through leptin secretion, modulated macrophage profiles and increased macrophage motility through CXCR4 signaling, as evidenced by RNA-sequencing, real-time PCR, and immunoblotting. Reciprocally, activated macrophages increased AnaR cell growth and motility in coculture systems. In conclusion, acquired AI resistance is accompanied by the development of a leptin-driven phenotype, highlighting the potential clinical benefit of targeting this cytokine network in hormone-resistant breast cancers, especially in obese women.https://www.mdpi.com/2218-273X/10/4/543breast cancerendocrine resistanceleptinmacrophagesobesity
spellingShingle Luca Gelsomino
Cinzia Giordano
Giusi La Camera
Diego Sisci
Stefania Marsico
Antonella Campana
Roberta Tarallo
Antonio Rinaldi
Suzanne Fuqua
Antonella Leggio
Fedora Grande
Daniela Bonofiglio
Sebastiano Andò
Ines Barone
Stefania Catalano
Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages
Biomolecules
breast cancer
endocrine resistance
leptin
macrophages
obesity
title Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages
title_full Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages
title_fullStr Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages
title_full_unstemmed Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages
title_short Leptin Signaling Contributes to Aromatase Inhibitor Resistant Breast Cancer Cell Growth and Activation of Macrophages
title_sort leptin signaling contributes to aromatase inhibitor resistant breast cancer cell growth and activation of macrophages
topic breast cancer
endocrine resistance
leptin
macrophages
obesity
url https://www.mdpi.com/2218-273X/10/4/543
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