[HTML][HTML] A CXCL1 paracrine network links cancer chemoresistance and metastasis

S Acharyya, T Oskarsson, S Vanharanta, S Malladi… - Cell, 2012 - cell.com
S Acharyya, T Oskarsson, S Vanharanta, S Malladi, J Kim, PG Morris, K Manova-Todorova…
Cell, 2012cell.com
Metastasis and chemoresistance in cancer are linked phenomena, but the molecular basis
for this link is unknown. We uncovered a network of paracrine signals between carcinoma,
myeloid, and endothelial cells that drives both processes in breast cancer. Cancer cells that
overexpress CXCL1 and 2 by transcriptional hyperactivation or 4q21 amplification are
primed for survival in metastatic sites. CXCL1/2 attract CD11b+ Gr1+ myeloid cells into the
tumor, which produce chemokines including S100A8/9 that enhance cancer cell survival …
Summary
Metastasis and chemoresistance in cancer are linked phenomena, but the molecular basis for this link is unknown. We uncovered a network of paracrine signals between carcinoma, myeloid, and endothelial cells that drives both processes in breast cancer. Cancer cells that overexpress CXCL1 and 2 by transcriptional hyperactivation or 4q21 amplification are primed for survival in metastatic sites. CXCL1/2 attract CD11b+Gr1+ myeloid cells into the tumor, which produce chemokines including S100A8/9 that enhance cancer cell survival. Although chemotherapeutic agents kill cancer cells, these treatments trigger a parallel stromal reaction leading to TNF-α production by endothelial and other stromal cells. TNF-α via NF-kB heightens the CXCL1/2 expression in cancer cells, thus amplifying the CXCL1/2-S100A8/9 loop and causing chemoresistance. CXCR2 blockers break this cycle, augmenting the efficacy of chemotherapy against breast tumors and particularly against metastasis. This network of endothelial-carcinoma-myeloid signaling interactions provides a mechanism linking chemoresistance and metastasis, with opportunities for intervention.
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